Director, Revenue Operations - Health Insurance Contracts

Easterseals Southern California•Irvine, CA

19d•Onsite

About The Position

The Director of Revenue Operations is responsible for developing and executing strategies to maximize revenue generation for Autism Services, ensuring long-term financial growth and stability. This leader builds and maintains a robust operational infrastructure, implementing efficient processes, and effective communication channels to support current clinical services and future lines of businesses. Serves as a strategic partner to clinical, operations, and network teams to ensure all services are scalable, profitable and compliant. In all responsibilities, the position demonstrates a strong commitment to ESSC’s mission and values by supporting a high-quality, person-centered service environment.

Requirements

Bachelor’s degree in healthcare administration, business administration, or closely related field.
Minimum of 12 years including (8) years of progressive experience in healthcare operations, revenue operations, or related healthcare leadership roles.
Demonstrated experience leading complex, cross-functional initiatives within a healthcare or behavioral health setting, including partnership with clinical, operational, financial, and administrative leaders.
Proven leadership experience, including direct supervision of staff and/or managers, with responsibility for setting performance expectations, driving improvement, and supporting team development.
Experience working with payer organizations required, including collaboration related to reimbursement structures, fee schedules, referral pathways, contract performance, or payer requirements.
Demonstrated ability to build and maintain effective professional relationships and work collaboratively across departments, including with clinical, operational, financial, and external partners.
Demonstrated leadership skills, including change management, flexibility, initiative, and the ability to guide teams, influence outcomes in complex environments, and supervise staff effectively.
Strong analytical and problem-solving skills, with the ability to evaluate information, identify trends or risks, and apply sound judgment to develop sustainable operational solutions.
Ability to effectively develop, lead, and manage staff and operational initiatives or programs that strategically support ESSC organizational priorities, business needs, financial sustainability, and quality service delivery to consumers.
Excellent written and verbal communication skills, including the ability to clearly convey information to diverse audiences, conduct presentations, and advocate effectively on behalf of programs or initiatives.
Ability to demonstrate good judgment, exercise discretion, and maintain a high level of confidentiality in handling sensitive situations and documentation.
Demonstrated organizational and time management skills, including the ability to manage multiple priorities, respond to varying demands, and meet deadlines.
Strong interpersonal skills, with the ability to work effectively with culturally diverse, low-income populations and in multicultural environments.
Demonstrated computer proficiency, including Microsoft Office applications (Outlook, Word, Excel, Teams) and related software applications.
Strong interest and commitment to working in multi-cultural settings.
Able to obtain and maintain a criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per Easterseals Southern California and/or program requirements.
Ability to travel throughout Southern California with reliable transportation, maintain driving record in compliance with Transportation Safety Standards; must have and maintain proper auto insurance and vehicle registration.
Ability to pass post-offer medical examination.
Must pass all drug testing required by ESSC.

Nice To Haves

Professional certifications in healthcare finance, revenue operations, or revenue cycle management preferred.
Experience supporting organizational growth initiatives, such as new service development, program launches, alternative funding models, or expansion into new service lines preferred.
Experience operating in multi-site, growing, or complex healthcare environments preferred.

Responsibilities

Designs and continuously improves revenue-supporting operational strategy plans, workflows and controls to promote consistent, accurate, and timely reimbursement across services.
Establishes revenue integrity and performance monitoring practices, integrating pre-audit oversight, outcome tracking, and trend analysis to support accurate billing, early issue identification, and reliable revenue forecasting.
Leads structured approaches to denial management, ensuring complex or high-impact denials are escalated appropriately, resolved efficiently, and used to strengthen future operational performance.
Creates and maintains feedback loops between revenue outcomes and operational practice, translating insights into process enhancements, education, and preventive improvements.
Ensures alignment and coordination across revenue-impacting functions, supporting shared accountability, clear communication, and seamless handoffs among clinical, operational, and administrative teams.
Leverages revenue data, reporting, and systems to enhance visibility, inform decision-making, and support scalable operations as services and volumes expand.
Partners with payer organizations and internal leaders to support contract performance and reimbursement optimization, including collaboration related to fee schedules, referral pathways, and payer requirements.
Provides revenue and operational input into payer relationships, new contracts, and funding opportunities, supporting sustainable rates, service viability, and long-term growth.
Partners with organizational leaders to support new service development, pilot programs, and funding initiatives, providing revenue and operational insight to assess feasibility, sustainability, and reimbursement readiness.
Supports revenue readiness for new programs and service lines, ensuring processes, systems, and expectations are established to enable successful launch and long-term financial performance.
Provides leadership and development for revenue operations staff and leaders, fostering accountability, collaboration, and continuous improvement in support of organizational goals.
Maintains deep awareness of industry standards and emerging best practices in healthcare administration, translating external insights into practical application to support Easterseals’ future needs.
Performs other duties as assigned.