Sr. Director, Revenue Cycle

The Sr. Director of Revenue Cycle Operations serves as the executive leader responsible for the strategic development, operational performance, and continued expansion of revenue cycle services across the Health System. This position provides enterprise leadership for revenue cycle operations supporting Central Health specialty services, outpatient services, and Comm Unity Care  clinical programs while advancing a unified revenue cycle strategy that supports organizational growth, financial sustainability, regulatory compliance, and an exceptional patient experience.

• Develop and execute a multi-year enterprise revenue cycle strategy aligned with organizational financial, operational, and clinical objectives.
• Build and operationalize revenue cycle infrastructure to support growth of Central Health specialty services and outpatient service lines.
• Lead integration and alignment of revenue cycle operations across Central Health and Comm Unity Care .
• Assess organizational readiness for new service lines, payer contracts, ambulatory programs, and future healthcare delivery models.
• Identify opportunities for automation, artificial intelligence, workflow redesign, and technology optimization to improve efficiency and scalability.
• Serve as executive advisor to senior leadership regarding revenue cycle performance, reimbursement trends, and strategic investment opportunities.
• Monitor industry trends, regulatory changes, emerging technologies, and best practices to proactively identify opportunities that improve revenue cycle performance, reimbursement optimization, and operational effectiveness.

Provide strategic and operational oversight for all revenue cycle functions across the health system, including patient access, charge capture, coding, billing, claims management, accounts receivable, denial management, payment posting, patient financial services, revenue integrity, and provider documentation support. Ensure operational excellence through performance monitoring, process optimization, regulatory compliance, and cross-functional collaboration to maximize reimbursement, improve cash flow, reduce revenue leakage, and support an exceptional patient experience.

• Establish and lead the enterprise Revenue Cycle Informatics function.
• Oversee Epic Professional Billing (PB), Claims, Patient Access, Accounts Receivable, and related revenue cycle applications.
• Direct revenue cycle reporting strategy, dashboard development, and KPI governance.
• Ensure data integrity, reporting standardization, and operational transparency across all revenue cycle functions.
• Partner with analytics teams to develop predictive and prescriptive reporting capabilities.
• Lead development of executive dashboards supporting Board, executive, operational, and clinical leadership decision-making.
• Implement benchmarking and performance monitoring against industry standards and best practices.
• Create actionable reporting that translates operational data into measurable improvement opportunities.

Monitor billable revenue, collections, accounts receivable, cash flow, and other revenue cycle measures against established goals and budgets; identify, analyze, and explain significant variances.

• Lead revenue cycle operational planning for specialty service expansion.
• Collaborate with clinical leadership to establish billing workflows for new ambulatory and specialty programs.
• Ensure appropriate payer enrollment, coding methodologies, charge structures, fee schedules, and reimbursement optimization strategies.

• Support implementation of new clinical programs, provider recruitment initiatives, and expanded access models.
• Develop operational readiness plans that ensure revenue cycle success during service line launches.

• Ensure compliance with federal, state, FQHC, Medicare, Medicaid, and commercial payer requirements.
• Maintain oversight of coding compliance, documentation standards, and audit programs.
• Lead revenue integrity initiatives designed to prevent revenue leakage and maximize compliant reimbursement.
• Partner with Compliance, Legal, HIM, and Clinical leadership regarding regulatory changes and operational implications.

• Build and lead a high-performing revenue cycle organization across Central Health and Comm Unity Care .
• Develop leadership succession plans and workforce development strategies.
• Establish performance…