Senior Director, Revenue Cycle Management

Foundation Medicine

9h•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 capabilities that adapt to changing payer, customer, and portfolio needs. The role owns the RCM strategy, operating model, performance system, technology roadmap, and partner ecosystem from claim readiness through account resolution, collaborating with the Patient Access Team on upstream handoffs. It advances RCM from reactive claims work toward proactive revenue integrity and denial prevention through payer intelligence, workflow redesign, automation, analytics, and responsible AI. The Senior Director also translates portfolio, coverage, contracting, regulatory, and payer changes into operational readiness and measurable financial outcomes. The position is based primarily in Boston, Massachusetts. The expected salary range is $222,800–$278,500 per year. A discretionary annual bonus may be available based on individual and Company performance. The role qualifies for Foundation Medicine benefits.

Requirements

Bachelor’s degree and 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 the U.S. reimbursement landscape, 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. Identify coding issues and provide insights without owning coding strategy or policy.
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 measurably 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.