Senior Director Revenue Cycle
Skills
- Strong knowledge of managed care principles and healthcare reimbursement methodologies.
- Experience with claims processing and managed care contracting.
- Proficiency in financial performance management and healthcare compliance.
- Ability to lead operational change and manage performance through metrics.
- Excellent communication, collaboration, and problem-solving skills.
- Leadership capabilities managing large, cross-functional teams.
Responsibilities
- Direct and oversee managed care claims operations including claims adjudication and enrollment.
- Develop and implement operational strategies aligned with organizational goals and regulatory requirements.
- Lead process improvement initiatives to enhance service delivery and reduce costs.
- Ensure timely and accurate claims processing, contract reimbursement, and denial management.
- Manage financial aspects including budgeting, financial reporting, and executive consultation.
- Maintain compliance with federal, state, and payer regulations.
- Champion development of new claims and reporting tools to improve performance.
- Provide strategic leadership and mentoring to managers and staff.
- Build strong partnerships with internal and external stakeholders.
Education
- Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Accounting, or related field required.
- Master’s degree preferred.
Benefits
- Opportunity to work in a highly professional and dynamic healthcare environment.
- Chance to lead and influence managed care operations at a top US hospital system.
- Exposure to industry-leading revenue cycle management practices.
- Supportive team culture emphasizing accountability and continuous learning.
Average salary estimate
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