Revenue Cycle Management Director

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Full Time Management Phoenix - Maricopa County, Phoenix, AZ, US

30+ days ago Requisition

ABOUT ADOBE

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch
. Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted in inclusivity, human kindness, and high-quality care.

Recognized by Inc. 5000 as one of America’s Fastest-Growing Private Companies and honored for a fifth consecutive year as a“Best Place to Work” by the Phoenix Business Journal
, APH continues to expand its reach and impact.

APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation’s few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines.

With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need.

POSITION PURPOSE

The Revenue Cycle Management Director provides strategic leadership for all aspects of Adobe Population Health's revenue cycle operations, including billing, coding, claims management, payment application, accounts receivable, denial management, reimbursement optimization, risk adjustment support, and revenue integrity. Reporting to the Chief Financial Officer, this role is responsible for maximizing reimbursement, strengthening cash flow, ensuring regulatory compliance, and building scalable revenue cycle processes that support the organization's continued growth.

The Director partners closely with Clinical Operations, Operations, Data Analytics, Quality, Compliance, Contracting, Customer Relationship Management, Information Technology, and Executive Leadership to optimize reimbursement across fee-for-service and value-based payment models. This role supports organizational initiatives related to Medicare Advantage, Medicaid, risk adjustment, HCC coding, quality incentive programs, STARS, HEDIS, and other population health reimbursement methodologies.

This position leads a high-performing Revenue Cycle team while leveraging data analytics, process improvement, and technology to drive operational excellence, revenue integrity, and exceptional customer service. The position is based in the Phoenix office (near SR-51, Glendale Avenue, and 16th Street) and requires working in the office five days per week.

DUTIES & RESPONSIBILITIES

Revenue Cycle Leadership & Strategy

• Provide strategic oversight and leadership for all revenue cycle functions, including patient eligibility verification, charge capture, coding review, claims management, payment posting, collections, denial management, and reimbursement optimization.
• Develop and execute the department's strategic plan, including annual goals, budgets, staffing, and operational roadmaps.
• Establish department objectives, performance standards, and key performance indicators (KPIs) that support operational excellence and financial performance.
• Collaborate with executive leadership to identify opportunities to enhance revenue integrity and maximize reimbursement.

Revenue Cycle Operations

• Oversee all billing and claims submission activities to ensure timely, accurate, and compliant reimbursement.
• Monitor claims lifecycle performance, including clean claim rates, first-pass…