Restructuring and Turnaround Services, Healthcare and Life Sciences - Director (Revenue Cycle Management Transformation)
Client Engagement Leadership
Serve as the senior day-to-day engagement leader on RCM advisory mandates, owning the client relationship, project timeline, workplan execution, and quality of all deliverables.
Act as the primary point of contact for client leadership — including CFOs, Revenue Cycle Directors, and VP-level stakeholders — facilitating regular status updates, steering committee presentations, and executive readouts.
Lead discovery and diagnostic activities including stakeholder interviews, current-state process assessments, data reviews, and operational walk-throughs to establish a clear baseline and identify priority improvement opportunities.
Translate client mandates into structured project workplans with defined milestones, deliverable timelines, resource assignments, and risk mitigation strategies.
Manage scope, pace, and client expectations throughout the engagement lifecycle — proactively surfacing issues, escalating risks to the Managing Director, and ensuring client satisfaction at every phase.
Present findings, recommendations, and implementation roadmaps to senior client audiences with clarity, credibility, and a command of the underlying data and operational context.
Execution & Delivery
Oversee and execute project requirements across coding accuracy, charge capture, billing compliance, claims submission, and timely follow-up on outstanding accounts receivable.
Lead denial management workstreams including root cause analysis, denial trending, appeals strategy, and development of sustainable prevention protocols that reduce denial rates and protect net revenue.
Drive underpayment identification and recovery efforts through systematic contract modeling, remittance auditing, and payer adjudication analysis.
Evaluate payer contract performance and reimbursement adequacy, identifying contractual variances and supporting clients through contract negotiation or dispute resolution processes.
Design and implement KPI frameworks and performance dashboards — including AR days, clean claim rate, denial rate, net collection rate, bad debt, and cash posting lag — that provide clients with real-time visibility into revenue cycle health.
Develop actionable implementation roadmaps, standard operating procedures, and operational playbooks that enable clients to sustain improvements after engagement close.
Ensure all engagement work adheres to federal and state healthcare regulations, payer guidelines, and HIPAA requirements, and that compliance considerations are embedded throughout advisory recommendations.
Team & Practice Development
Direct and develop Analysts and Associates on engagement teams, providing hands-on coaching, workproduct review, and feedback that accelerates their professional growth.
Contribute to business development activities including proposal development, client presentations, RFP responses, and thought leadership content.
Support the Managing Director in advancing Riveron’s RCM practice through market positioning, service line development, and internal knowledge-building initiatives.