Director - Revenue Cycle Management
Skills
About This Role
1. Enterprise Revenue Strategy & Value Optimization
- Define and execute the enterprise-wide revenue cycle strategy across all Medical City assets
- Lead pricing strategy, service monetization, and payer mix optimization initiatives
- Identify and implement new revenue models including bundled care, subscription-based services, and value-based reimbursement
2. Integrated Revenue Operations Leadership
- Establish a fully integrated, standardized revenue cycle model across hospitals, clinics, sports medicine, and wellness services
- Oversee patient access, eligibility verification, coding, billing, claims processing, collections, and denials management
- Ensure seamless coordination between clinical, administrative, and finance functions to optimize revenue capture
3. Financial Performance Ownership & Forecasting
- Own revenue forecasting, budgeting inputs, and financial planning related to revenue streams
- Analyze performance trends including denials, write-offs, underpayments, and collection efficiency
- Lead performance reviews and present insights to executive leadership
4. Payer Strategy, Contracting & Market Positioning
- Lead payer negotiations and contract structuring in collaboration with finance and leadership
- Monitor payer performance, reimbursement structures, and compliance requirements
- Develop strategies to enhance competitive positioning within the payer ecosystem
5. Digital Transformation & Data-Driven Excellence
- Lead implementation of advanced RCM systems, automation tools, and analytics platforms
- Develop real-time dashboards and predictive analytics capabilities
- Drive continuous innovation in revenue cycle processes
6. Governance, Compliance & Risk Management
- Ensure adherence to coding standards, regulatory requirements, and billing compliance
- Establish internal controls to mitigate financial and compliance risks
- Lead audit readiness and response for internal and external audits
7. Leadership & Organizational Development
- Build and lead a high-performing revenue cycle team
- Develop internal capabilities in coding, billing, analytics, and payer management
- Foster a culture of accountability, performance, and continuous improvement
Key Performance Matrix
- Improve revenue realization and overall collection efficiency across all services
- Reduce AR days and improve cash flow performance
- Maintain denial rates below benchmarks through effective processes
- Minimize revenue leakage through strong controls and audit mechanisms
- Enhance efficiency and turnaround time across the full revenue cycle
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