Director of Revenue Cycle Management

Job Essentials

Define and lead the overarching revenue cycle strategy, aligning with company growth objectives, market expansion, and evolving payer landscapes.

Provide executive oversight of all revenue cycle functions including patient access, authorization, coding, billing, denials management, collections, and reporting.

Partner with executive leadership to shape financial strategy, including revenue forecasting, pricing models, and payer contracting approaches.

Identify and drive transformational initiatives to optimize revenue capture, improve margins, and enhance operational efficiency at scale.

Establish enterprise-level KPIs, benchmarks, and performance frameworks to measure and improve revenue cycle effectiveness.

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

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

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

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

Lead payer strategy, including contract negotiation support, reimbursement optimization, and dispute resolution.

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

Serve as the executive sponsor for audit readiness, risk management, and regulatory response initiatives.

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

Foster a culture of accountability, innovation, and continuous improvement across the revenue cycle organization.

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

Minimum Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or related field (Master’s degree preferred)
• 12+ years of progressive experience in revenue cycle management, with at least 5+ years in a director or executive leadership role
• Deep expertise in end-to-end revenue cycle operations, including multi-state and telehealth environments
• Strong knowledge of medical coding standards (CPT, ICD-10), E/M guidelines, and complex payer structures
• Demonstrated success leading large, distributed teams and scaling revenue operations in a high-growth environment
• Experience with EMR and RCM systems, as well as implementing or optimizing revenue cycle technologies
• Proven 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 skills, with the ability to operate effectively in a virtual environment
• High level of strategic thinking combined with executional rigor