Director, Revenue Operations
Location
United States
Posted
45 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Director, Revenue Operations
DaVita Kidney Care
Role Description We are seeking a strategic, innovative, and inspiring leader to oversee our Operations Analytics team, responsible for delivering data-driven insights and process improvements across our revenue cycle. This role is pivotal in driving measurable business impact, optimizing collections and credits, and developing high-performing analytical talent. As a key leader in our Revenue Operations (ROPS) organization, you will shape team design, promote operational excellence, and champion a culture of growth, learning, and continuous improvement. This is a remote role with 10-15% travel. Denver, Colorado is preferred, but other locations may be considered. Responsibilities - Operational Excellence & Analytics Oversight - Own the health, performance, and business outcomes of a revenue cycle analytics team serving internal operations partners. - Design and manage an organizational structure that aligns analytics support with operational needs. - Provide oversight of analytical initiatives supporting payor collections, payment integrity, credits, and performance reporting. - Implement scalable tools, methodologies, and KPIs to monitor, assess, and improve operational performance. - Foster a culture of compliance and accountability, ensuring adherence to regulatory and internal standards. - Strategic Thinking & Innovation - Translate enterprise goals into clear, actionable analytics strategies that unlock value across ROPS functions. - Develop and champion innovative solutions that drive sustainable improvements in recovery rates and cost efficiencies. - Anticipate future business needs and proactively position the team to meet evolving challenges with creative, data-informed solutions. - Collaborate cross-functionally with senior leaders to shape business strategy through analytics. - Team Development & Talent Stewardship - Lead talent strategy, including recruitment, training, and career pathing for both new and experienced analysts. - Build a strong bench of future leaders by coaching, mentoring, and providing development opportunities aligned to individual and business goals. - Promote a high-performance team culture rooted in DaVita’s Mission and Core Values. - Ensure robust onboarding, training, and knowledge management practices that support both team effectiveness and individual growth. - Influence, Leadership & Communication - Serve as a thought partner to senior executives, offering clear and compelling insights that drive strategic decisions. - Communicate complex analyses and recommendations clearly and persuasively to both technical and non-technical audiences. - Build and maintain strong, trust-based relationships across ROPS and adjacent functions to influence beyond direct authority. - Lead presentations, initiatives, and executive discussions that shape enterprise direction and cross-functional alignment. Qualifications - Bachelor’s degree required, Master’s degree in Business or a related field preferred. - 5+ years of progressive leadership experience, including direct oversight of analytics or operations teams. - Proven success in developing strategic capabilities and leading enterprise-level initiatives. - Experience designing, leading, and scaling high-impact teams that support operational functions. - Strong business acumen, analytical capability, and communication skills. - Healthcare industry experience preferred, but not required. Benefits - A "community first, company second" culture based on Core Values that really matter. - Clinical outcomes consistently ranked above the national average. - Award-winning education and training across multiple career paths to help you reach your potential. - Performance-based rewards based on stellar individual and team contributions. - A comprehensive benefits package designed to enhance your health, your financial well-being and your future. - Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation.
