Director - Epic Revenue Cycle

Responsibilities

• Serve as executive owner for Epic Revenue Cycle modules, including but not limited to: Prelude, Cadence, RTE, Grand Central Resolute PB & HB Claims & Remittance, Tapestry.
• Develop and maintain the multiyear Epic Revenue Cycle roadmap aligned with organizational financial strategy.
• Establish and oversee Epic revenue cycle governance, prioritization, and change control processes.
• Ensure Epic build and workflows support revenue integrity, patient experience, and regulatory compliance.
• Act as escalation point for high impact Epic revenue cycle issues and risks.
• Provide functional governance and oversight for third party revenue cycle solutions (e.g., clearinghouses, patient access tools, automation, denial management, payment platforms) that interface with or influence Epic revenue cycle performance.
• Ensure third party solutions align with Epic design standards, data integrity, security requirements, and revenue cycle strategy.
• Partner with IT and Procurement to support vendor selection, contract review, performance management, and integration strategy related to Epic revenue cycle dependencies.
• Lead all phases of Epic Revenue Cycle implementations, expansions, and upgrades, including initial Epic system implementation, module rollouts and phased deployments, revenue cycle integrations, Epic upgrades, foundation changes and system conversions.
• Own implementation planning, scope definition, resource planning, timelines, and budgets.
• Partner with Revenue Cycle leadership to design and approve future state workflows for access, billing, claims, collections, and reporting.
• Ensure Epic build adheres to Epic best practices, organizational standards, and compliance requirements.
• Coordinate design, build, testing, training, go live, and stabilization activities.
• Lead go-live execution and post go-live command center operations.
• Ensure third party revenue cycle tools are appropriately designed, tested, and integrated to support Epic-centric workflows.
• Maintain Epic as the system of record while ensuring effective interoperability with external vendors.
• Participate in partnership and stakeholder engagement with Revenue Cycle, Finance, Managed Care, Patient Access, and Compliance leaders.
• Translate business and financial requirements into effective Epic solutions.
• Align end-to-end workflows with Clinical, Analytics, and IT Infrastructure and vendor partners teams.
• Advise leadership on the operational and financial impact of third-party tools within the Epic revenue cycle ecosystem.
• Provide regular communication to executive leadership on progress, risks, and outcomes.
• Lead, mentor, and develop Epic Revenue Cycle managers, analysts, and support staff.
• Build and maintain strong internal Epic capability through training, certification, and succession planning.
• Ensure appropriate coverage for support, maintenance, and on-call needs.
• Foster a high-performance, accountable, and customer-focused team culture.
• Drive continuous optimization of Epic revenue cycle workflows and system performance.
• Monitor Epic revenue cycle KPIs, denials trends, cash flow metrics, and user satisfaction.
• Assess the effectiveness of third-party solutions supporting Epic revenue cycle operations and recommend enhancements, replacements, or consolidations as needed.
• Identify system improvements that increase efficiency and reduce revenue leakage.
• Prioritize and manage enhancements, defect resolution, and technical debt.
• Support reporting, analytics, and automation initiatives tied to Epic revenue cycle data.
• Ensure Epic revenue cycle systems comply with CMS, HIPAA, payer rules, and regulatory requirements.
• Collaborate with Compliance, Audit, and Information Security to ensure third party systems meet organizational and regulatory standards.
• Support business continuity, downtime procedures, and disaster recovery related to Epic revenue cycle systems.
• Coordinate Epic implementations and upgrades alongside related third party system integrations.

Qualifications

• Bachelor's degree in information systems, Healthcare Administration, Business, Finance, or related field.
• 5-7+ years of healthcare IT leadership experience, including management of IT revenue cycle teams.
• Strong understanding of healthcare revenue cycle operations and workflows.
• Epic certification(s) in requested modules required or ability to obtain within defined timeframe.
• Experience managing budgets, vendors, and cross-functional initiatives.
• Excellent executive communication and stakeholder management skills.