Sr. Director, Revenue Cycle

The Sr. Director of Revenue Cycle Operations serves as the executive leader responsible for the strategic development, operational performance, and continued expansion of revenue cycle services across the Health System. This position provides enterprise leadership for revenue cycle operations supporting Central Health specialty services, outpatient services, and CommUnityCare clinical programs while advancing a unified revenue cycle strategy that supports organizational growth, financial sustainability, regulatory compliance, and an exceptional patient experience.The Sr. Director leads the design, implementation, and optimization of revenue cycle processes spanning patient access, charge capture, coding, billing, claims management, accounts receivable, denial prevention, payment posting, reimbursement optimization, provider education, and revenue integrity. The role is also accountable for enterprise revenue cycle informatics, Epic revenue cycle governance, operational reporting, data analytics, KPI management, benchmarking, and performance improvement initiatives. This position serves as a strategic partner to executive leadership, clinical operations, finance, contracting, compliance, information technology, Epic application teams, and analytics departments to ensure revenue cycle infrastructure supports existing operations and future service line growth, including specialty care, ambulatory services, value-based care initiatives, and new reimbursement models.

• Advanced knowledge of healthcare revenue cycle management, including eligibility and verification, charge capture, coding, billing, collections, payment posting, accounts receivable, self-pay, and third-party reimbursement.
• Demonstrated financial management skills, including operational and financial analysis, budgeting, forecasting, auditing, accounts receivable analysis, staffing analysis, and financial reporting.
• Demonstrated ability to develop and use key performance indicators and data analytics to evaluate performance, identify risks and opportunities, and drive business decisions.
• Strong knowledge of governmental and commercial payer requirements, reimbursement methodologies, contractual requirements, and healthcare revenue cycle regulations.
• Experience working with electronic medical record, practice management, billing, and other revenue cycle technology platforms.
• Strong understanding of clinical operations and the relationship between clinical documentation, coding, billing, reimbursement, and revenue cycle performance.
• Strong strategic planning, operational leadership, project management, and change management capabilities.
• Ability to develop and implement policies, procedures, strategies, and operational improvements.
• Demonstrated ability to lead, develop, and engage teams while establishing accountability and driving organizational change.
• Exceptional communication, interpersonal, collaboration, and relationship-management skills with the ability to work effectively with clinical, operational, financial, technical, and executive stakeholders.
• Ability to synthesize complex financial and operational information and provide clear analysis, recommendations, and presentations to executive leadership.
• Strong initiative, organization, judgment, and time-management skills with a results-oriented approach.

• Bachelor's Degree (higher degree accepted) in business, healthcare administration, finance, accounting, or a related field.

• 5 years of management experience in healthcare revenue cycle operations. Demonstrated experience leading revenue cycle functions and teams in a complex healthcare environment.