Sr. Director, Revenue Cycle

Accountabilities

Lead revenue cycle strategy: Provide strategic direction for revenue cycle operations, aligning departmental priorities, performance objectives, and improvement initiatives with broader financial and operational goals.
Oversee core operational functions: Direct activities related to patient eligibility and demographics, billing, accounts receivable, claims management, collections, and associated analytics and reporting.
Drive performance through analytics: Develop and monitor key performance indicators (KPIs), dashboards, and operational reports to measure quality, efficiency, productivity, throughput, and financial outcomes.
Optimize workflows and processes: Document existing processes, design workflow decision trees, identify operational bottlenecks, conduct root cause analyses, and implement improvements to enhance accuracy and efficiency.
Strengthen claims and collections performance: Analyze outstanding claims, denial patterns, reimbursement trends, and collection performance to forecast revenue, identify risks, and recommend timely corrective actions.
Apply financial modeling: Develop and integrate financial models into operational workflows to evaluate expected returns, diminishing returns, and optimal next steps for resource allocation and revenue recovery.
Improve workforce efficiency: Oversee workforce management reporting and analysis to evaluate staffing costs, productivity, operational capacity, and resource utilization.
Advance technology-enabled operations: Identify opportunities to leverage technology, automation, and data-driven solutions to streamline processes, reduce manual effort, and improve revenue cycle performance.
Ensure regulatory compliance: Monitor changes in Centers for Medicare & Medicaid Services (CMS) requirements, payer regulations, reimbursement policies, and internal standards to maintain compliance and inform operational adjustments.
Establish policies and controls: Oversee the development, documentation, implementation, and maintenance of departmental policies and procedures. Establish controls and review mechanisms to ensure consistent execution and compliance.
Lead cross-functional collaboration: Partner with Operations, Information Technology, and other internal and external stakeholders to streamline processes and support accurate, timely billing to payers and patients.
Manage and develop teams: Lead managers and team members through coaching, mentoring, performance management, and employee engagement initiatives, building a collaborative culture centered on accountability and continuous improvement.
Communicate strategic insights: Present complex analyses, performance trends, financial forecasts, and operational recommendations to stakeholders at all levels, from frontline teams to executive leadership.
Champion customer service: Promote a culture of excellence that prioritizes internal and external customer satisfaction while balancing operational efficiency, service quality, and financial objectives.
Requirements
Business operations experience: At least seven years of experience in business operations, such as call center management, enrollment, billing, payment processing, or similar functions, preferably within healthcare.
Leadership and management experience: At least three years of management experience, including operational oversight, strategic planning, performance management, and team development.
Data analytics and reporting: At least five years of experience in operational data analytics and reporting, with a proven ability to use performance insights to improve quality, productivity, and business outcomes.
Strategic and financial planning: Demonstrated experience in strategic planning, business planning, and budget development and management, including presenting complex data and analyses to leadership.
Revenue cycle knowledge: Understanding of healthcare reimbursement processes, claims management, billing, accounts receivable, denials, collections, and revenue cycle performance optimization.
Regulatory and payer awareness: Ability to understand and monitor healthcare reimbursement regulations, payer requirements, and compliance obligations to support effective operational decision-making.
Project management: Strong ability to lead complex initiatives, coordinate cross-functional stakeholders, manage competing priorities, and deliver measurable results.
Technical proficiency: Proficiency in Microsoft Office applications, particularly tools used for reporting, analysis, and presentations. Database management experience is an advantage.
Analytical and problem-solving skills: Strong ability to investigate operational challenges, identify root causes, interpret trends, develop financial models, and translate findings into practical improvement strategies.
Communication and presentation: Excellent written, verbal, and presentation skills, with the ability to communicate complex information clearly and adapt messaging to audiences ranging from frontline employees to executive leaders.
Leadership and influence: Strong interpersonal, motivational, and influencing skills, with a demonstrated ability to engage teams, build collaborative relationships, and lead organizational change.
Customer-focused mindset: Commitment to internal and external customer satisfaction, with the ability to balance service quality, operational effectiveness, and financial performance.
Adaptability and organization: Ability to manage a broad portfolio of complex initiatives, work effectively under pressure, handle multiple deadlines, and remain productive in an environment with changing priorities.
Preferred qualifications: Experience in health insurance and project management is an advantage.
Benefits
Remote work: Full-time remote opportunity for candidates based in the United States.
Competitive compensation: Salary details were not specified in the available job description.
Professional development: Opportunities to build leadership capabilities, expand healthcare revenue cycle expertise, and contribute to strategic operational initiatives.
Leadership impact: The opportunity to influence revenue cycle strategy, optimize financial performance, and drive measurable improvements across healthcare operations.
Collaborative environment: Work with cross-functional teams and experienced professionals focused on operational excellence, innovation, and client financial outcomes.
Technology and innovation: Opportunities to support automation, analytics-driven decision-making, and scalable solutions that improve reimbursement operations.
Team development: The opportunity to mentor employees, strengthen team performance, and foster a culture of accountability, engagement, and continuous improvement.