Director of Revenue and Contract Management

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Regular Brockton, MA, US

Salary Range: $ To $ Annually

The Director of Revenue Cycle and Contract Management provides enterprise leadership for BAMSI's revenue lifecycle, from contract interpretation and service documentation through billing, collection, reconciliation, and financial reporting. Reporting to the Chief Financial Officer, the director is accountable for maximizing timely and accurate revenue from Massachusetts state agencies, including the Department of Developmental Services and Department of Mental Health, as well as Mass Health, commercial insurers, managed-care entities, and other third-party funders.

The role establishes reliable controls that connect contracts, authorizations, services delivered, claims, cash receipts, accounts receivable, and the general ledger. The director works closely with the CFO, Controller, program operations, clinical leaders, contracting, compliance, information technology, and external funders to reduce revenue leakage, resolve denials and underpayments, improve cash flow, and support accurate revenue recognition in accordance with contract terms and generally accepted accounting principles.

• Lead monthly revenue close activities for government contracts, grants, fee-for-service programs, and third-party payers; provide complete, accurate, and timely revenue schedules to the CFO and Controller.
• Reconcile services delivered, billing system activity, remittances, cash receipts, accounts receivable, deferred or unearned revenue, contract balances, and general-ledger revenue accounts.
• Evaluate contract terms, funding conditions, rate structures, and service data to support the appropriate timing and classification of revenue in partnership with the CFO and Controller.
• Develop estimates and supporting schedules for earned but unbilled revenue, contractual allowances, denials, reserves, write-offs, and other revenue adjustments.
• Investigate variances between contracted amounts, authorized units, services delivered, invoices or claims submitted, payments received, and revenue recorded; drive issues through resolution.
• Maintain auditable documentation and standardized controls for revenue calculations, reconciliations, journal-entry support, and balance-sheet substantiation.
• Prepare revenue cycle reports, dashboards, and executive-level presentations.
• Analyze billing trends, reimbursement issues, and collection performance.

• Maintain a centralized inventory of active funding agreements, amendments, rates, service models, billing rules, reporting obligations, renewal dates, and key contacts.
• Interpret financial and billing provisions for DDS, DMH, and other public funding agreements, including unit-rate, cost-reimbursement, allocation-based, and performance-based arrangements.
• Partner with operational leaders to confirm that staffing, census, utilization, authorizations, service documentation, and program activity support complete and accurate billing.
• Monitor contract utilization, spending plans, encumbrances, amendments, rate changes, funding limits, and closeout requirements; identify under utilization or revenue risk early.
• Prepare or coordinate invoices, expenditure reports, reconciliations, cost reports, and other financial submissions required by funders.
• Serve as the principal Finance contact for revenue-related inquiries, discrepancies, audits, payment delays, and contract closeout discussions with funders.

• Provide oversight of the end-to-end third-party revenue cycle, including eligibility and authorization controls, charge capture, coding interfaces, claim submission, remittance posting, denial management, follow-up, collections, and appeals.
• Establish billing calendars and work queues that support timely submission of clean claims and invoices within payer and contract deadlines.
• Monitor payer enrollment, credentialing dependencies, fee schedules, authorization requirements, claim edits, timely-filing limits, and changes in payer rules.
• Analyze denials, rejections, underpayments, aging, unapplied cash, and credit balances; assign corrective actions and elevate systemic barriers.
• Direct collection activity for outstanding government and third-party…