Operations Director, Revenue Cycle Management- Evernorth- Remote

Cigna Healthcare

1d•Remote

About The Position

Under the general direction of the Operations Senior Director, the Operations Director, Revenue Cycle Management (RCM) provides strategic leadership for our RCM Operations, supporting both internal and external clients. This role is accountable for establishing the operational vision, priorities, and strategies that enable scalable, compliant, and high‑performing Admissions and RCM functions across the organization. This leadership role will serve as a senior liaison and strategic partner to client leadership, third-party billing vendors, and internal stakeholders, ensuring alignment between strategy, payer requirements, operational execution, and financial outcomes.

Requirements

Demonstrated ability to set strategy and influence execution across complex, multi‑stakeholder environments
Deep expertise in government and commercial payer models, reimbursement structures, and contract interpretation
Strong executive communication skills with the ability to translate complexity into clear strategic direction
Proven people‑leader with experience leading managers and senior leaders
Ability to operate independently with high judgment, discretion, and confidentiality
Strong business acumen with experience leveraging data to drive organizational decisions
Advanced stakeholder management and relationship‑building capabilities
Proficiency in modern business and analytics tools; strong comfort influencing technology‑enabled change
Bachelor’s degree in Finance, Accounting, Business Administration, or related field desired, High School Diploma or GED required.
At least 8 years of progressive experience in home infusion Revenue Cycle Management, healthcare operations, or financial operations, including leadership at the manager or director level strongly desired.
Demonstrated experience leading large, complex operational functions or multi‑client environments (home infusion experience strongly preferred)
Strong understanding of healthcare billing, reimbursement, regulatory requirements, and financial controls
Proven success leading operational transformation, scaling teams, or implementing enterprise initiatives
Strategic, analytical mindset with the ability to balance long‑term vision and operational outcomes

Nice To Haves

home infusion experience strongly preferred

Responsibilities

Define and lead the enterprise strategy and operating model for payer management, admissions, and revenue cycle support, ensuring consistency, scalability, and financial integrity across all clients.
Establish governance frameworks, standards, and controls to support clean revenue, payer compliance, and operational excellence.
Provide executive‑level guidance on RCM risk, performance trends, and improvement opportunities.
Set the strategic direction for payer contract management, ensuring contracts are operationalized effectively to support accurate benefit verification, billing, and collections.
Oversee payer change management strategy, including prioritization, risk mitigation, and cross‑functional coordination for payer updates across the client base.
Provide executive oversight for payer audits, ensuring timely, compliant, and effective responses while identifying systemic improvement opportunities.
Lead and develop RCM operational leaders responsible for admissions, billing, and collections, ensuring the organization has the capability, structure, and talent to execute at scale.
Establish performance expectations, success metrics, and accountability models for RCM operations leadership.
Partner with HR and functional leaders on workforce planning, leadership development, and succession strategies for RCM teams.
Serve as a trusted advisor to client executives and internal leadership, translating operational performance into strategic insights and recommendations.
Foster strong cross‑functional relationships to align RCM operations with clinical, finance, IT, compliance, and client engagement strategies.
Support client growth initiatives, including new Ambulatory Infusion Center (AIC) implementations, by ensuring RCM readiness and operational scalability.
Drive a continuous improvement mindset across RCM operations, leveraging automation, technology enablement, and data‑driven decision making.
Sponsor and prioritize enterprise initiatives that reduce manual effort, improve cash flow, and enhance the client and patient experience.
Evaluate and influence RCM technology strategy in partnership with IT and product teams.
Provide executive-level oversight of RCM performance metrics, including receivables, aging, cash flow, and payer trends.
Translate operational and financial data into strategic insights for senior leadership.
Ensure enterprise compliance with regulatory, payer, and financial requirements; lead organizational readiness for regulatory or payer changes.