Director of Revenue Cycle Implementation - Remote​/Nationwide

This is a remote based position. Applicants can be located nationwide

Director of Healthcare Revenue Cycle New Client Implementation is a strategic leadership role responsible for the end-to-end onboarding of new healthcare system clients onto our managed services service delivery model. This position oversees the transition of core RCM functions, including Coding, Billing, Accounts Receivable, and Denial Management, from client-hosted environments to our hybrid US-based and global delivery model. The Director acts as the primary architect of the transition, workflow integration, and the management of the staff transition while integrating global offshore/nearshore teams to ensure operational stability and immediate financial improvement for the client.

This position reports to the Sr Vice President of Strategic Operations.

• Client Onboarding & Transition:
  Lead the end-to-end implementation lifecycle of RCM services, including Health Information Management HIM/Coding, Patient Accounting, Billing and Insurance Follow-up.
• Operational Assessment:
  Lead Discovery sessions to map legacy client workflows and design future-state processes for Coding, Billing, and AR follow-up.
• Resource Orchestration:
  Coordinate with internal Service Line Directors to ensure our labor force is scaled and trained to meet the incoming client's volume.
• Technology Handshake:
  Partner with IT to ensure seamless connectivity to client EHRs (Epic, Cerner, Meditech, etc.) and clearinghouse configurations and the RCM workflow applications.
• SLA Establishment:
  Define baseline metrics and implement SLAs, including targets for DNFB, Clean Claim Rates, Days in AR, Denial Recovery and Cash Collection.

• Staff Re-badging & Human Capital Transition:
  Direct the Re-badging lifecycle, transitioning client employees to our payroll while maintaining operational continuity.
• Change Management:
  Lead town halls, 1-on-1 meetings, and orientation sessions to drive cultural adoption and mitigate turnover during the transition.
• Talent Assessment:
  Evaluate legacy staff skills to determine optimal placement within the new service model or identify training gaps.

• Global Team Integration & Knowledge Transfer:
  Design the distribution of work between onsite client teams, domestic service centers, and global offshore/nearshore delivery sites.
• Knowledge Transfer:
  Lead formal KT protocols to ensure global teams master client-specific payer nuances, local regulations, and facility-specific documentation habits.
• Quality Governance:
  Establish audit loops to ensure global coding and billing accuracy meets or exceeds legacy domestic performance.

• Client Relationship & Hyper-Care Management:
  Serve as the primary implementation lead for the client CFO and VP of Revenue Cycle, providing daily/weekly performance reporting during the Hyper-Care phase (first 90–120 days).
• Risk Mitigation:
  Proactively identify and resolve bottlenecks in the transition that could lead to unbilled backlogs or cash dips.

• Experience:
  
  10+ years of Revenue Cycle experience, with at least 5 years in a BPO or professional services implementation leadership role.
• Educational Background:
  Bachelor’s degree in Healthcare Administration, Finance, or Business (MHA/MBA preferred).
• Managed Services Mastery:
  Proven track record of implementing high-volume RCM services for hospitals or multi-specialty physician groups, including transitioning on-shore or in-house departments to a third-party service provider.
• Service Line Knowledge:
  Expertise in Coding;
  Billing, AR/Denials.
• Client Management:
  Experience managing the human elements of a transition, including staff re-badging or departmental restructuring.
• Global Expertise:
  Direct experience with global delivery centers or equivalent.
• Technical
  
  Skills:
  
  High proficiency in major EHR systems and RCM workflow tools; understanding of 837/835 transaction sets.

• Executive Presence:
  Ability to command confidence from hospital C-Suite leadership during high-pressure transitions.
• Cross-Cultural Leadership:
  Skill in managing diverse teams across time zones and backgrounds.
• Strategic Problem Solving:
  Ability to…