Senior Director, Revenue Cycle Management

Foundation Medicine•Boston, MA

11h•$222,800 - $278,500•Onsite

About The Position

The Senior Director, Revenue Cycle Management leads enterprise revenue-cycle strategy, operations, technology, and performance across Foundation Medicine’s precision oncology portfolio. The role works across Finance, Reimbursement, Product, Commercial, Operations, Technology, Customer Service, and the Patient Access Team to improve reimbursement, reduce billing friction, strengthen revenue integrity, and build scalable capabilities that adapt to changing payer, customer, and portfolio needs. The leader owns the RCM strategy, operating model, performance system, technology roadmap, and partner ecosystem from claim readiness through account resolution, coordinating upstream handoffs with the Patient Access Team. The role shifts RCM from reactive claims work toward proactive revenue integrity and denial prevention through payer intelligence, workflow redesign, automation, analytics, and responsible AI. It translates portfolio, coverage, contracting, regulatory, and payer changes into operational readiness and measurable financial outcomes. The position maintains expert knowledge of the U.S. reimbursement landscape; improves claim-input quality, documentation, adherence to approved coding standards, medical-necessity alignment, and claim defensibility; and uses claims and payer data to inform operational and business decisions. It also oversees the RCM technology and data roadmap, billing and account-resolution improvements, controls, financial partnerships, and organizational development. The role identifies coding issues and provides insights but does not own coding strategy or policy.

Requirements

Bachelor’s degree.
12+ years of experience in revenue cycle management or a related healthcare operations or strategic function.
5+ years of people leadership experience, including leading leaders and/or complex teams.

Nice To Haves

Master’s degree.
Experience leading RCM in healthcare, ideally within a diagnostic laboratory or payer-facing environment.
Proven success scaling teams, operating models, vendors, technology, and transformation in a matrixed organization.
Strong command of RCM performance, financial planning, analytics, service levels, controls, and continuous improvement.
Knowledge of CAP/CLIA environments and healthcare privacy, security, quality, and compliance requirements.
Executive-level communication, influence, prioritization, and cross-functional leadership skills.
Understanding of HIPAA and the importance of patient data privacy.
Commitment to reflect FMI’s values: Integrity, Courage, and Passion.

Responsibilities

Set the multi-year RCM strategy, operating model, governance, capacity, service levels, budget, and investment priorities.
Maintain expert knowledge of U.S. reimbursement, including Medicare, Medicaid, commercial payers, managed care, evolving payment models, and diagnostics reimbursement pathways.
Establish performance visibility, operating cadences, root-cause management, and accountability across products, payers, channels, denials, aging, and workflows.
Improve claim-input quality, documentation, adherence to approved coding standards, medical-necessity alignment, and claim defensibility.
Use claim, denial, appeal, payment, and payer-policy data to remove systemic barriers and inform reimbursement, contracting, evidence, commercial, and product decisions.
Ensure launch and change readiness, partnering with the Patient Access Team when upstream access, coverage, authorization, or financial-assistance processes are affected.
Own the RCM technology and data roadmap; simplify and standardize work before applying automation and responsible AI.
Prioritize digital solutions that improve claim quality, routing, follow-up, appeals, reconciliation, and billing communications, with appropriate oversight, privacy, security, and auditability.
Improve billing and account resolution for patients and customers in collaboration with Customer Service, field teams, and the Patient Access Team.
Maintain effective billing, privacy, security, quality, financial, vendor, audit, testing, and change controls.
Partner with Finance on forecasting, reserves, cash, leakage, and translating operating drivers into financial outcomes.
Build and develop a high-performing organization, lead transformation, strengthen succession and capabilities, and foster integrity, patient focus, learning, and continuous improvement.
Comply with FMI's attendance policies.