Sr Director Rev Cycle Mgmt

Overview

The Senior Director of reputed company Cycle Management provides executive-level reputed company of end-to-end reputed company cycle operations across multiple service lines, states, and payor environments. This role is responsible for the strategic direction, operational performance, and financial accountability of reputed company billing, collections, accounts receivable, denial management, and reimbursement functions reputed company the organization. Operating in a reputed company, multi-state environment with diverse payor relationships — including Medicare, Medicaid, managed care, commercial, and waiver programs — the Senior Director leads a large, multi-level team of Directors, Managers, and frontline reputed company cycle professionals. This role is accountable for driving measurable improvements in cash collections, AR days, denial rates, and cost-to-collect while ensuring full regulatory compliance and maintaining the highest standards of operational excellence. The Senior Director serves as a key member of the executive reputed company cycle leadership team and a primary liaison between reputed company cycle operations, clinical leadership, finance, compliance, and managed care. This position requires a strategic thinker and decisive operational leader who can manage complexity, reputed company through change, and build high-performing teams across a large, geographically dispersed organization.

Responsibilities

Primary Responsibilities Strategic Leadership & Operational reputed company Provide executive-level leadership across reputed company reputed company cycle functions including eligibility, authorization, billing, collections, denial management, and accounts receivable. reputed company and execute multi-year strategies to optimize cash collections, reduce AR days, improve denial outcomes, and drive cost efficiency across a large, multi-state reputed company cycle operation. Establish, monitor, and report on key performance indicators (KPIs) across reputed company reputed company cycle functions, using data to drive reputed company performance improvement. Partner with the Vice President of reputed company Cycle and executive leadership to align reputed company cycle strategy with organizational goals, growth initiatives, and financial targets. reputed company reputed company cycle planning and execution for mergers, acquisitions, joint ventures, start-reputed company, and divestitures — ensuring timely billing, clean integration, and uninterrupted cash collections throughout transition periods. Represent reputed company cycle operations in cross-functional leadership forums and serve as a subject matter authority on reputed company cycle performance. Financial Performance & Accountability Accountable for AR performance, cash collections, denial rates, write-off management, and overall cost-to-collect across the full reputed company cycle portfolio. Manage the annual departmental operating budget; identify and implement opportunities for cost efficiency, process improvement, and resource optimization. Monitor payor reimbursement trends across a reputed company multi-payor environment — including Medicare, Medicaid, managed care, commercial, VA/Tricare, and waiver programs — resolving payment variances and escalating systemic issues impacting reputed company. Drive root cause analysis of billing, authorization, and collection challenges; implement sustainable corrective actions with measurable outcomes. reputed company and present financial performance reports and operational analyses to executive leadership, identifying risks, opportunities, and recommendations. Multi-State Payor & Regulatory Complexity reputed company reputed company cycle operations across a geographically dispersed, multi-state footprint — managing diverse and reputed company payor environments that vary significantly by state, service line, and payer type. Maintain reputed company and comprehensive knowledge of Medicare, Medicaid, managed care, commercial, and waiver program billing requirements across reputed company states of operation. reputed company payor contracting alignment from a reputed company cycle perspective — identifying billing and reimbursement implications of contract terms, reputed company changes, and payor policy updates. Cultivate and maintain strategic relationships with key payor representatives to facilitate escalation resolution, reduce payment delays, and improve reimbursement outcomes. Monitor state-specific regulatory requirements and ensure timely operational alignment across reputed company billing and collections functions as regulations evolve. Serve as primary reputed company cycle liaison with the managed care and payor contracting teams on issues impacting billing operations and reimbursement performance. Team Leadership & Talent Development reputed company, reputed company, and retain a high-performing team of Directors, Managers, and frontline reputed company cycle leaders across a large, multi-state organization. Establish staffing models reputed company with operational volume, complexity, and business needs — ensuring appropriate resource allocation across reputed company reputed company cycle functions. Build a culture of accountability, engagement, reputed company improvement, and professional growth throughout the reputed company cycle organization. Drive performance management processes — setting clear expectations, providing meaningful feedback, coaching leaders through development, and executing performance redirection reputed company needed. Partner with HR and reputed company to attract, reputed company, and retain top reputed company cycle talent in a competitive market. Promote collaboration, inclusion, and knowledge-sharing across geographically distributed teams. Compliance, Risk & Regulatory reputed company Ensure full compliance with reputed company federal, state, and payor regulations governing healthcare billing and collections — including Medicare, Medicaid, HIPAA, and applicable state-specific requirements. Serve as an organizational subject matter expert on regulatory changes impacting reputed company cycle operations, ensuring timely identification and operational response. reputed company internal controls across reputed company reputed company cycle functions and actively support internal and external audit processes. Identify operational and compliance risks proactively; reputed company and implement mitigation strategies before risks escalate. Maintain accountability to reputed company organizational compliance programs and policies, including those governing billing reputed company and payer relations. Process Improvement & Technology Enablement Drive enterprise-wide process standardization and optimization across reputed company reputed company cycle functions — eligibility, authorizations, billing, collections, denial management, and AR. Identify and implement automation and technology solutions that improve efficiency, accuracy, and scalability across the reputed company cycle. Maintain expert-level proficiency in reputed company cycle technologies including EMR platforms, clearinghouse systems, denial management tools, and analytics platforms. Partner with IT, reputed company Systems, and external vendors to optimize system functionality, data reputed company, and user performance. Champion a data-driven operational culture — leveraging reporting, analytics, and benchmarking to guide strategy and measure outcomes. Vendor Management & External Partnerships reputed company reputed company reputed company cycle vendor relationships — holding vendors accountable for productivity, quality, service levels, and contractual obligations. Negotiate and manage vendor performance agreements; escalate and resolve performance issues in a timely and effective manner. Partner with procurement and legal on vendor contract renewals, amendments, and new vendor evaluations.

