Director – RCM Process Improvement and Project Management

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

📋 Description

• Spearhead comprehensive initiatives to enhance the revenue cycle management process, focusing on charge capture, billing, collections, and denials management.

• Utilize AI, automation, and data analytics to optimize RCM operations.

• Recognize operational inefficiencies and collaborate with business leaders, IT, vendors, and cross-functional teams to implement workflow and technology improvements.

• Create and manage RCM dashboards, KPIs, and performance reports.

• Evaluate revenue cycle performance, uncover root causes, and formulate strategies for enhancement.

• Drive change management, training, and communication efforts.

• Oversee RCM project planning and execution, encompassing governance, scope, timelines, milestones, and deliverables.

• Standardize workflows, standard operating procedures, and performance metrics across clinics and centralized business offices.

• Lead cross-functional project teams and work collaboratively with internal stakeholders and external vendors.

• Track project performance, tackle risks and obstacles, and relay progress and recommendations to executive leadership.

• Manage monthly RCM reporting packages, performance updates, and strategic advice for practice leadership, executive management, the CFO, and board members.

• Collaborate with Accounting and Finance to ensure reporting accuracy, data integrity, RCM due diligence, and strategic business initiatives.

• Recruit, mentor, and lead process improvement leaders, project managers, and analysts.

⛳️ Requirements

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a similar relevant professional background.

• 8 to 10 years of progressive experience in healthcare revenue cycle management, including RCM reporting.

• A minimum of 3 to 5 years in a leadership position.

• Strong knowledge in RCM analytics, payer reimbursement methodologies, and financial performance enhancement.

• Demonstrated success in managing enterprise-level projects, process improvements, and cross-functional initiatives.

• Experience in identifying, implementing, and assessing AI, automation (e.g., RPA), or workflow technology solutions within revenue cycle operations.

• Proficiency in RCM and EMR/practice management systems (NextGen, Epic, Athena, or comparable).

• Skilled in data analytics and visualization tools (Tableau, Power BI, SQL, or similar).

• Advanced expertise in Microsoft Excel, Word, and PowerPoint for data analysis, reporting, and executive presentations.

• Outstanding leadership, communication, and stakeholder management abilities.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) plan with company match.

• Tuition assistance and support for professional development.

• Opportunities for performance-based bonuses.

• Generous paid time off, paid holidays, and paid parental leave.

• Life and disability benefits.

• Fertility Discount Program.

• Employee wellness and recognition initiatives.