Region Director Revenue Cycle

Job Summary and Responsibilities

As our Regional Director Revenue Cycle you will serve as the preeminent revenue cycle leader for the Physician Enterprise (PE) California Region, charged with orchestrating the financial revenue cycle integrity and operational success of a complex, multi-site physician organization. This division encompasses 1,200+ providers billing under DHMF/PHC, generating over $2.3B in annual Gross Revenue, and the role also provides critical billing agency services for California Hospital-owned and managed RHC, 1206(d), and 1204(a) physician clinics, representing an additional $24M in annual Gross Revenue.

Reporting directly to the DHMF CFO/CA Regional VP of Finance, the Regional Director acts as a high-level strategic advisor, influencing key business decisions and shaping the revenue capture outcomes of the organization.

Every day you will be responsible for the planning, development, and execution of systematic workflows that maximize revenue realization and optimize cash flow. This encompasses the entire end-to-end revenue cycle—from registration and charge capture to complex insurance/patient collections, contract analysis, and reimbursement strategy. In an era of rapid digital and structural transformation, the Regional Director will lead in a rapidly changing environment.

A pivotal aspect of this role involves leading the division through a transition to the Epic billing system and orchestrating a seamless go-live while simultaneously managing the high-priority project of legacy A/R rundown within the IDX business system. You will be accountable for ensuring that all revenue cycle functions including billing, coding, and denial management align with federal/state regulatory guidelines (including Medicare/Medicaid) and organizational mission.

Furthermore, the Regional Director represents the PE West Division on Common Spirit national committees, bridging the gap between national strategy and regional execution to drive standardized performance, continuous improvement, and the long-term financial sustainability of the organization.

To be successful in this role, you will possess deep expertise in Epic-based revenue cycle management, the ability to create a culture of pride, compliance, and relentless accountability, superior communication skills and excellent analytical skills to identify performance trends and implement solutions.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

This position is remote, working PST businses hours. Periodic onsite activities may be required.

• Plan and direct revenue cycle management team with strategic vision. Directing the implementation of key strategies through the revenue cycle management team; fostering an environment of accountability to create a high performing team. Leads evaluation and integration of revenue cycle functions. Developing and executing a work plan that increases coordination and optimization across the revenue cycle.
• Establishes expectations and plans, sets priorities, and oversees processes to measure, systematically assess, and implement improvements to maintain achievements within the department. Compiles, analyzes, and documents data and outcome measurements and submits to the appropriate departments/committees.
• Develops departmental strategies to meet cash projection formulas, reduce days in Accounts Receivable, and reduce denials. Develops and utilizes advanced monitoring and reporting techniques and systems to monitor revenue cycle key performance indicators. Evaluates and advises on the impact of long-range planning from introduction of new clinical programs/strategies and associated regulatory actions.
• Leads efforts in monitoring and researching regulatory changes and proposes actions to respond to changing legislation/regulations. Assess and respond to current and future internal and external healthcare trends to establish and ensure the necessary direction for revenue cycle activities. Proactively track and respond to market dynamics associated with reimbursement.
• Assists in identification of new technologies that will improve departmental operations. Effectively manage and lead vendor management program, in collaboration with PE Rev Cycle leadership, to ensure vendor performance is optimized while evaluating marketplace options.
• Direct the analysis, reporting and recommendations for key performance metrics including billing,…