Huron Consulting Group logo
Huron Consulting Group

Founded in 2002, Huron Consulting Group is a global management consulting company serving clients in the healthcare, life sciences, higher education, and commercial industries. An

Revenue Cycle Service Delivery Director - Clinical Denials

Location

Illinois

Posted

24 days ago

Salary

$160K - $215K / year

Seniority

Lead

Bachelor Degree

Job Description

Revenue Cycle Service Delivery Director - Clinical Denials

Huron Consulting Group

Revenue Cycle Service Delivery Director - Clinical Denials remote type Remote locations Chicago - 550 Van Buren time type Full time   The Director RCM Service Delivery will lead global teams delivering RCM Huron Managed Services (HMS) for our clients. The Direct will implement best practice revenue cycle management, ensuring compliance with regulatory requirements to meet our client’s needs and objectives. Directors are responsible for participating in business development activities by developing strong, lasting trusted advisor business relationships with clients that lead to positive references and follow-on work. This role will lead, coach, and manage performance for multiple direct reports and project teams. The Director will create an environment in which all team members can be successful by removing barriers, providing supports, and monitoring performance. KEY RESPONSIBILITES: - Portfolio Oversight: Independently, lead and direct multiple complex projects and revenue cycle functions by directing and leading, not necessarily doing. Identify, create, drive and deliver innovative service strategies and tools to ensure service level agreements are achieved at each client. Prepare client partnership reports and create presentations to clients and engagement staff that demonstrate full command of revenue cycle material. - Client Partnership: Manage day-to-day client relationships and maintain strong client relationships to expand current engagements and identify new business, and cross-selling opportunities - Compliance Assurance: Ensure all project teams comply with industry regulations and Huron’s internal standards, maintaining accountability across vendor, coding, and centralized business functions. - Direct Teams: Lead and manage a diverse team of professionals on large complex engagements by fostering a collaborative team culture. Play a key role in the retention, professional development and performance management of staff including mentoring, coaching and recruiting. - Sales Support and Growth: Collaborate with sales leaders to support key client pursuits and actively participating in client credentialing and reference coordination - Product Differentiation and Innovation: Partner with leaders to create differentiated RC solutions that meet evolving client needs     CORE QUALIFICATIONS: - Bachelor’s degree required. - Licensure: Registered Nurse with an active license preferred - 8-10 years of experience in revenue cycle management with specific utilization management and/or Clinical denials-appeal management experience - 2+ years direct clinical experience in nursing, care management, or provider - Proven leadership experience, with the ability to manage and motivate global teams. - Strong and broad understanding of Revenue Cycle Operations within a hospital and physician setting. - Exceptional negotiation and problem-solving skills. - Excellent communication and interpersonal abilities. - Proficiency in data analysis and reporting tools. - Limited travel required. - Current permanent U.S. Work Authorization required. The estimated salary range for this job is $160,000 - $215,000.  The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel.  This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy and Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Director Country United States of America

Related Categories

Related Job Pages

More Director Jobs

Agile Six logo

Director, VA & Federal Health

Agile Six

We're a team of problem solvers looking to help build a better digital & human-centered government. #hiring #remotework

Director24 days ago
Full TimeRemoteTeam 51-200H1B No Sponsor

• Represent Agile Six at industry conferences, VA industry days, and partner events. Travel approximately 1 day per week within the MD/N.VA/DC area; national conference travel is also expected. • Build relationships with program offices and partners that lead to real opportunity shaping, not just introductions and follow-ups. Focus on VA OIT, VHA, VBA, and the broader federal health ecosystem. • Work directly with active VA delivery teams to maintain client intelligence, identify expansion opportunities within existing programs, and ensure BD strategy is grounded in what our teams are actually experiencing on the ground. This is your most important source of competitive advantage in this market. • Evaluate potential opportunities against strategic fit, win probability, and delivery alignment. Not every opportunity that looks good on paper is worth pursuing. • Stay ahead of procurement pipeline, competitive positioning, and market shifts across your target agencies. Bring intelligence that shapes strategy, not reports that sit in a folder. • Lead partner and teaming negotiations in a way that preserves delivery model integrity. Structure matters as much as relationship. • Work closely with the Communications and Proposals team on market research, RFP analysis, and proposal development. • Own and manage the VA and federal health BD pipeline with discipline and transparency. • Identify and develop subcontracting and teaming opportunities with large primes. Support joint venture pursuit through Intuitial Six and Theta Six.

District Of Columbia + 2 moreAll locations: District Of Columbia | Maryland | Virginia
$180K - $230K / year
Zeta Global logo

Senior Director – Customer Advocacy and Insights

Zeta Global

We deliver better experiences for consumers and better results for your brand.

Director24 days ago
Full TimeRemoteTeam 1,001-5,000Since 2007H1B Sponsor

• Own the Customer Advisory Board (CAB) program including member strategy, recruitment, governance, meeting agendas, facilitation, and executive-ready readouts. • Lead the Voice of Customer (VoC) system for Product by consolidating feedback from CAB, customer calls, support themes, renewals, implementations, and user communities into a single, structured view. • Support beta and early access programs that validate product direction, capture structured learnings, and feed launch readiness with clear insights and recommendations by providing access to client participants that can deliver sharp insights and critical feedback. • Drive closed-loop follow-through on customer feedback by partnering with Customer Success, Support, Product Ops, and Product Management to define action plans, owners, and response cadences, translating themes into prioritization inputs and customer-visible updates. • Own customer advocacy management and tracking across client references, online reviews, and customer stories. Recruiting and onboarding advocates, managing approvals/readiness, maintaining a centralized inventory, matching advocates to requests, and reporting usage and impact. • Build the VoC operating model with Product Operations including standardized feedback capture across touchpoints, intake workflows, tagging/taxonomy, tooling hygiene, and reporting that makes feedback easy to find and act on. • Align VoC insights with Product Marketing and GTM teams to inform positioning, release communications, and enablement—ensuring we reflect real customer language, needs, and objections. • Own NPS/CSAT customer survey programs defining design, sampling/cadence, governance, and translating results into clear drivers and prioritized actions by connecting quantitative trends with qualitative VoC themes and verbatims. • Lead customer marketing communications tied to VoC, product updates, and advocacy including customer communications (emails, newsletters, webinars), developing content briefs, coordinating speakers and messaging with Product Marketing, and measuring engagement to improve reach and relevance. • Plan and execute customer events that drive insight and advocacy (e.g., CAB in-person sessions, roundtables, user groups, conference meetups) in partnership with Product Marketing/Field Marketing—owning run-of-show, content inputs, post-event feedback capture, and stakeholder readouts. • Report on VoC trends and outcomes through recurring dashboards and stakeholder updates that highlight top themes, progress, decisions made, and impact.

