Medical Director Jobs

About The Position

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field.
• 10+ years of progressive experience in healthcare revenue cycle management, including 5+ years in a director-level or senior leadership role.
• Deep knowledge of the full revenue cycle value chain, including registration, eligibility, coding, billing, accounts receivable, denials, and collections.
• Strong understanding of Medicare, Medicaid, and commercial payer billing and reimbursement methodologies.
• Proven track record managing multi-site or multi-department teams and driving measurable improvements in cash collections and AR days.
• Hands-on experience with major EHR/RCM platforms such as Epic, Cerner, athenahealth, Meditech, or similar.
• Strong financial acumen, including budgeting, forecasting, and P&L management.
• Excellent communication and executive presence, with experience presenting to C-suite and/or board members.
• Working knowledge of HIPAA, CMS regulations, and healthcare compliance requirements.

Nice To Haves

• Master’s degree (MBA/MHA).
• Experience in a multi-hospital health system, large physician group, or RCM services organization.

Responsibilities

• Direct end-to-end revenue cycle operations, including patient access, eligibility and verification, charge capture, coding, claims submission, payment posting, denials, and collections.
• Own and improve key RCM metrics, including days in AR, clean claim rate, first-pass resolution rate, denial rate, net collection rate, and cost to collect.
• Build, lead, and develop a high-performing team of RCM managers, supervisors, and staff across multiple functions and/or sites.
• Partner with the CFO and senior finance leadership to forecast cash flow, set revenue cycle budgets, and report performance to the executive team and board.
• Ensure compliance with CMS, payer, HIPAA, and coding and billing regulations, including CPT, ICD-10, and HCPCS, and maintain audit readiness.
• Evaluate, select, and optimize RCM technology platforms, including EHRs, clearinghouses, RPA/automation, and analytics tools, to drive efficiency.
• Lead payer contract performance analysis and collaborate with Managed Care on reimbursement issues and contract terms.
• Develop and monitor policies and procedures for charity care, self-pay collections, and financial assistance in line with regulatory requirements.
• Drive root-cause analysis and process improvement initiatives to reduce denials and improve first-pass claim acceptance.
• Serve as the escalation point for complex billing, coding, and reimbursement issues across the organization.
• Stay current on regulatory and payer policy changes, including CMS, state Medicaid, and commercial payer changes, and lead organizational readiness.
• Lead system conversions, M&A integrations, and new service line onboarding as needed.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Paid time off
• Paid holidays
• Professional development and continuing education support