Sr. Director, Centralized RCM Operations

XIFIN • Charleston, SC

2h • $165,000 - $205,000

About The Position

XiFin is seeking an experienced senior operational leader to lead the performance and execution of centralized revenue cycle services supporting multiple customers. Reporting to the VP, Head of Centralized RCM Operations, the role oversees Directors responsible for front-end operations, back-end operations, and payment posting, with accountability for consistent service delivery, quality, productivity, financial performance, and compliance across the portfolio.

The Sr. Director translates enterprise priorities into operating plans, strengthens standardized processes and controls, and creates accountability across customer teams. The role partners with Customer Success, Analytics, Implementation, Product, Technology, and other leaders to resolve complex issues, improve performance, and advance automation and continuous improvement across centralized RCM operations.

Requirements

• Bachelor’s degree in Business, Healthcare Administration, Finance, Management, or a related field.
• 12+ years of progressive leadership experience in healthcare revenue cycle management, shared services, or healthcare operations.
• Experience leading Directors or senior operational leaders across multiple teams, functions, or customer accounts.
• Demonstrated success leading front-end, back-end, payment posting, or other high-volume revenue cycle operations.
• Strong knowledge of healthcare revenue cycle workflows, including patient access, billing, claims, denials, collections, payment posting, and operational controls.
• Experience using KPIs, scorecards, service levels, quality metrics, and financial measures to drive performance and accountability.
• Proven success implementing standardized processes, operational excellence initiatives, and technology-enabled change.
• Experience managing escalations and leading cross-functional initiatives within a matrixed organization.
• Experience with workforce planning, organizational change, talent development, and performance management.
• Ability to lead through others, develop leaders, and create accountability.
• Ability to balance enterprise standardization with customer-specific operational needs.
• Ability to use performance data to identify root causes, prioritize action, and make clear decisions.
• Ability to communicate complex operational issues to executives, customer-facing leaders, and frontline teams.
• Ability to navigate competing priorities and escalations with composure, urgency, and a solutions-focused approach.
• Ability to build cross-functional partnerships and maintain momentum from decision through execution.
• Ability to challenge legacy processes and champion practical improvements.

Nice To Haves

• Advanced degree.
• Offshore or global delivery partnership experience.

Responsibilities

• Lead centralized RCM operations across multiple customers, with accountability for front-end, back-end, and payment posting performance.
• Lead, coach, and develop Directors responsible for each operational function, establishing priorities, decision rights, performance expectations, and accountability.
• Translate the VP’s strategic direction into operating plans, service standards, resource priorities, and measurable business outcomes.
• Establish consistent operating practices, controls, metrics, and governance across customers while addressing customer-specific needs.
• Monitor productivity, quality, service levels, cash and financial outcomes, and other key performance indicators to identify risks and drive corrective action.
• Lead operational reviews and communicate performance, risks, root causes, decisions, and recovery plans to senior leaders and customer-facing teams.
• Direct resolution of complex operational escalations and coordinate cross-functional support for issues spanning teams, customers, systems, or workflows.
• Advance process improvement, automation, AI-enabled solutions, and workflow enhancements to increase efficiency, accuracy, scalability, and customer value.
• Partner with workforce and operational leaders on capacity planning, staffing models, performance management, talent development, and succession planning.
• Ensure adherence to applicable healthcare regulations, payer requirements, internal controls, company policies, and customer commitments.
• Build a culture of accountability, collaboration, customer focus, and continuous improvement across centralized operations.

Benefits

• Comprehensive health benefits including medical, dental, vision, and telehealth.
• 401(k) with company match and personalized financial coaching.
• Health Savings Account (HSA) with company contributions.
• Wellness incentives for preventative healthcare activities.
• Tuition assistance.
• Flexible time off and company-paid holidays.
• Social and fun events at company locations.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior