Director of Finance & Revenue Cycle

Bluewater Health•Brunswick, ME

6d•$120,000 - $160,000•Hybrid

About The Position

BlueWater Health is seeking an experienced and strategic Director of Finance & Revenue Cycle to serve as the organization's senior financial leader and oversee all aspects of finance, accounting, payroll, benefits administration, financial planning, and revenue integrity. This is a highly visible leadership role that combines traditional healthcare finance leadership with operational performance improvement and revenue cycle optimization. Reporting directly to executive leadership, the Director will play a critical role in ensuring financial stability, supporting growth initiatives, maximizing reimbursement, and providing the actionable business insights needed to guide organizational decision-making. The ideal candidate is equally comfortable analyzing financial performance, improving operational workflows, collaborating with physicians and healthcare leaders, and leading teams through change in a dynamic and growing healthcare environment. BlueWater Health is a physician-owned healthcare organization providing emergency medicine, hospital medicine, critical care, and specialty physician services throughout New England. We are committed to delivering exceptional clinical care while maintaining a culture of accountability, innovation, and operational excellence. As we continue to grow, we are investing in financial leadership that can help strengthen our infrastructure, improve performance, and support long-term organizational success.

Requirements

Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field.
Seven or more years of progressive leadership experience in healthcare finance, accounting, revenue cycle management, or related disciplines.
Strong knowledge of healthcare reimbursement, physician practice finance, and revenue cycle operations.
Experience leading budgeting, forecasting, financial reporting, and operational analysis functions.
Demonstrated success managing cross-functional teams and organizational initiatives.
Advanced analytical, communication, and leadership skills.

Nice To Haves

CPA, MBA, MHA, HFMA certification, or comparable advanced credential.
Experience in physician-owned healthcare organizations, emergency medicine, hospital medicine, or multi-site healthcare enterprises.
Experience overseeing outsourced billing and coding relationships.
Knowledge of provider compensation methodologies
Experience leveraging data analytics, automation, and AI tools in financial operations.

Responsibilities

Serve as the organization's senior financial leader and trusted advisor to executive leadership.
Lead financial strategy, planning, forecasting, and organizational performance improvement initiatives.
Provide financial analysis and recommendations to support growth opportunities, new service lines, and operational decision-making.
Develop and monitor key organizational performance indicators.
Oversee all accounting operations, financial reporting, and general ledger activities.
Lead monthly, quarterly, and annual close processes.
Prepare and analyze financial statements, budgets, forecasts, and cash flow projections.
Ensure strong internal controls, regulatory compliance, and audit readiness.
Manage relationships with external auditors, tax advisors, and banking partners.
Maintain multi-entity financial reporting and organizational accounting integrity.
Serve as BlueWater Health's operational leader for revenue integrity and revenue cycle performance in collaboration with our outsourced Revenue Cycle Vendor.
Oversee revenue cycle performance from registration through final payment collection.
Monitor revenue capture, coding accuracy, documentation integrity, denials, and reimbursement performance.
Identify and eliminate revenue leakage opportunities.
Lead revenue cycle performance improvement initiatives across the organization.
Provide oversight of Charts Not Received (CNR) and Requests for Additional Information (RAI) processes.
Monitor and ensure provider enrollment with payors through our third-party RCM vendor.
Develop reporting and accountability systems focused on: Days in Accounts Receivable, Net Collection Rates, Denial Rates, Charge Lag, Coding Turnaround Time, Revenue Recovery Opportunities.
Partner with physicians, facilities, and revenue cycle vendors to optimize financial performance.
Provide organizational oversight of payroll operations for physicians, APPs, and staff.
Ensure accurate administration of physician compensation and productivity-based compensation models.
Oversee benefits administration and vendor relationships.
Monitor payroll and benefits costs, trends, and compliance requirements.
Monitor financial performance across facilities, contracts, and service lines.
Analyze margins, staffing expenses, provider productivity, and reimbursement trends.
Support contract negotiations, financial modeling, and operational improvement initiatives.
Develop executive dashboards and performance reporting tools.
Lead and develop finance, accounting, payroll, and revenue cycle personnel.
Foster a culture of accountability, collaboration, innovation, and continuous improvement.
Utilize automation, analytics, and emerging AI technologies to improve efficiency and scalability.
Drive cross-functional initiatives that strengthen organizational performance.