Revenue Cycle Management Director

ExecRecruitment • Raleigh, NC

17h

About The Position

Client is seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all end‑to‑end revenue cycle operations across DSOHF facilities, including patient access, health information management, coding, billing, accounts receivable, payer management, and collections. This role drives strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multi‑tiered team of managers and staff. The Director partners with senior leadership, state agencies, and payer organizations to align operations with financial goals, oversees key metrics and reporting, manages complex Medicaid/Medicare billing requirements, ensures audit readiness, and guides technology optimization within Epic and related systems to continuously improve efficiency and accountability.

Requirements

• Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials) - Required 5 Years
• Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement - Required 5 Years
• Experience leading enterprise revenue cycle teams - Required 5 Years
• Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections - Required 5 Years
• Strong knowledge of CMS, HIPAA, state regulations, and payer policies - Required 5 Years
• Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance - Required 5 Years
• Executive communication ability - Required 5 Years
• Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities - Required 5 Years
• Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
• Skill in maintaining internal controls, audit readiness, and compliance frameworks.
• Ability to lead technology optimization, analytics, automation, and reporting.
• Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations.
• Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.
• Competence in leading organizational change, standardization, and continuous improvement initiatives.

Responsibilities

• Provide leadership and strategic direction for all end‑to‑end revenue cycle operations across DSOHF facilities, including patient access, health information management, coding, billing, accounts receivable, payer management, and collections.
• Drive strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow.
• Guide a multi‑tiered team of managers and staff.
• Partner with senior leadership, state agencies, and payer organizations to align operations with financial goals.
• Oversee key metrics and reporting.
• Manage complex Medicaid/Medicare billing requirements.
• Ensure audit readiness.
• Guide technology optimization within Epic and related systems to continuously improve efficiency and accountability.

Benefits

• Long-Term Stability: Join us on a multi-year opportunities with room to grow.
• Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.
• Future Planning: Enroll in our 401(k) program and invest in your financial security.
• GC Assistance: We support immediate Green Card processing, if required.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed