Serve as the primary point of contact for internal leaders and hospital leadership teams regarding RCM performance, payer strategy, collection trends, and operational opportunities.
Translate complex RCM and payer contracting concepts into actionable insights for executive, clinical, and operational partners.
Develop strong, trust-based relationships with service line leaders, operators, and external clients to ensure alignment and drive continuous improvement.
Partner with payer contracting teams to provide insights on payer performance, reimbursement trends, authorization behaviors, denials, and market changes.
Provide expert input and strategic recommendations on new business opportunities, including proposals, client presentations, service enhancements, and growth initiatives.
Collaborate on the development and execution of payer market strategies to optimize reimbursement and reduce friction within the revenue cycle.
Lead strategic initiatives aimed at improving efficiency, financial performance, and client satisfaction.
Support the organization’s long-term RCM strategy by identifying areas for automation, process improvement, or outsourcing optimization.
Provide executive level oversight of revenue cycle performance across assigned service lines or client portfolios.
Monitor key performance indicators (KPIs) such as collections, denials, A/R aging, yield, clean claim rates, and other operational benchmarks, ensuring action plans are created and executed where improvements are needed.
Ensure timely communication of risks, trends, and opportunities to both internal and external leadership teams.
Lead and mentor a team of RCM associates and analysts, fostering a culture of accountability, professional development, and service excellence.
Establish clear goals, performance expectations, and growth pathways for team members.
Ensure the team delivers consistent, high-quality communication, reporting, and client support.
Requirements
Bachelor’s degree in healthcare administration, Business Administration, or a related field required.
Master’s degree in business administration, Healthcare Management, or a related discipline strongly preferred.
10+ years of progressive experience in Revenue Cycle Management, healthcare operations, or payer contracting functions.
Exceptional proficiency in executive level document development and presentation creation.
Advanced Excel and presentation skills with the ability to develop clear, compelling analyses and executive ready deliverables.
Exceptional communication and executive presence skills.
Strong analytical, decision making, and problem-solving abilities.
Demonstrated ability to manage multiple priorities in a fast-paced environment.
Collaborative leadership style with a focus on trust, accountability, and partnership.
Strong understanding of payer behavior, market dynamics, reimbursement methodologies, and regulatory considerations.
Demonstrated success in client engagement, stakeholder management, and relationship building at the executive level.
Experience contributing to new business development or supporting client growth efforts preferred.
Experience leading teams in a multisite or multiservice line environment.
Benefits
Medical insurance
Dental insurance
Vision insurance
Health care and dependent care flexible spending account
401(k) retirement savings plan with a company match