Sr. Director, Revenue Cycle Optimization (Athena required)

Privia Health

78d • $145,000 - $150,000

About The Position

The Sr. Director, Revenue Cycle Optimization is a key leader responsible for driving financial performance and operational efficiency across the Revenue Cycle Management (RCM) team. This role oversees offshore vendor partnerships, directs Robotic Process Automation (RPA) initiatives for RCM, and manages Revenue Optimization and Revenue Integrity functions. Key areas of focus include auditing payer performance, identifying underpayment trends, managing charge alerts, addressing downcoding opportunities, and providing strategic oversight of the chargemaster to ensure accurate revenue capture and compliance. This role is vital to enhancing revenue integrity, strengthening operational efficiency, and driving sustained financial growth through strategic leadership and data-driven decision-making.

Requirements

• Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field preferred.
• 8+ years of experience in Revenue Cycle Management, Revenue Optimization, or related areas.
• Strong people management experience required.
• Offshore resource management experience preferred.
• Proven expertise in payer auditing, underpayment recovery, and chargemaster oversight.
• Strong analytical and problem-solving skills with a strategic mindset.
• Excellent leadership, communication, and cross-functional collaboration abilities.
• Advanced Microsoft Excel skills strongly preferred (ex: VLOOKUP, sort/filtering/formatting, pivot table, and formulas).
• Experience using Athena EHR preferred.
• Cognizant TriZetto products preferred.
• Experience using Salesforce for case management.
• Experience with RPA tools and process automation preferred.
• In-depth knowledge of payer reimbursement policies and revenue cycle compliance preferred.

Responsibilities

• Lead and mentor high-performing teams across Revenue Optimization and Revenue Integrity functions.
• Develop and execute strategic plans that support growth, operational efficiency, and market expansion.
• Foster collaboration across departments to support enterprise-wide financial and operational goals.
• Lead the strategy, performance, and relationship management of offshore RCM vendors to align with organizational goals.
• Develop and manage performance metrics to ensure vendor accountability and operational success.
• Identify and implement process improvements through offshore partnerships to drive efficiency and cost savings.
• Drive automation strategies to optimize operational workflows and increase accuracy across the revenue cycle teams.
• Collaborate with IT and operational teams to implement scalable RPA solutions.
• Monitor, refine and prioritize automation processes to maximize performance and return on investment.
• Oversee the Revenue Optimization team responsible for chargemaster setup, accuracy and athenaOne billing rules to ensure compliance and optimal revenue capture.
• Develop and execute strategies to improve revenue capture and reduce financial leakage.
• Lead the Revenue Integrity teams responsible for payer performance audits, focusing on underpayments, denials, and reimbursement trends.
• Partner with compliance and operational teams to mitigate financial risks and capitalize on revenue opportunities.
• Other duties as assigned.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Pet insurance
• 401K
• Paid time off
• Wellness programs
• Annual bonus targeted at 20%
• Restricted stock units

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees