Executive Director, Revenue Integrity Operations

Beth Israel Lahey Health

33d•Remote

About The Position

The Executive Director, Revenue Integrity Operations provides systemwide leadership for charge capture, CDM governance & strategic pricing, revenue integrity edit management, and charge reconciliation across all Beth Israel Lahey Health (BILH) hospitals and affiliated entities. The Executive Director independently triages enterprise revenue integrity issues, directs cross-functional resolution efforts, ensures timely escalation and closure of systemic defects, and manages service levels for charge capture, edit resolution, and CDM operations. The Executive Director partners with hospital leaders, clinical departments, IT, Pricing, Finance, Compliance, and Revenue Cycle teams to drive resolution, eliminate root-cause issues, and ensure compliant, accurate revenue capture.

Requirements

Bachelor’s degree required
Minimum of 10 years’ progressive experience in revenue integrity, charge capture, CDM governance, or revenue cycle operations, including multi-facility or systemwide leadership experience
Strong leadership skills
Experience with Epic charge router logic, workflow optimization, and reporting tools
Deep expertise in end-to-end charge capture workflows (hospital and professional billing)
Strong command of edit logic, payer rules, and regulatory compliance
Advanced understanding of CDM structure, governance models, and pricing methodology
Ability to influence leaders across clinical, financial, and operational domains
Proven ability to prioritize and manage multiple complex issues in a high-volume environment
Demonstrated ability to independently manage complex issues and direct cross-organizational resolution efforts

Nice To Haves

Master’s degree preferred
Revenue Cycle or Analytics certifications preferred

Responsibilities

Oversight of Strategic Pricing Function: Partner with the Strategic Pricing team to align charge structure, pricing methodologies, and CDM governance across the enterprise. Ensure pricing changes are operationally executable, properly built into Epic systems, and reconciled through charge capture workflows. Serve as an operational counterpart to Pricing leadership, ensuring downstream charge behavior, edits, and reimbursement impacts are monitored and addressed.
Direct and independently manage the triage, routing, and resolution of enterprise revenue integrity issues including charging defects, workflow failures, systemic edit patterns, and payer requirement changes.
Maintain ownership of issue escalation pathways and ensure timely closure with cross-functional coordination.
Define, monitor, and manage service levels (SLAs) for charge posting timeliness, edit resolution, CDM turnaround, audit response, and charge reconciliation.
Lead systemwide adoption of standardized charge capture workflows, reconciliation processes, and CDM governance practices.
Provide operational direction to revenue integrity staff and partner teams across BILH to ensure consistent application of enterprise standards.
Lead cross-functional workgroups to address charging issues, regulatory changes, Epic build impacts, and payer-driven charging requirements.
Oversee day-to-day charge review, edit work queue management, prioritization, quality controls, and escalation pathways.
Drive financial performance by ensuring accurate gross revenue capture and supporting net revenue optimization.
Produce executive-ready reporting and analytics on charge capture, edit trends, and CDM performance.