Why This Role Stands Out
As the Revenue Cycle Management Program Director, you will drive strategic initiatives to optimize financial performance and ensure regulatory compliance within a leading organization, offering significant growth and leadership opportunities. This hybrid role is ideal for a seasoned leader with extensive healthcare revenue cycle expertise and a proven ability to manage complex operations and teams. Apply today to make a substantial impact on critical revenue cycle functions and advance your career.
Quick Overview
Seniority
Leader
Work mode
Hybrid
Location
Raleigh, NC, United States
Posted
4 days ago
Accounts ReceivableComplianceContinuous ImprovementHIPAAInternal ControlsRegulatory Compliance
Job Description
Revenue Cycle Management (RCM) Program Director:
Direct Client is seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all endtoend 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 multitiered 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.
Skills set:
- Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
- Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
- Experience leading enterprise revenue cycle teams with managers and specialized staff.
- Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
- Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections.
- Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
- Skill in maintaining internal controls, audit readiness, and compliance frameworks.
- Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
- Ability to lead technology optimization, analytics, automation, and reporting.
- Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations.
- Executive communication ability to present complex financial, operational, and regulatory information.
- Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.
- Competence in leading organizational change, standardization, and continuous improvement initiatives.
- Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.
Skill | Required / Desired | Amount of Experience | Total Years | Last used |
Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials). | Required | 5 Years | ||
Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement. | Required | 5 Years | ||
Experience leading enterprise revenue cycle teams | Required | 5 Years | ||
Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections | Required | 5 Years | ||
Strong knowledge of CMS, HIPAA, state regulations, and payer policies. | Required | 5 Years | ||
Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance. | Required | 5 Years | ||
Executive communication ability | Required | 5 Years | ||
Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities. | Required | 5 Years |
Similar jobs
- VA
Supervisor, Integration
NewVast
Long Beach🇺🇸$96k/yr6 hours agoSpringAssemblyERP+4 - SM
People & Culture Operations Partner
NewSmartBear
Somerville🇺🇸1 hour agoADPBambooHRBenefits Administration+8 - PM
Analytics Senior Lead
NewPMG
Dallas🇺🇸1 hour agoSQLETLLooker+9 - CA
Large Format / Digital Department Manager
NewCOOL AIR CREATIONS INC
Smithfield, Rhode Island🇺🇸Hybrid22 minutes agoIllustratorPhotoshopScheduling - BE
Tech Lead - ToolHound
Beaconsoftware
San Francisco🇺🇸Remote7 weeks agoSQLAWSMAUI+11 - AM
AMI Scientist/Interns - Geometry and 3D Vision
Ami
New York🇺🇸3 weeks agoMachine LearningDeep LearningPyTorch+1