Sr. Director, Revenue Cycle

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Sr. Director, Revenue Cycle based in the United States.

In this senior leadership role, you will drive revenue cycle strategy, operational excellence, and financial performance across critical healthcare reimbursement functions. You will oversee complex initiatives spanning patient eligibility, billing, accounts receivable, claims management, and performance analytics to improve efficiency and accelerate collections. Using data-driven insights, financial modeling, and operational reporting, you will identify bottlenecks, optimize workflows, and implement scalable solutions that strengthen revenue outcomes. You will collaborate with cross-functional leaders to improve processes, support technology-driven innovation, and ensure compliance with healthcare regulations and payer requirements. You will also lead and develop high-performing teams, fostering accountability, employee engagement, and a strong customer-focused culture. This remote opportunity offers the chance to shape strategic operations and deliver measurable improvements in financial performance within a dynamic healthcare environment.

• Lead revenue cycle strategy: Provide strategic direction for revenue cycle operations, aligning departmental priorities, performance objectives, and improvement initiatives with broader financial and operational goals.
• Oversee core operational functions: Direct activities related to patient eligibility and demographics, billing, accounts receivable, claims management, collections, and associated analytics and reporting.
• Drive performance through analytics: Develop and monitor key performance indicators (KPIs), dashboards, and operational reports to measure quality, efficiency, productivity, throughput, and financial outcomes.
• Optimize workflows and processes: Document existing processes, design workflow decision trees, identify operational bottlenecks, conduct root cause analyses, and implement improvements to enhance accuracy and efficiency.
• Strengthen claims and collections performance: Analyze outstanding claims, denial patterns, reimbursement trends, and collection performance to forecast revenue, identify risks, and recommend timely corrective actions.
• Apply financial modeling: Develop and integrate financial models into operational workflows to evaluate expected returns, diminishing returns, and optimal next steps for resource allocation and revenue recovery.
• Improve workforce efficiency: Oversee workforce management reporting and analysis to evaluate staffing costs, productivity, operational capacity, and resource utilization.
• Advance technology-enabled operations: Identify opportunities to leverage technology, automation, and data-driven solutions to streamline processes, reduce manual effort, and improve revenue cycle performance.
• Ensure regulatory compliance: Monitor changes in Centers for Medicare & Medicaid Services (CMS) requirements, payer regulations, reimbursement policies, and internal standards to maintain compliance and inform operational adjustments.
• Establish policies and controls: Oversee the development, documentation, implementation, and maintenance of departmental policies and procedures. Establish controls and review mechanisms to ensure consistent execution and compliance.
• Lead cross-functional collaboration: Partner with Operations, Information Technology, and other internal and external stakeholders to streamline processes and support accurate, timely billing to payers and patients.
• Manage and develop teams: Lead managers and team members through coaching, mentoring, performance management, and employee engagement initiatives, building a collaborative culture centered on accountability and continuous improvement.
• Communicate strategic insights: Present complex analyses, performance trends, financial forecasts, and operational recommendations to stakeholders at all levels, from frontline teams to executive leadership.
• Champion customer service: Promote a culture of excellence that prioritizes internal and external customer satisfaction while balancing operational efficiency, service quality, and financial objectives.

Requirements

• Business operations experience: At least seven years of experience in business operations, such as call center management, enrollment, billing, payment processing, or similar functions, preferably within healthcare.
• Leadership and management experience: At least three years of management experience, including operational oversight, strategic planning, performance management, and team development.
• Data analytics and reporting: At least five years of experience in operational data analytics and reporting, with a proven ability to use performance insights to improve quality, productivity, and business outcomes.
• Strategic and financial planning: Demonstrated experience in strategic planning, business planning, and budget development and management, including presenting complex data and analyses to leadership.
• Revenue cycle knowledge: Understanding of healthcare reimbursement processes, claims management, billing, accounts receivable, denials, collections, and revenue cycle performance optimization.
• Regulatory and payer awareness: Ability to understand and monitor healthcare reimbursement regulations, payer requirements, and compliance obligations to support effective operational decision-making.
• Project management: Strong ability to lead complex initiatives, coordinate cross-functional stakeholders, manage competing priorities, and deliver measurable results.
• Technical proficiency: Proficiency in Microsoft Office applications, particularly tools used for reporting, analysis, and presentations. Database management experience is an advantage.
• Analytical and problem-solving skills: Strong ability to investigate operational challenges, identify root causes, interpret trends, develop financial models, and translate findings into practical improvement strategies.
• Communication and presentation: Excellent written, verbal, and presentation skills, with the ability to communicate complex information clearly and adapt messaging to audiences ranging from frontline employees to executive leaders.
• Leadership and influence: Strong interpersonal, motivational, and influencing skills, with a demonstrated ability to engage teams, build collaborative relationships, and lead organizational change.
• Customer-focused mindset: Commitment to internal and external customer satisfaction, with the ability to balance service quality, operational effectiveness, and financial performance.
• Adaptability and organization: Ability to manage a broad portfolio of complex initiatives, work effectively under pressure, handle multiple deadlines, and remain productive in an environment with changing priorities.
• Preferred qualifications: Experience in health insurance and project management is an advantage.

Benefits

• Remote work: Full-time remote opportunity for candidates based in the United States.
• Competitive compensation: Salary details were not specified in the available job description.
• Professional development: Opportunities to build leadership capabilities, expand healthcare revenue cycle expertise, and contribute to strategic operational initiatives.
• Leadership impact: The opportunity to influence revenue cycle strategy, optimize financial performance, and drive measurable improvements across healthcare operations.
• Collaborative environment: Work with cross-functional teams and experienced professionals focused on operational excellence, innovation, and client financial outcomes.
• Technology and innovation: Opportunities to support automation, analytics-driven decision-making, and scalable solutions that improve reimbursement operations.
• Team development: The opportunity to mentor employees, strengthen team performance, and foster a culture of accountability, engagement, and continuous improvement.