Restructuring and Turnaround Services, Healthcare and Life Sciences - Director (Revenue Cycle Management Transformation)

Riveron•Atlanta, GA

About The Position

As a Director in our Healthcare and Life Sciences practice, you will serve as a senior engagement leader on revenue cycle management (RCM) advisory mandates, taking direct accountability for project execution, client outcomes, and the quality of deliverables across a diverse portfolio of healthcare providers, payers, and integrated health systems. You will be the primary point of client contact on engagements, driving day-to-day project activity, managing stakeholder relationships, and ensuring that Riveron’s recommendations translate into measurable financial and operational results. Drawing on deep hands-on experience across patient access, coding, billing, claims, denials, underpayments, reimbursement, and revenue integrity, you will lead teams through complex, multi-workstream engagements with confidence and precision. Reporting to the Managing Director, Head of Revenue Cycle Management, you will play a central role in advancing Riveron’s healthcare advisory practice — delivering high-impact client work, developing junior team members, and contributing to business development and practice growth initiatives.

Requirements

Bachelor’s degree in Finance, Healthcare Administration, or a related field.
Minimum of 10 years of progressive experience in healthcare Revenue Cycle Management.
Demonstrated track record of leading client-facing engagements and delivering measurable results.
Direct experience managing RCM projects and client relationships across multi-site and/or multi-specialty provider organizations or complex payer environments.
Deep knowledge of RCM best practices and evolving trends across patient access, coding, charge capture, billing, denials, underpayments, reimbursement, collections, and revenue integrity.
Solid understanding of commercial, Medicare, and Medicaid billing and reimbursement structures, including DRG, APC, RBRVS, and value-based payment models.
Knowledgeable in RCM systems and workflows, including EHR platforms, billing software, and clearinghouse tools, with experience in EPIC, Athenahealth, Cerner, or eClinicalWorks.
Strong track record of driving cash flow improvements, reducing denials, recovering underpayments, and leading operational efficiency initiatives including automation and process standardization.
Experience with audit response, compliance risk mitigation, and collaboration with legal and compliance teams.
Solid financial modeling skills, including the ability to evaluate financial statements, build scenario models, and develop forecasts in support of client recommendations.
Confident, polished communicator with proven ability to present complex findings to C-suite and senior health system leadership, manage difficult conversations, and build lasting client trust.

Nice To Haves

Master’s degree
Certifications from Healthcare Financial Management Association (HFMA), American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA), National Association of Healthcare Access Management (NAHAM) or other relevant certifications

Responsibilities

Serve as the senior day-to-day engagement leader on RCM advisory mandates, owning the client relationship, project timeline, workplan execution, and quality of all deliverables.
Act as the primary point of contact for client leadership — including CFOs, Revenue Cycle Directors, and VP-level stakeholders — facilitating regular status updates, steering committee presentations, and executive readouts.
Lead discovery and diagnostic activities including stakeholder interviews, current-state process assessments, data reviews, and operational walk-throughs to establish a clear baseline and identify priority improvement opportunities.
Translate client mandates into structured project workplans with defined milestones, deliverable timelines, resource assignments, and risk mitigation strategies.
Manage scope, pace, and client expectations throughout the engagement lifecycle — proactively surfacing issues, escalating risks to the Managing Director, and ensuring client satisfaction at every phase.
Present findings, recommendations, and implementation roadmaps to senior client audiences with clarity, credibility, and a command of the underlying data and operational context.
Oversee and execute project requirements across coding accuracy, charge capture, billing compliance, claims submission, and timely follow-up on outstanding accounts receivable.
Lead denial management workstreams including root cause analysis, denial trending, appeals strategy, and development of sustainable prevention protocols that reduce denial rates and protect net revenue.
Drive underpayment identification and recovery efforts through systematic contract modeling, remittance auditing, and payer adjudication analysis.
Evaluate payer contract performance and reimbursement adequacy, identifying contractual variances and supporting clients through contract negotiation or dispute resolution processes.
Design and implement KPI frameworks and performance dashboards — including AR days, clean claim rate, denial rate, net collection rate, bad debt, and cash posting lag — that provide clients with real-time visibility into revenue cycle health.
Develop actionable implementation roadmaps, standard operating procedures, and operational playbooks that enable clients to sustain improvements after engagement close.
Ensure all engagement work adheres to federal and state healthcare regulations, payer guidelines, and HIPAA requirements, and that compliance considerations are embedded throughout advisory recommendations.
Direct and develop Analysts and Associates on engagement teams, providing hands-on coaching, workproduct review, and feedback that accelerates their professional growth.
Contribute to business development activities including proposal development, client presentations, RFP responses, and thought leadership content.
Support the Managing Director in advancing Riveron’s RCM practice through market positioning, service line development, and internal knowledge-building initiatives.