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Senior Manager, Revenue Enablement Programs
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• Lead the overhaul of the onboarding program across all Revenue roles and the integration of our EVOLVE skills training program into our sales process • Design and deliver ongoing training programs that support the domains of pipeline generation, customer lifecycle, and technical support • Implement sales methodology frameworks as appropriate when we scale - from deal qualification methodologies like MEDDPICC or conversation methodologies like Challenger • Own the program development roadmap for onboarding and ongoing skills enablement, aligning programs to business priorities • Partner with Sales, CS, Partnerships, Support, Product & Platform Enablement, Process & Tools Enablement, and RevOps to ensure programs are relevant, integrated, and measurable • Develop and grow a team of GTM enablement roles over time • Track program effectiveness and continuously improve based on feedback and performance data
Role Description This is a rare opportunity to step into a high-impact leadership role at the ground floor. We are bringing our revenue cycle operations fully in-house and are looking for an entrepreneurial, forward-thinking leader who is energized by building from 0 → 1, driving innovation, and owning results end to end. Release Recovery is seeking someone who thrives in a growth environment and wants their work to have a direct and lasting impact on the organization. The Director/Vice President of Revenue Operations will lead the transition of Release Recovery’s insurance billing operations fully in-house, building the systems, workflows, infrastructure, and team needed to support a scalable, high-performing revenue cycle operation. This individual will oversee the full lifecycle of billing and reimbursement operations across all programs and service lines, including: - Utilization review - Claims management - Payer relations - Reimbursement optimization - Denial management - Compliance oversight Primary Responsibilities: - Revenue Cycle Leadership: - Build, own, and manage the full lifecycle of insurance billing operations from eligibility verification through final reimbursement. - Develop, implement, and optimize revenue cycle workflows across residential, outpatient, PHP/IOP, and case management services. - Establish internal controls to ensure accurate, compliant, and scalable billing practices. - Monitor and improve key performance indicators including: - Clean claim rate - Days in A/R - Authorization approval rates - Denial trends - Net collection percentages - Reimbursement variance analysis - Identify process inefficiencies and implement automation and technology solutions to improve operational performance. - Utilization Review & Authorizations: - Oversee authorization strategy and utilization review processes across all levels of care. - Ensure timely and accurate submission of clinical documentation supporting medical necessity and level of care. - Partner closely with clinical leadership to align documentation practices with payer requirements. - Monitor authorization utilization and proactively prevent lapses in coverage. - Train and support UR staff and clinical teams on payer guidelines and documentation standards. - Claims Management & Billing Operations: - Own the full claims cycle including claim creation, coding accuracy, submission, and reconciliation. - Ensure compliance with CPT, HCPCS, and ICD-10 coding standards specific to behavioral health services. - Validate charge capture and supporting documentation prior to claim submission. - Manage electronic billing systems, clearinghouses, and EMR integrations. - Maintain payer billing rule libraries and submission requirements. - Denials, Appeals & Accounts Receivable: - Develop and execute denial prevention and appeal strategies. - Lead reimbursement renegotiation efforts with payers when appropriate. - Oversee all insurance appeals, including both clinical and administrative appeals. - Analyze denial trends and implement corrective action plans. - Supervise A/R follow-up processes to ensure timely claim resolution. - Collaborate with legal, compliance, and clinical leadership on complex escalations and payer disputes. - Payer Relations & Contracting Support: - Analyze reimbursement rates, fee schedules, and payer contract performance. - Support and participate in payer negotiations through reimbursement analysis, utilization data, and financial modeling. - Identify opportunities for contract optimization and improved reimbursement structures. - Monitor payer policy updates and communicate operational impacts internally. - Reporting & Analytics: - Build and oversee revenue cycle dashboards and operational reporting. - Provide leadership with insights related to payer mix, reimbursement trends, collections performance, and operational KPIs. - Forecast revenue based on census, payer mix, and authorization utilization. - Conduct root-cause analysis related to revenue leakage and reimbursement delays. - Compliance & Regulatory Oversight: - Ensure compliance with payer contracts, state licensing requirements, and federal billing regulations. - Maintain adherence to HIPAA, behavioral health billing regulations, and audit readiness standards. - Lead internal billing audits and support external payer audits as needed. - Maintain accurate documentation and audit trails for billing and authorization activities. Qualifications - Proven experience in healthcare revenue cycle management, preferably within behavioral health, substance use treatment, or a related healthcare setting. - Strong background in insurance billing, utilization review, claims management, and denial resolution. - Experience building, scaling, or transitioning billing operations in-house. - Entrepreneurial mindset with the ability to develop and execute solutions in a fast-paced, growth-oriented environment. - Demonstrated leadership experience with the ability to build, train, and develop high-performing teams. - Deep understanding of CPT, HCPCS, and ICD-10 coding, payer guidelines, and behavioral health billing requirements. - Proficiency with EMR/EHR platforms, clearinghouses, and revenue cycle technologies. Experience with Kipu, CollabMD, and QuickBooks strongly preferred. - Strong analytical and operational problem-solving skills with the ability to turn data into actionable strategy. - Working knowledge of HIPAA, OASAS, and federal healthcare billing compliance requirements. Benefits - Work alongside respected thought leaders in the recovery space. - Make a direct, meaningful impact on individuals and families. - Receive compensation commensurate with experience (salary range: $125,000 - 165,000). - Be eligible for health, dental, and vision benefits (full-time employees).
