Revenue Cycle Management (RCM) Program Director

Location: Raleigh, North Carolina (Onsite)

About the role

We are seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all end-to-end revenue cycle operations across designated healthcare facilities. This role drives strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multi-tiered team. The Director will partner with senior leadership and external organizations to align operations with financial goals.

Responsibilities

• Provide leadership and strategic direction for patient access, health information management, coding, billing, accounts receivable, payer management, and collections.
• Develop and execute revenue cycle strategy aligned with financial and compliance objectives.
• Oversee key performance indicators (KPIs) and reporting, including A/R days, denial rate, clean claims, and net collections.
• Manage complex Medicaid/Medicare billing requirements and ensure audit readiness.
• Guide technology optimization within Epic (Prelude, Cadence, Resolute HB/PB) and related systems to improve efficiency.
• Lead organizational change, standardization, and continuous improvement initiatives.
• Partner with finance, clinical operations, IT, compliance, and payer organizations.
• Present complex financial, operational, and regulatory information to executive leadership.

Requirements

Experience: Knowledge of full healthcare revenue cycle operations, including patient access, HIM/coding, billing, A/R, and denials; Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement; Experience leading enterprise revenue cycle teams with managers and specialized staff; Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements; Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.

Technical Skills: Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance; Ability to lead technology optimization, analytics, automation, and reporting; Strong knowledge of CMS, HIPAA, state regulations, and payer policies; Skill in maintaining internal controls, audit readiness, and compliance frameworks; Required Technologies: Word.

Benefits

• Medical, dental, vision, life, disability, and other insurance plans offering optional financial protection.
• Employee Stock Purchase Program (ESPP).
• 401K program with company match after 12 months of tenure (contributions typically allowed within 30 days of start).
• Health Savings Account (HSA) on the HDHP plan.
• SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions.
• Corporate discount savings program and other discounts.
• On‑demand training program; access to certification prep and a library of technical and leadership courses/books/seminars after 6+ months tenure.
• Certification discounts and other perks to associations including CompTIA and IIBA.
• Dedicated customer service team for consultants to address benefits and other resources.
• Certified Career Coach.
• Welcome Packet containing full list of benefits, programs, support teams and resources.