Senior RCM Director

SCIOMETRIX INC•Royal Oak, MI

13d•Onsite

About The Position

The Director – Revenue Cycle Management (RCM) is a strategic leadership role responsible for overseeing end-to-end revenue cycle operations, including payor contracting and reimbursement strategy. This role drives operational excellence, financial performance, and compliance while managing cross-functional and global teams. The ideal candidate combines deep RCM expertise with strong leadership capabilities to optimize revenue outcomes, improve operational efficiency, and align global teams with U.S. healthcare standards.

Requirements

Bachelor’s degree in Healthcare Administration, Finance, or related field
12–18+ years of experience in U.S. healthcare RCM
Mandatory experience in payor contracting and negotiations
Mandatory experience managing cross-functional and global teams
Strong leadership in distributed/global team environments
Deep understanding of RCM KPIs and benchmarking
Expertise in payor negotiations and reimbursement optimization
Strong communication and stakeholder management skills
Knowledge of HIPAA, CMS guidelines, ICD-10, CPT, and HCPCS

Nice To Haves

MBA or MHA preferred
Experience in telehealth, digital health, or value-based care preferred

Responsibilities

Lead and manage cross-functional and global RCM teams across multiple geographies
Establish SLAs, KPIs, and governance models to ensure operational excellence
Drive productivity, quality, and turnaround time across distributed teams
Implement a follow-the-sun model for 24/7 revenue cycle efficiency
Align offshore teams with U.S. compliance, documentation, and quality standards
Manage vendor and partner relationships
Oversee the complete RCM lifecycle: patient access, coding, charge capture, billing, AR, denials, and collections
Monitor and improve key performance metrics such as Days in AR, Net Collection Rate, First Pass Resolution Rate, and Denial Rate
Lead month-end revenue reporting, analytics, and forecasting
Lead end-to-end payor contracting, including negotiation, execution, and renewals
Optimize reimbursement models including fee-for-service, value-based care, capitation, and bundled payments
Manage relationships with commercial payors, Medicare, Medicaid, and MCOs
Identify revenue leakage opportunities and renegotiate contracts to maximize value
Ensure alignment between contract terms and billing practices
Develop and implement denial prevention strategies across global teams
Standardize root-cause analysis and corrective action frameworks
Improve clean claim rates and minimize write-offs
Ensure adherence to HIPAA, CMS guidelines, and U.S. healthcare regulations
Maintain audit readiness and ensure data security, including PHI protection
Oversee compliance across offshore and onshore operations
Optimize RCM platforms including EHR/EMR and billing systems
Drive automation, AI adoption, and workflow efficiency improvements
Collaborate with technology teams to enhance systems and processes
Partner with Finance, Clinical, Operations, and Executive Leadership teams
Provide strategic insights and reporting on revenue performance
Act as a bridge across cross-functional teams to align goals and outcomes