Revenue Cycle Management (RCM) Program Director

About the role

DHHS is seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all end‑to‑end revenue cycle operations across DSOHF facilities, including patient access, health information management, coding, billing, accounts receivable, payer management, and collections. This role drives strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multi‑tiered team of managers and staff. The Director partners with senior leadership, state agencies, and payer organizations to align operations with financial goals, oversees key metrics and reporting, manages complex Medicaid/Medicare billing requirements, ensures audit readiness, and guides technology optimization within Epic and related systems to continuously improve efficiency and accountability.

Responsibilities

• Provide leadership and strategic direction for end‑to‑end revenue cycle operations (patient access, HIM/coding, billing, A/R, payer management, collections).
• Drive strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow.
• Guide a multi‑tiered team of managers and staff.
• Partner with senior leadership, state agencies, and payer organizations to align operations with financial goals.
• Oversee key metrics and reporting.
• Manage complex Medicaid/Medicare billing requirements.
• Ensure audit readiness.
• Guide technology optimization within Epic and related systems to improve efficiency and accountability.

Skills

• Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials) – Required 5 Years Experience.
• Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement – Required 5 Years Experience.
• Experience leading enterprise revenue cycle teams with managers and specialized staff – Required 5 Years Experience.
• Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives – Required 5 Years Experience.
• Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections – Required 5 Years Experience.
• Strong knowledge of CMS, HIPAA, state regulations, and payer policies – Required 5 Years Experience.
• Skill in maintaining internal controls, audit readiness, and compliance frameworks – Required 5 Years Experience.
• Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance – Required 5 Years Experience.
• Ability to lead technology optimization, analytics, automation, and reporting – Required 5 Years Experience.
• Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations – Required 5 Years Experience.
• Executive communication ability to present complex financial, operational, and regulatory information – Required 5 Years Experience.
• Financial acumen