Director of Revenue Cycle Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Define and spearhead the comprehensive revenue cycle strategy, ensuring alignment with the company's growth objectives, market expansion, and changing payer landscapes.

• Provide executive oversight for all revenue cycle operations, which include patient access, authorization, coding, billing, denials management, collections, and reporting.

• Collaborate with executive leadership to shape financial strategies, encompassing revenue forecasting, pricing models, and payer contracting approaches.

• Identify and implement transformational initiatives aimed at optimizing revenue capture, enhancing margins, and improving operational efficiency at scale.

• Establish enterprise-wide KPIs, benchmarks, and performance frameworks to assess and enhance revenue cycle effectiveness.

• Lead the organizational design and workforce strategy for the revenue cycle team, focusing on leadership development, succession planning, and vendor management.

• Oversee and refine relationships with third-party billing vendors, clearinghouses, and payer partners.

• Advocate for the adoption of technology, automation, and data analytics to modernize the revenue cycle infrastructure and support a high-growth, tech-enabled care model.

• Promote cross-functional alignment with clinical, product, engineering, finance, and operations teams to ensure seamless end-to-end revenue workflows.

• Direct payer strategy, including support for contract negotiations, reimbursement optimization, and dispute resolution.

• Ensure enterprise-wide compliance with federal, state, and payer regulations, including HIPAA, CMS, and commercial payer policies.

• Act as the executive sponsor for initiatives focused on audit readiness, risk management, and regulatory response.

• Provide strategic insights and reporting to the executive team and board, translating data into actionable business decisions.

• Cultivate a culture of accountability, innovation, and continuous improvement within the revenue cycle organization.

• Anticipate industry trends, regulatory changes, and reimbursement shifts to proactively adjust strategy.

⛳️ Requirements

• Bachelor’s degree in healthcare administration, business, finance, or a related field (Master’s degree preferred).

• 12+ years of progressive experience in revenue cycle management, with a minimum of 5+ years in a director or executive leadership capacity.

• Extensive expertise in end-to-end revenue cycle operations, including multi-state and telehealth environments.

• Strong understanding of medical coding standards (CPT, ICD-10), E/M guidelines, and complex payer structures.

• Proven success in leading large, distributed teams and scaling revenue operations in a high-growth setting.

• Experience with EMR and RCM systems, as well as implementing or optimizing revenue cycle technologies.

• Demonstrated ability to influence executive stakeholders and drive cross-functional initiatives.

• Strong analytical and financial acumen, with experience in forecasting, budgeting, and performance optimization.

• Excellent communication and leadership abilities, capable of operating effectively in a virtual environment.

• High level of strategic thinking combined with rigorous execution capabilities.

🏝️ Benefits

• Competitive salary

• Remote work options