Restructuring and Turnaround Services - Director, Revenue Cycle Management

Riveron • New York, NY

111d

About The Position

As a Director in our Healthcare and Life Sciences practice, you’ll play a key role leading revenue cycle management (RCM) efforts for healthcare providers, payers, and organizations across all sectors of the healthcare ecosystem. Drawing on your hands-on experience across patient access, coding, billing, claims, denials, systems / integration, collections, and revenue integrity, you’ll help clients improve performance, reduce accounts receivable days, increase net collections, and enhance operational efficiency. Working closely with client leadership and our internal teams, you’ll deliver meaningful financial and operational outcomes that support lasting business transformation. Reporting to the Head of the Healthcare & Life Sciences Industry vertical, you’ll become part of a collaborative, growing team committed to expanding Riveron’s healthcare practice. Your strategic insight and deep industry knowledge will be valued as you help shape innovative solutions and provide actionable recommendations that drive success for our clients and strengthen our presence in the market.

Requirements

• Minimum 10 years of progressive experience in healthcare Revenue Cycle Management (RCM).
• You hold a Bachelor’s degree in Finance, with a Master’s degree in Finance or Health Administration preferred.
• You have a proven ability to execute and drive measurable results rooted in deep operational experience within the healthcare industry.
• You have demonstrated leadership experience managing RCM teams across multi-site and/or multi-specialty organizations.
• You possess expertise in best practices and evolving trends in RCM, payer behavior, and reimbursement models.
• You have a deep understanding of commercial, Medicare, and Medicaid billing and reimbursement structures.
• You are knowledgeable in RCM systems and workflows, including electronic health records (EHR), billing software, and clearinghouse tools.
• You are experienced with software platforms such as EPIC, Athenahealth, Cerner, and eClinicalWorks at a minimum and have a network of experts that can reinforce your knowledge on additional platforms if required.
• You have a strong track record of driving cash flow improvements, reducing denials, enhancing key metrics, and leading operational efficiency initiatives such as automation and standardization.
• You bring expertise in audit response and risk mitigation strategies, including collaboration with compliance and legal teams.
• You have strong financial modeling skills, including evaluating financial statements and developing scenario models, forecasts, thirteen-week cash flow forecasts, and integrated three-statement analyses.
• You demonstrate excellent communication, analytical, and presentation-building skills and have a strong track record of managing and growing client relationships.

Nice To Haves

• You hold a Bachelor’s degree in Finance, with a Master’s degree in Finance or Health Administration preferred.

Responsibilities

• Oversee and execute project requirements relating to accurate coding, charge capture, billing, and timely submission of claims.
• Manage payment posting, denials, appeals, and collections for both insurance and patient obligations.
• Implement and monitor dashboards and key performance indicators (KPIs), including days sales outstanding (DSO), clean claim rate, denial rate, net collection rate, bad debt, and cash posting lag.
• Build and maintain relationships with information technology (IT) teams and vendors to ensure seamless system integrations and robust reporting capabilities.
• Drive compliance with federal and state healthcare regulations, payer guidelines, and the Health Insurance Portability and Accountability Act (HIPAA).
• Partner with clients to identify and implement operational improvements that drive sustainable financial performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees