Executive Director, Revenue Cycle and Business Operations

Executive Director, Revenue Cycle and Business Operations

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The Executive Director will be a strategic leader responsible for advancing ambulatory revenue cycle (RCM), financial and technological advancement focusing on optimization, enterprise growth, and data‑driven decision‑making. This role will develop and execute business strategies that align with growth priorities, leveraging analytics, AI, and predictive modeling to identify revenue opportunities, control costs, and improve financial performance across outpatient operations. The Executive Director will harness insights to guide strategic business planning, address challenges such as no‑shows and referral leakage, and position clinics for long‑term success.

By driving financial and strategic transformation, the role ensures sustainable growth, competitive advantage, and high‑value care for patients and communities.

Responsible for achieving and maintaining high‑functioning patient accounting processes across the organization. The Director develops and implements Patient Accounting policies and procedures that support the organizational mission, vision, and values while promoting efforts to improve the financial health of the organization. The role ensures the operation of data exchange across various platforms and the achievement of annual and periodic goals for financial performance metrics, in particular cash collections.

It maintains integrity of financial reporting, facilitates efficient operation of functions, and manages the Patient Accounting Department.

Drives revenue cycle operational performance and key financial metrics. Responsible for strategic planning to achieve revenue and reimbursement goals, while maximizing cash flow and ensuring compliance with federal and state regulations. The position identifies opportunities for financial improvement, formulates and implements best practices, and maintains fiscal responsibility for all revenue cycle activities. It sits on the Finance Committee and provides leadership to all areas of the Revenue Cycle Team, including finance and billing software systems and staff.

The Director works with analytical reporting teams, project managers, leaders, and staff, mentors, and scales operations effectively with growth. The role fosters a culture of continuous learning, hiring top talent, guarding rigorous technical discussion, and promoting high standards. The Director collaborates closely with product, data science, infrastructure, vendors, partners, and executive stakeholders to align applications and drive innovation and technological decisions with strategic business goals, implementing best practices for workflows—scalability, observability, incident response, and reliability of all applications.

• Demonstrated leadership, diplomacy and relationship building skills.
• Excellent interpersonal, verbal and written communication, and presentation skills.
• Analytical reporting and staff benchmarking and report card outcomes accountability.
• Proven problem‑solving, mediation, and negotiation skills.
• Strong overall technology foundation and understanding of the evolving landscape.
• Information Technology/Billing Software, preferably IDX experience in medical practices utilizing in‑house billing, accounts receivable systems, electronic medical records systems, interfaces with hospitals, payers, and third‑party clearing houses.
• Knowledge of governmental and private third‑party payor regulations, compliance issues, and other insurance processing rules and regulations, accounting principles and procedures, ICD‑9, ICD‑10, CPT and HCPCS knowledge and experience with all aspects of the reimbursement cycle including registration, charge capture, data entry and claims submissions.
• Knowledge of Fair Debt Collection and HITECH Policies.
• Experience with compiling and analyzing data and producing focused/relevant reports for presentations to multiple stakeholders.
• Excellent organizational and time‑management skills.
• Demonstrated ability to prioritize and…