New York
$170K - $185K / year

Health Services Director

UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Director24 days ago

Role Description The Health Services Director (HSD) is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care and medical management consulting. The HSD may also be responsible for directing health education, coaching and treatment decision support for members. This Director will provide oversight and leadership to nurse clinicians responsible for the care management activities. The HSD must live in Nebraska. If you reside in Nebraska, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Executes the delivery and governance of all Clinical Programs (Utilization Management, Care Management/Service Coordination and Disease Management) for the Health Plan. - Oversees the MCO’s case management functions and ensures member’s needs are met and policies/protocols comply with all state and federal requirements. - Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities. - Identifies and resolves technical, operational and organizational problems outside own team. - Product, service or process decisions with likely impact entire function and/or customer accounts (internal or external). - Develops, translates and executes strategies or functional/operational objectives for a Health Plan clinical team including medical management, financial accountability, customer and Provider satisfaction, and quality assurance. - Works autonomously to identify issues, develop action plans and implement changes to positively impact business function. - Develops and implements the clinical program structure and resource plans that are consistent with National Clinical Model based on populations serviced by Health Plan. - Ensures local clinical processes, policies and procedures meet regulatory/NCQA/CMS/State of NE DHHS standards and are consistent with the national clinical model. - Leads, coaches, develops the clinical leadership staff and fosters innovation to improve member outcomes. - Identifies and drives local Healthcare Affordability Initiatives along with Medical Director and clinical team. - Ensures monitoring and oversight of clinical programs/staff to meet the defined goals/targets and contract requirements and to promote data driven development. - Uses data effectively to monitor and develop programs and processes to address areas of priority or opportunity. - Works collaboratively with providers, internal and external business partners, state departments, community based organizations, service contractors, and health plan management to oversee the management of a health services department with the objectives of improving the quality of care delivered to members in a range of products, i.e., Medicaid, CHIP, ABD and dual eligible categories, improving cost efficiencies and developing an environment of operational excellence. - Serves as the primary clinical contact for the State for inquiries, State Fair Hearings, clinical state meetings, implementation of clinical programs and interfaces with other MCO’s in market to collaborate on health services initiatives. - Assists with development and support of medical home processes. - Identifies operational efficiencies to enhance operations, reduce operating costs, and standardize best practices across the organization. - Interfaces with UHG enterprise to ensure clinical operations are compliant with State and Federal regulations. - Collaborates with internal and external entities to improve accessibility standards and quality practice standards to reduce medical costs across the service delivery systems (inpatient, emergency departments, urgent care services and practitioner office settings). - Utilizes timely, meaningful financial and utilization reports to assist providers in efforts to alter their care delivery patterns and improve member outcomes. - Develops and implements staff retention and engagement program and serves as the Health Plan Health Services SME and liaison with the state. - Ensures clinical staff training, onboarding, immersion and competency assessment processes meet contract requirements and clinical model standards. Qualifications - RN or LIMHP with current, unrestricted licensure in Nebraska. - 8+ years of clinical practice experience. - 4+ years of demonstrated management, leadership and team development experience. - 3+ years of experience in managed care Medicaid and/or Medicare health care and insurance industry, including regulatory and compliance requirements. - Experience working with government contracts and/or State agencies required. - Demonstrated ability to assist with focusing activities toward a strategic direction as well as developing tactical plans, drive performance and achieve targets. - Proven solid problem solving and analytic skills, with ability to draw relevant conclusions and devise appropriate courses of action. - Proven clear, concise presentation level communication skills and ability to convey complex or technical information in easily understandable terms; ability to interpret complex info from various sources. - Demonstrated track record of clinical program compliance. - Demonstrated ability to lead, influence and develop/mentor staff. - Proven adept in cross functional interactions, collaboration and meeting program goals. - Proven ability to influence in a matrix environment. - Proven excellent proficiency with MS PowerPoint, Excel, Word. - Resident of Nebraska. - Driver’s License and access to reliable transportation. Preferred Qualifications - Certified Case Manager. - Medicaid Managed Care Long Term Care Programs experience. - Field based case management program implementation and monitoring. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). Salary Information The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

United States
$112.7K - $193.2K / year

Role Description Associate, Product Management with Goldman Sachs Bank USA in Boston, Massachusetts. Reports to Boston, Massachusetts office, may work fully remote from any US location. - Understand how product features operate for a defined area and facilitate the implementation of changes as needed by capturing requirements, socializing with key stakeholders and testing changes prior to a given release. - Research industry trends and features to develop and pitch recommendations for the product roadmap. - Define new features to be built, write user stories and acceptance criteria and groom stories with developers and designers. - Collaborate with other product managers and designers to ensure cohesiveness of the overall customer experience. - Observe customer feedback to help inform product improvements and user experiences. - Develop and nurture collaborative working relationships with key internal partners including business teams, various product teams, and Legal & Compliance. - Work on short and long-term solutions to existing issues. Qualifications - Bachelor’s degree (U.S. or foreign equivalent) in Computer Science, Information Technology/ Systems, Computer Engineering, Political Science, International Relations, or a related field. - Three (3) years of experience in the job offered or in a related role. Requirements - Prior experience must include three (3) years in the following: - Support product changes and experiences within a Consumer Credit Card organization. - Authoring technical requirements, user stories and epics using control-driven design principles, with special attention to cross-functional dependencies. - Analyzing quantitative and qualitative data to assess data and effectively size production incident impacts. - Using Microsoft products, including MS Word, MS Excel, MS Visio, and MS Power Point to facilitate business requirements development, data analysis, and implementation of customer remediation activities. - Assist in evaluating existing bank processes for continuous improvement and compiling recommendations for management. - Working with major product management applications including Jira and Confluence. - Using SQL to research impact of product initiatives on customers. - Collaborating cross-functionally with Legal & Compliance using regulatory knowledge of the credit card industry. - Developing robust procedures for testing and production check-outs related to disclosures. - Troubleshooting and solving ongoing issues with Splunk and other internal data tools. Benefits - Annual base salary for this Boston, Massachusetts-based position is $98,400.

United States
$98.4K / year