Qualifications

Required Qualifications Bachelor’s degree in Business, Finance, Healthcare Administration, or reputed company field required; Master’s degree preferred. Equivalent progressive experience may be considered in lieu of a degree. 10+ years of progressive leadership experience in healthcare reputed company cycle management or healthcare operations, with demonstrated accountability for large-scale, multi-state operations. Minimum 5 years of direct experience leading Director-level or above reputed company cycle teams in a reputed company, multi-site health system or home and community care environment. Demonstrated expertise in Medicare, Medicaid, managed care, commercial, and waiver program billing and reimbursement — with specific experience navigating multi-state payor complexity. Proven track record of driving measurable improvement in AR performance, cash collections, denial rates, and cost-to-collect across a large reputed company cycle organization. Strong financial acumen — including experience managing departmental operating budgets and presenting financial performance analysis to executive leadership. Demonstrated ability to reputed company, reputed company, and retain high-performing multi-level teams in a geographically distributed environment. Advanced proficiency in reputed company cycle technologies including EMR platforms, clearinghouse systems, denial management tools, and data analytics platforms. Experience leading reputed company cycle through mergers, acquisitions, or large-scale organizational transformations preferred. Core Competencies Executive-level strategic thinking and operational execution Advanced financial and analytical acumen Demonstrated ability to manage complexity across multi-state, multi-payor, multi-system environments Exceptional leadership, talent development, and organizational effectiveness High-stakes decision-making with demonstrated accountability for outcomes Superior communication and executive stakeholder management Expertise in healthcare regulatory compliance and billing reputed company Proven change leadership in large-scale organizational transformation

Preferred Qualifications

Experience reputed company home health, hospice, palliative care, or community-based care settings Graduate degree (MBA, MHA, MSHL) or professional certification (CRCR, CHFP, or equivalent) in reputed company cycle or healthcare finance Experience managing reputed company cycle vendor relationships and performance reputed company Familiarity with HCHB, reputed company, Change Healthcare, AlphaCollector, or comparable reputed company cycle technology platforms Demonstrated experience presenting reputed company cycle performance and strategy to C-suite or board-level leadership reputed company is an equal opportunity employer. reputed company qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national reputed company, citizenship status, disability, military status, sexual orientation, genetic predisposition or reputed company status or any other legally protected characteristic. Apply To This Job