• Own month-end and year-end close processes related to revenue recognition. Ensure all revenue-related accounting and reporting is accurate, timely, and compliant with U.S. GAAP. • Perform reconciliations for key revenue accounts, investigate discrepancies, and drive issues to resolution. • Prepare and review revenue-related journal entries, including analysis of underlying drivers and supporting documentation. • Partner with Corporate Controller and CFO in the management of financial accounting policies and procedures related to revenue recognition and internal controls. • Collaborate with Shared Services General Accounting to ensure that the enterprise applies consistent coding and accuracy with journal entry activity across the enterprise. • Assist with migration of new acquisitions onto our D365 ERP system focusing on validating revenue accounts, deferred/unbilled revenue, and project setup. • Perform technical accounting review on contracts providing expert knowledge of ASC606 guidance for complex revenue contracts and transactions to ensure proper revenue recognition under US GAAP. • Conduct comprehensive reviews of all standard and non-standard new sales contracts, with a focus on identifying multiple performance obligations and ensuring proper revenue recognition. • Collaborate with cross-functional teams (Sales, Operations, Delivery, Legal) to optimize the end-to-end revenue operations process from contract creation to cash collection including the automation and enhancement of processes and systems.
• Own company-wide revenue forecasting — partnering with Sales and CS leadership to build accurate, predictable weekly and quarterly models for bookings and churn • Define and maintain pipeline health metrics, customer health scores, and forecasting methodologies that reflect real-world business dynamics • Build scalable models for account planning, territory and segmentation design, quota setting, and compensation design • Serve as the primary Revenue Operations (RevOps) partner to Finance during the annual planning cycle — aligning revenue targets, headcount assumptions, and GTM investment with financial models and board-level plans • Own the operational inputs to the Annual Operating Plan (AOP) — including quota rollup, attainment modeling, and revenue bridge construction across new business, expansion, and renewal streams • Build and maintain dynamic capacity models that inform GTM headcount decisions — factoring in ramp curves, productivity benchmarks, attrition assumptions, and growth targets across Sales, Sales Development Representative (SDR), and CS teams • Develop and maintain executive-level dashboards across pipeline, bookings, revenue, retention, and team productivity • Standardize KPI definitions across Sales, Marketing, and CS — creating a single source of truth across the organization • Translate complex data into crisp, actionable insights that shape GTM strategy and investment decisions • Partner with Sales, Marketing, and CS leadership to ensure GTM have the tools, content, and data to execute repeatable, scalable selling motions • Implement and continuously enhance high-impact enablement functions that increase sales productivity and reduce ramp-up times for new hires • Optimize workflows across the full lead-to-revenue lifecycle: lead management, opportunity management, quoting, contracting, renewals, and expansions • Architect, implement and manage high-performing enablement technology to deliver tangible value to the business. • Establish and enforce governance for access, data hygiene, and process compliance across all GTM systems • Lead and grow a high-performing RevOps team (e.g.: Admin, Analyst, BDR and Enablement functions today) • Prioritize the team’s roadmap based on business impact, GTM needs, and organizational goals • Act as the connective tissue between Marketing, Sales, Customer Success, Finance, and Product — ensuring shared definitions, aligned incentives, and a coherent view of revenue performance across all functions • Collaborate with Finance to ensure revenue forecasts, pipeline coverage ratios, and bookings pacing are reconciled with financial reporting on a recurring basis • Lead recurring cross-functional operating cadences — including pipeline reviews, forecast calls, and QBRs — ensuring the right data is in the room and decisions are grounded in a single source of truth • Own the design, documentation, and enforcement of rules of engagement across the GTM organization — establishing clear, written policies that reduce conflict, protect seller motivation, and ensure a consistent prospect and customer experience • Define and maintain lead routing and handoff protocols • Establish account ownership and segmentation policies that address territory overlap, inbound from existing accounts, named account designations, and prospect-to-customer transitions • Define quota credit and split policies for overlay, specialist, and multi-seller deals — ensuring compensation structures reinforce collaborative selling without creating perverse incentives • Clearly delineate expansion and upsell ownership between Sales and Customer Success — specifying the thresholds, product lines, or lifecycle stages that determine which team leads the commercial motion • Build a lightweight dispute resolution process — ensuring ROE conflicts are resolved quickly and consistently, with clear escalation paths that preserve relationships and maintain GTM velocity



