Director Managed Care & Payment Integrity

Norman Regional Health System (NRHS) is seeking an experienced revenue cycle executive to serve as its Administrative Director of Revenue Cycle Management & Managed Care. This is a full-time, on-site leadership position responsible for the strategy, performance, and day-to-day operation of the organization’s end-to-end revenue cycle across Hospital Billing (HB), Professional Billing (PB), and Ambulatory Services enterprises. This role will provide unified leadership over Revenue Optimization (Utilization Review & Charge Integrity), Patient Financial Services (Billing & Collections) and Managed Care (Payer Contracting & Relations).

This role teams will organize teams around the revenue cycle continuum with clear ownership, accountability, and cross-department collaboration. The Administrative Director will drive net-revenue performance, accelerate cash collections, minimize avoidable write-offs, and maintain compliance, while building a data-driven, prevention-focused operating model.

The ideal candidate is a health-system revenue cycle leader with successful experience across front-end, middle, and back-end revenue functions, with strong financial and analytical acumen, and an executive presence to represent revenue cycle to the CFO, Executive Team, and Board.

This position will report to the Chief Financial Officer

The Administrative Director leads multiple directors and their respective functions:

• Revenue Optimization: clinical documentation integrity (CDI), utilization review, charge integrity / charge description master (CDM), and revenue cycle analytics & KPI reporting.
• Patient Financial Services: billing and collections, cash posting, and associated customer service.
• Managed Care & Payment Integrity — payer contracting and negotiations, net-revenue reimbursement and payment integrity, denial root-cause analysis and prevention, payer escalation and relationship management, accounts receivable / underpayment recovery, and audit coordination.

• Provides a unified strategic and operational leadership for the end-to-end revenue cycle across Hospital Billing, Physician Billing, and Ambulatory Services Billing - building a single, continuum-based operating model.
• Establishes enterprise goals, budgets, and performance targets; owns overall revenue cycle results and reports performance to the CFO, Executive Team, and Board.
• Establishes and maintains clear ownership and accountability for every revenue cycle function, eliminating gaps and duplication of services across the NRHS locations and service lines.
• Drives net-revenue improvement and cash acceleration through management of A/R days, DNFB, discharged-not-final-coded (DNFC), and aged/high-dollar work-in-process (WIP) segmentation.
• Monitors and improves key revenue cycle KPIs using data-driven scorecards and dashboards to include cost-to-collect, clean-claim rate, denial rate, underpayment recovery, POS collections, bad debt and charity — using data-driven scorecards and dashboards.
• Partners with Finance on reserves, write-off governance, cost reporting, and month-end close as it relates to net revenue.
• Strengthens point-of-service collections and price-transparency / good-faith-estimate compliance.
• Ensures accurate, compliant, and timely coding, CDI, and utilization review; oversees charge integrity and CDM governance to protect expected reimbursement and reduce revenue leakage.
• Coordinates clinical denials prevention and government-audit response with clinical and denials leadership.
• Oversees billing/claims, cash posting, customer service, A/R and self-pay follow-up, and technical denials across all NRHS locations and service lines.
• E…