Executive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical Officer

City of New York • New York, NY

12d • $94,050 - $200,000 • Hybrid

About The Position

The Office of the Chief Medical Officer (CMO) was established in 2021 to foster collaboration and coordination among healthcare delivery partners and the Health Department, aiming to improve health outcomes in New York City. The CMO Office focuses on developing and implementing anti-racist policies and programs in three core areas: Provider Communications and Engagement; Cross-Agency Clinical Coordination and Management; and Workforce Sustainability. Within this framework, revenue generation is viewed not as a back-office finance task, but as a critical mechanism for ensuring the financial stability of New York City's community health workforce. By transforming community-based services into reimbursable care, the Department can sustain essential roles such as community health workers, doulas, and peer specialists. The Office of the Chief Medical Officer is seeking to hire an Executive Director of Enterprise Billing Strategy and Healthcare Access.

Requirements

• A master’s degree from an accredited college in hospital administration, public health, community health, health administration, emergency preparedness planning/management, emergency medical services, fire safety, law enforcement, homeland security, project management, public administration, business administration, management, or administration and three years of full-time satisfactory experience in a health services setting such as a laboratory, hospital, or other patient care facility, or in a public health, community health, environmental health, school health, social services, or mental hygiene program, of which at least 18 months of experience must have been in a managerial or administrative capacity requiring independent decision-making concerning program management, planning, evaluation for quality improvement and assurance, allocation of resources, and the scheduling and assignment of work.
• A baccalaureate degree from an accredited college and five years of full-time satisfactory experience as described above.
• An associate’s degree from an accredited college and seven years of full-time satisfactory experience as described above.
• A four-year high school diploma or its educational equivalent plus nine years of full-time satisfactory experience as described above.
• Education and/or experience equivalent to the above.
• Demonstrated, hands-on track record of personally standing up billing infrastructure for non-traditional provider types.
• Demonstrable fluency with electronic health record and claims systems, clearinghouses, and denials-management workflows.
• Ability to partner credibly and at a technical level with the Department's technology staff and vendors.
• Hands-on experience negotiating with Medicaid managed care organizations.
• Exceptionally organized operator who drives concurrent workstreams to completion on hard deadlines.

Nice To Haves

• Experience in a Medicaid-dominant payer environment.
• Specifics about how they built such an operation and what it produced.
• Ability to position a public health entity as a credible Medicaid billing provider.
• Ability to build and manage a sustainable portfolio of MCO contracts across New York City's Medicaid managed care landscape.

Responsibilities

• Build Medicaid Billing Infrastructure from Design to First Revenue, demonstrating a hands-on track record of establishing billing infrastructure for non-traditional provider types (community health workers, doulas, peer specialists, health educators) in a Medicaid-dominant payer environment, from initial design through first revenue generation, with measurable financial results.
• Manage the Full Revenue Cycle, including charge capture, coding, claims submission, clearinghouse and EHR/billing-system configuration, denials and accounts receivable management, and revenue reporting. This involves leading a team of experts across divisions and partnering with technology staff and vendors.
• Architect the Documentation-to-Claims Pipeline, building the data flow that converts point-of-service documentation into clean, billable claims by configuring documentation platforms and EHR builds.
• Negotiate and Manage Medicaid Managed Care Contracts to Closure, with hands-on experience in negotiating with Medicaid managed care organizations and a record of closing payer agreements that produced consistent reimbursement revenue.
• Own the Revenue Target, Manage Vendors and Partner with Finance to Enhance the Revenue-Cycle Team, managing vendors that support documentation, claims, and billing, and partnering with the Bureau of Revenue to improve the revenue cycle unit.
• Provide Operational Leadership and Drive Near-Term Delivery, ensuring concurrent workstreams are completed by hard deadlines, including achieving first Medicaid revenue by early 2027, executing managed care contracts within the first year, and establishing claims operations at a defined volume.

Benefits

• Federal/state loan forgiveness and repayment assistance programs.
• Premium-free health insurance plan.
• Additional health, fitness, and financial benefits may be available based on the position’s associated union/benefit fund.
• Public sector defined benefit pension plan.
• Tax-deferred savings program.
• Robust Worksite Wellness Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive