Reimbursement, Director of Reimbursement

Castle Biosciences•Phoenix, AZ

4d•Hybrid

About The Position

The Director of Reimbursement is a strategic and operational leader responsible for driving end-to-end reimbursement and revenue cycle performance within Castle's complex molecular and advanced diagnostics environment. The role oversees reimbursement operations across the full revenue cycle, including eligibility, prior authorization, claims, medical records, denials, appeals, external reviews, and state complaints, while ensuring scalable processes, revenue integrity, payer alignment, and operational excellence. You will lead reimbursement managers and large production teams, establish performance quality standards, use data and KPIs to improve reimbursement outcomes and financial performance.

Requirements

Bachelor's degree required; healthcare administration, business, finance, or related field preferred.
15+ years of progressive experience in healthcare revenue cycle and reimbursement operations.
Significant leadership experience in a complex, multi-state, high-volume environment.
Demonstrated experience leading through managers and overseeing large production teams, including remote and/or outsourced operations.
Deep experience across the full reimbursement lifecycle, including eligibility, prior authorization, claims, denials, appeals, and external reviews.
Legally authorized to work in the United States.

Responsibilities

Drive end-to-end reimbursement and revenue cycle performance.
Oversee reimbursement operations across the full revenue cycle (eligibility, prior authorization, claims, medical records, denials, appeals, external reviews, state complaints).
Ensure scalable processes, revenue integrity, payer alignment, and operational excellence.
Lead reimbursement managers and large production teams.
Establish performance quality standards.
Use data and KPIs to improve reimbursement outcomes and financial performance.