Executive Director, Revenue Cycle and Business Operations

About the role

The Executive Director will be a strategic leader responsible for advancing ambulatory revenue cycle (RCM), financial and technological advancement focusing on optimization, enterprise growth, and data-driven decision-making. This role will develop and execute business strategies that align with growth priorities, leveraging analytics, AI relating to business operations, and predictive modeling to identify revenue opportunities, control costs, and improve financial performance across outpatient operations. The Executive Director will harness insights to guide strategic business planning, address challenges like no-shows and referral leakage, and position clinics for long-term success by driving financial and strategic transformation, ensuring sustainable growth, competitive advantage, and high-value care for patients and communities.

Responsible for achieving and maintaining high-functioning patient accounting processes across the organization. Develops and implements Patient Accounting policies and procedures that support organizational mission, vision, and values while promoting efforts to improve the financial health of the organization. Ensures operation of data exchange across various platforms.

Responsibilities

• Achieve annual and periodic goals for statistical indicators of financial performance, particularly cash collections, maintaining the integrity of financial reporting, and facilitating the efficient operation of functions and management of the Patient Accounting Department.
• Drive revenue cycle operational performance and key financial metrics.
• Responsible for strategic planning to achieve revenue and reimbursement goals while maximizing cash flow and ensuring compliance with federal and state regulations.
• Identify opportunities for financial improvement, formulate and implement best practices, and maintain fiscal responsibility for all revenue cycle activities.
• Serve on the Finance Committee and provide leadership to all areas of the Revenue Cycle Team, including Finance and Billing Software systems and staff, while developing its strategic plan and ensuring all goals and objectives are met.
• Work with and manage analytical reporting requirements of teams, project managers, leaders, and staff; mentor and scale effectively with growth.
• Foster a culture of continuous learning, hiring top talent, holding rigorous technical discussions, and promoting high standards.
• Collaborate closely with product, data science, infrastructure, vendors, partners, and executive stakeholders to align applications and drive innovation and technological decisions with strategic business goals.
• Implement best practices for workflows—scalability, observability, incident response, and reliability of all applications.
• Demonstrate leadership, diplomacy, and relationship-building skills.
• Exhibit excellent interpersonal, verbal, written communication, and presentation skills.
• Oversee analytical reporting, staff benchmarking, and report card outcomes accountability.
• Apply proven problem-solving, mediation, and negotiation skills.
• Maintain a strong overall technology foundation and understanding of the evolving landscape, including Information Technology/Billing Software, preferably with IDX experience in medical practices utilizing in-house billing, accounts receivable systems, electronic medical records systems, and interfaces with hospitals, payers, and third-party clearinghouses.
• Possess knowledge of governmental and private third-party payor regulations, compliance issues, insurance processing rules, accounting principles, ICD-9, ICD-10, CPT, and HCPCS, and experience with all aspects of the reimbursement cycle including registration, charge capture, data entry, and claims submissions.
• Understand Fair Debt Collection and HITECH Policies.
• Compile and analyze data, producing focused and relevant reports for presentations to multiple stakeholders.
• Demonstrate excellent organizational and time management skills, prioritizing and effectively managing multiple projects simultaneously to meet established deadlines.

Requirements

• Master’s Degree with a minimum of four (4) years’ experience emphasizing finance, ambulatory revenue cycle, and IT transformations.
• 8 years of progressive revenue cycle leadership experience in a teaching hospital healthcare system or multi-location hospital environment.

Qualifications

• Experience with IDX suite of revenue cycle applications.
• 10 years of progressive revenue cycle leadership experience in a teaching hospital healthcare system or multi-location hospital environment.
• 5-8 years of experience dealing with rules/regulations of Medicare/Medicaid and other government payers as well as commercial insurers.
• Demonstrated experience in championing a compelling vision and leading by example while guiding a large team through transitions to new achievements.
• Working knowledge of CACHE & SQL databases and languages as well as UNIX & Microsoft operational environments.
• Embrace a business mindset that involves thinking strategically to align engineering efforts with overall business goals, prioritizing high-ROI projects, and cultivating an entrepreneurial spirit of ownership and continuous improvement within teams.
• Extensive knowledge of IDX and patient portal software.
• Expert-level competence in AR and Front-End operations management, financial systems, and data integration.