: Senior Director, Enterprise Revenue Cycle Center of Excellence

Apria Healthcare•Santa Monica, CA

About The Position

At Accendra Health, we understand that healthcare is complex, and we're here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you're interested in meaningful work with impact, explore our career opportunities ─- from remote-friendly to hybrid and in-person roles ─- and join us in our purpose of Teammate Benefits As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are — through all of life's stages. We've got you and your family covered with benefits that support your health, finances, and overall wellness. Our benefits program includes: Medical, dental, and vision care coverage Paid time off plan 401(k) Plan Flexible Spending Accounts Basic life insurance Short-and long-term disability coverage Accident insurance Teammate Assistance Program Paid parental leave Domestic partner benefits Mental, physical, and financial well-being programs The Senior Director, Enterprise Revenue Cycle Center of Excellence (COE) is responsible for leading strategic initiatives and operational oversight across revenue cycle functions to ensure accuracy, compliance, and efficiency. This role manages revenue adjustment oversight, unbilled account resolution, audit support, payor contract pricing setup, payor business rules, and RM table maintenance. The Senior Director partners closely with field leadership, Managed Care, and Legal teams to ensure accurate payer configurations and pricing, while driving process improvements and operational excellence. Success in this role requires strong leadership, deep knowledge of revenue cycle operations, and the ability to implement scalable solutions that optimize financial performance and mitigate risk.

Requirements

4-year college degree or equivalent experience is required.
10 years of related experience.
Experience managing direct and indirect teams, including internal and contracted employees.
Strong understanding of payer contract structures, reimbursement methodologies, and regulatory compliance.
Expertise in audit support and revenue adjustment processes
Experience with and understanding of customer care center administration, systems, and reimbursement methodologies.
Strong communication, business process analysis, and strategic business analysis skills
Demonstrated success in team leadership, program management, global delivery, relationship management, and change management
Strong capabilities in service team leadership, cross-cultural aptitude, adaptability, influence, and innovation
Experience with RM tables, payer pricing systems, and business rule configuration.
Familiarity with legacy system maintenance and payer master data management.
Strong analytical skills with ability to interpret complex data and drive actionable insights.
Strategic Leadership & Vision Revenue Cycle Expertise Compliance & Risk Management Process Optimization & Continuous Improvement Cross-Functional Collaboration
Advanced skills in Microsoft product suite
English (reading, writing, and verbal)
Impeccable written and verbal communication skills
College-level mathematical proficiency, with a strong ability to understand, interpret, develop and implement action plans based on analysis of spreadsheet data.

Nice To Haves

Six Sigma/Lean certification

Responsibilities

Strategic Leadership: Define and execute the vision and roadmap for the Enterprise Revenue Cycle COE, aligning with organizational goals and compliance requirements.
Lead governance for payer pricing, business rules, and revenue cycle processes across multiple systems.
Establish KPIs, SLAs, and performance dashboards to measure operational efficiency and financial accuracy.
Drive enterprise-wide initiatives to standardize processes and implement best practices.
Revenue Cycle Oversight Provide strategic leadership for revenue adjustment processes, ensuring accuracy, compliance, and timely resolution.
Oversee Unbilled COE operations to minimize delays and improve billing efficiency.
Support internal and external audits by ensuring documentation accuracy and timely response to audit requests.
Payor Configuration & Pricing Lead setup and maintenance of payor contract pricing and business rules across systems.
Manage RM table maintenance to ensure accurate reimbursement methodologies.
Collaborate with Managed Care Directors and Legal Contracts teams to ensure proper interpretation and application of payer agreements.
Operational Excellence Monitor trends in transactional activities to identify opportunities for process improvement and efficiency gains.
Initiate and track action plans when operational results fall short of targets or indicate potential performance risks.
Ensure compliance with regulatory requirements and internal policies across all revenue cycle processes.
Leadership & Collaboration Build and maintain strong relationships with field leadership through proactive communication, engagement, and partnership.
Lead and direct activities related to analysis and legacy system maintenance for payer, pricing, and business rule master data.
Foster a culture of continuous improvement and accountability within the COE team.
Performs other duties as required.