Director of Revenue Cycle Operations (Onsite- Full Time)

About North Country Healthcare (NCH): 

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. 

 

Position Summary: 

Adhering to System Values, Service Excellence, and Standards of Behavior, the Director of Revenue Cycle Operations is responsible for providing comprehensive leadership and strategic oversight for all revenue cycle functions within the organization, including Patient Access, Revenue Integrity, Patient Financial Services, and Vendor Management. This position ensures operational efficiency, compliance with regulations, financial performance, and accountability across the system. The Director works closely with managers, team leaders, and technical specialists to align revenue cycle functions with the organization's strategic goals. 

 

Essential Qualifications: 

Education:  

• A Bachelor’s degree in Business Administration, Healthcare Management, or a related field is required, or in lieu of formal education, an additional 8 years of experience in the field is acceptable. 

 

Certification or Licensure: 

• Certification in Healthcare Financial Management (CHFP) or Certified Revenue Cycle Executive (CRCE) is preferred. 

• All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS), or ACLS and PALS combined. (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis. *Refer to the NCH Life Support Certification Policy for position specific requirements. 

 

Skills: 

• Strong understanding of payer regulations and reimbursement models. 

• Excellent leadership and strategic planning abilities. 

• Superior communication and interpersonal skills for effective collaboration across various levels of the organization. 

• Ability to develop, monitor, and enforce Key Performance Indicators (KPIs) to meet financial goals. 

• Expertise in vendor management and contract oversight. 

 

Work Experience: 

• 5-10 years of progressive leadership experience in revenue cycle management within a healthcare setting. 

• Proven track record of driving process improvements and achieving financial objectives in revenue cycle operations. 

 

Essential Functions: 

• Leadership and Oversight: 

• Provide strategic leadership for Revenue Cycle operations across all NCH Entities, clinics, logistics centers, and home health locations. 

• Establish standardized policies, procedures, and best practices across the NCH Entities. 

• Mentor, support, and evaluate Revenue Cycle managers, supervisors, and technical staff. 

• Operational Management: 

• Develop, implement, and evaluate policies and procedures that promote efficient, high-quality patient care as well as standardization across NCH Entities. 

• Oversee all Revenue Cycle Systems. 

• Ensure preventive and corrective maintenance programs are consistently executed and documented. 

• Coordinate response to Revenue Cycle -related emergencies, program or platform failures, and infrastructure events. 

• Quality and Patient Safety: 

• Ensure compliance with healthcare regulations, accreditation standards, and quality improvement initiatives. 

• Lead the NCH Facilities toward high reliability, keeping the five principles at the forefront of decision-making: sensitivity to operations, preoccupation with failure, reluctance to simplify, resilience, and deference to expertise.   

• Lead Revenue Cycle efforts to monitor and improve patient outcomes, safety, and satisfaction. 

• Coordinate with quality improvement teams to address Revenue Cycle issues and identify opportunities for process improvement. 

• Regulatory Compliance and Life Safety: 

• Ensure compliance with all regulatory agencies; Federal, State and Local. 

• Coordinate Revenue Cycle related accreditation surveys and regulatory inspections, ensuring that all necessary documentation and processes are in place.  

• Serve as Revenue Cycle system lead for assigned committees and programs. 

• Ensure all NCH Revenue Cycle Entities infrastructure supports operations during emergency events. 

• Participate in drills, exercises, and after-action reviews. 

• Ensure NCH Revenue Cycle Entities are compliant with licensure, certification and inspections.  

• Strategic Planning and Growth: 

• Lead Revenue Cycle system-wide capital planning, prioritization, and execution. 

• Collaborate with finance on Revenue Cycle capital budgets and long-range facility planning while contributing to organizational strategic planning related to facilities, infrastructure, and growth. 

• Collaborate with leadership, safety, infection prevention, IT, and supply chain teams, etc. 

• Monitor industry trends and make recommendations for programmatic changes or innovations. 

• Support affiliate Revenue Cycle and departments as needed. 

• Budgeting and Financial Management: 

• In collaboration with direct reports, develop and manage budgets, ensuring cost-effective and resource-efficient operations. 

• Monitor departmental financial performance, identify energy reduction, sustainability, and cost-saving initiatives. 

• Ensure financial accountability and the alignment of Revenue Cycle services with organizational financial goals. 

• Develop, implement, and evaluate Revenue Cycle -wide contracts and agreements with supply chain and compliance. 

• Staffing and Development: 

• Collaborate with direct reports and Human Resources on recruitment, retention, and development initiatives for Facilities department staff. 

• Provide mentorship and professional development opportunities for direct reports and their staff. 

• Evaluate staffing needs and ensure the appropriate allocation of resources to meet organizational demands. 

• Ensuring business continuity through successful succession planning. 

