Director, Delivery Revenue Performance

SCAN Health Plan • Long Beach, CA

3d • Remote

About The Position

The Director, Delivery Revenue Performance is responsible for enterprise-wide oversight of revenue cycle performance across SCAN’s Care Delivery Affiliates (CDAs), including current and future care delivery entities. This role provides end-to-end accountability for revenue cycle functions, including eligibility, claims submission, denials management, cash posting, payer operations, payment integrity, and related operational controls. The Director partners closely with Finance, CDA Operations, Technology, Compliance, and payer-facing teams to standardize workflows, reduce claims backlog and denial risk, improve visibility into revenue cycle performance, and build a scalable operating model across the CDA portfolio. This role serves as a corporate subject matter expert on revenue performance and is accountable for identifying root-cause issues, driving process improvement, leveraging automation and AI-enabled solutions, and supporting financial forecasting, audit readiness, and revenue integrity.

Requirements

• Bachelor’s Degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field, or equivalent combination of education and experience
• 5-7 years of progressive experience in revenue cycle, claims operations, healthcare operations, finance operations, or related healthcare administrative leadership.
• Experience leading revenue cycle or claims-related functions across multiple entities, sites, business units, or operating models.
• Experience working with multiple EMR, practice management, clearinghouse, claims platform, or comparable healthcare technology systems.
• Demonstrated experience building or standardizing workflows, SOPs, controls, governance models, dashboards, and performance reporting.
• Experience partnering with Finance on cash flow, revenue integrity, reserve estimates, audit readiness, or financial performance impacts tied to revenue cycle operations.
• Experience leading cross-functional initiatives with Operations, Technology, Compliance, Finance, Analytics and payer-facing teams.
• Experience in RCM across multiple entities: CDA, ACO, affiliated medical group, PACE, Medicare Advantage, Medicaid, or comparable care delivery environment.
• Direct experience with payer relationships, claims escalations, joint operating committees, payer reconciliation, or payment integrity.
• Experience with Athena or comparable EMR/practice management platforms.
• Experience standing up or scaling a revenue cycle function for a new entity, affiliate, or care delivery model.
• 5 years of leadership experience.

Nice To Haves

• Curious about AI and its power to transform how we operate and serve our members.

Responsibilities

• Own end-to-end revenue cycle performance across SCAN’s Care Delivery Affiliates, including eligibility, claims submission, denials management, cash posting, payer operations, and payment integrity.
• Design, implement, and standardize enterprise revenue cycle workflows, SOPs, controls, and performance standards across current and future CDAs, adapted for local payer mix and EMR platform needs.
• Establish and maintain an enterprise revenue cycle risk view, including backlog aging, denial trends, payer-specific exposure, cash cycle performance, and operational or technology-related root causes.
• Develop and deliver recurring revenue cycle dashboards, reporting, and performance insights to Finance, CDA leadership, and SCAN leadership to improve visibility into revenue cycle health.
• Partner with Finance on cash flow forecasting, reserve estimates, revenue integrity, payment reconciliation, and audit readiness to ensure a reliable and timely view of revenue cycle performance.
• Partner with Technology teams on EMR, practice management, clearinghouse, and claims platform configuration to address root-cause issues related to edits, coding rules, claim scrubbing, denials, and claims backlog.
• Own the revenue cycle automation and tooling roadmap, including prioritization of process improvements, AI-enabled solutions, and system enhancements that reduce manual claims touches and denial rates.
• Lead enterprise payment integrity activities across the CDA portfolio, including pre-payment and post-payment claims accuracy, overpayment identification, recovery coordination, audit support, controls, and reporting.
• Serve as the enterprise point of contact for major payer partners on revenue cycle operational issues, escalations, reconciliations, joint operating committees, and payer-specific process improvement opportunities.
• Build the RACI, governance structure, staffing model, and scalable onboarding playbook for revenue cycle functions to support new or expanding CDAs and future enterprise revenue performance needs.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Base Pay Range: $147,000-$185,000, Salary + Incentive Plan
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

What This Job Offers

• Job Type: Full-time
• Career Level: Director