• ​​Other: 

• ​Performs additional duties as assigned.​ 

 

Work Environment Considerations:  

Office Setting: Frequently 

Clinical Environment: Rarely 

Remote Work: Rarely 

Travel Requirements: Occasionally 

On-Call Requirements: Rarely 

 

Value Legend
Value	Meaning / Use	Color Cue
Never	Not required as part of the job
Rarely	Less than approximately 1% of the workday / unusual task
Occasionally	Up to approximately 1/3 of the workday
Frequently	Approximately 1/3–2/3 of the workday
Continuously	More than 2/3 of the workday
Yes	Requirement or exposure applies.
No	Requirement or exposure does not apply.
Yes (Occasionally)	Driving is expected occasionally.
Typically No	Driving is typically not expected.
Included	Use of hands/feet item should be included.
Physical Demands - Weight Lifted or Forced (Push, Pull, Carry)
Physical Demand Strength Rating Level	Occasionally	Frequently	Continuously
	0-33% of the workday	34-66% of the workday	67-100% of the workday
Sedentary	Up to 10 lbs	Negligible	Negligible
Light	Up to 20 lbs	Up to 10 lbs	Negligible
Medium	20-50 lbs	10-25 lbs	Up to 10 lbs
Heavy	50-100 lbs	25-50 lbs	10-20 lbs
Very Heavy	In excess of 100 lbs	In excess of 50 lbs	In excess of 20 lbs

 

Physical Demands and Work Environment: 

Section	Requirement	Management JD Template (IT-EVS-FN)
Activity	Balancing	Occasionally
Activity	Climbing	Occasionally
Activity	Crawling	Rarely
Activity	Crouching	Occasionally
Activity	Feeling/Touching	Continuously
Activity	Grasping	Continuously
Activity	Handling	Continuously
Activity	Hearing	Continuously
Activity	Kneeling	Occasionally
Activity	Reaching	Frequently
Activity	Sitting	Frequently
Activity	Standing	Frequently
Activity	Stooping/Bending	Occasionally
Activity	Talking	Frequently
Activity	Walking	Frequently
Use of Hands/Feet	Gross Motor Function - Right Hand	Included
Use of Hands/Feet	Gross Motor Function - Left Hand	Included
Use of Hands/Feet	Gross Motor Function - Right Foot	Included
Use of Hands/Feet	Gross Motor Function - Left Foot	Included
Use of Hands/Feet	Precise / Fine Manipulation - Right Hand	Included
Use of Hands/Feet	Precise / Fine Manipulation - Left Hand	Included
Use of Hands/Feet	Precise / Fine Manipulation - Right Foot	Included
Use of Hands/Feet	Precise / Fine Manipulation - Left Foot	Included
Other	Body Fluid Exposure	Yes
Other	Color Blindness Test Required  (Dependent on Position: Only required for Women Services staff, Central Sterile staff, and Laboratory Staff)	No
Other	Exposure to Chemicals	Yes
Other	Visual Requirements	Yes
Other	Audio Requirements	Yes
Other	Driving	Yes (Occasionally)
Physical Demand - Weight Lifted or Forced (Push, Pull, Carry)	Strength Rating	Medium

 

Mental Demands: 

• Ability to maintain sustained concentration and attention to detail for extended periods while performing hands-on patient care and operational tasks. 

• Ability to assess, interpret, and respond appropriately to changing patient conditions, environmental factors, and safety concerns in a fast-paced healthcare environment. 

• Ability to exercise sound judgment, critical thinking, and problem-solving skills during routine and emergency situations. 

• Ability to prioritize multiple tasks simultaneously while meeting productivity, quality, and patient care expectations. 

• Ability to communicate effectively and professionally with patients, families, physicians, and interdisciplinary team members through verbal, written, and auditory methods. 

• Ability to comprehend, retain, and apply complex instructions, policies, procedures, and technical information. 

• Ability to perform work requiring frequent mental alertness, situational awareness, and coordination while standing, walking, lifting, and using fine motor skills for prolonged periods. 

• Ability to adapt to interruptions, changing workflows, varying patient volumes, and evolving clinical priorities with professionalism and composure. 

• Ability to work safely and effectively in environments involving exposure to body fluids, chemicals, medical equipment, and other healthcare-related hazards while adhering to infection prevention and safety protocols. 

• Ability to accurately distinguish colors, sounds, visual cues, and monitor readings necessary for safe patient care and equipment operation. 

• Ability to maintain emotional stability, professionalism, and effective interpersonal interactions during stressful, sensitive, or physically demanding situations. 

• Ability to collaborate effectively as part of a multidisciplinary healthcare team while maintaining confidentiality and compliance with organizational standards. 

 

North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees. North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class. Employment decisions are made based on job related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws. 

North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law. Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre-employment testing should contact NCHRecruiting@northcountryhealth.org.