• Lead the enterprise research strategy, ensuring alignment with organizational goals, market opportunities, and emerging global research needs. • Champion innovation, adaptive research models, and new methodologies that expand relevance, quality, and impact. • Set and uphold high standards for research rigor, ethics, integrity, and compliance across all portfolios. • Provide oversight of complex, global research initiatives to ensure strong technical quality, ethical compliance, and financial stewardship. • Serve as the escalation point for risks, including safeguarding and protocol violations, ensuring timely mitigation and resolution. • Ensure research decisions reflect local contexts and ethical considerations in diverse implementation environments. • Lead high-level relationships with funders, sponsors, and partners, shaping positioning and investment decisions in partnership with Strategy and Resource Mobilization (SRM). • Identify priority research opportunities and strategic partnerships to support growth and market leadership. • Cultivate collaborative relationships with academic institutions, NGOs, and other stakeholders to advance research utilization. • Build and sustain a strong leadership culture that emphasizes empowerment, accountability, innovation, and cross‑portfolio collaboration. • Lead and support Senior Directors in growing research portfolios, leaders, and emerging technical areas. • Foster continuous learning, professional development, and performance excellence across the Research & Evidence workforce. • Partner across Programs and Research Group (PRG), Global Operations and Services (GOS), Strategy and Resource Mobilization (SRM), enterprise services, and regional teams to advance organizational objectives. • Support consistent standards, governance, and collaboration with global research operations and services teams.

• Design and govern the enterprise training curriculum for all RCM roles • Build and maintain training pathways for AI tool adoption • Oversee QA programs for all human work product across service delivery • Own the analytics infrastructure and reporting function that tracks delivery performance • Build and lead a high-performing team of directors and individual contributors

• Create a working environment that demands discipline across all aspects of project delivery • Establish a team of leaders with emotional intelligence, and a desire for authentic working relationships • Engage with Department Senior Leadership as a strategic advisor • Measure success through delivery of clinical services across the portfolio of studies managed by Directors and Project Leaders in finance, utilization, quality, compliance, and delivery • Maintain targets for profitability, margin expansion, cash flow, and contractual coverage across all projects within the portfolio • Interrogate financial data related to operational delivery • Drive teams to comply with data entry and accuracy • Participate in Risk Governance and routine surveillance of the portfolio to identify risk trends • Promote a holistic view of project quality and assess impact on patients, customers, investigators, and key stakeholders • Manage Employee Performance aligned to Parexel’s Talent Philosophy • Participate in a robust resource strategy • Ensure compliance with training needs and opportunities

Role Description Co-own the RCM P&L with the EVP of RCM, including revenue, cost structure, EBITDA, and cash flow performance. - Own and actively manage the full RCM cost budget, including internal staffing and FTE planning, external billing RCM, and technology investments. - Establish cost-per-unit benchmarks (e.g., cost to collect, cost per claim) and conduct monthly variance analysis to identify inefficiencies, rightsizing opportunities, and ROI gaps across all operational spend. - Drive enterprise-wide initiatives to accelerate cash collection, improve yield, and enhance cost efficiency. - Establish, monitor, and report on financial performance benchmarks including net collection rate, gross-to-net revenue realization, days in AR, denial, write-off rates, and bad debt allowance. - Oversee monthly revenue recognition processes, working in concert with Accounting and FP&A to ensure revenue is accurately stated in accordance with GAAP and applicable healthcare accounting standards. - Build and maintain long-range financial models incorporating growth, acquisitions, payer mix dynamics, and resource management strategies. - Partner with Finance on forecasting, budgeting, and variance analysis related to the revenue cycle. - Oversee net collection rate, AR performance, denial rates, and payer yield. - Establish data-driven accountability across the full revenue cycle. - Identify and execute opportunities for pricing optimization, contract improvement, and reimbursement uplift. - Quantify payer trends and their impact on net revenue, proactively surfacing financial risks to the CFO and executive team. - Monitor Self-Pay Strategy to ensure maximum reimbursement for self-pay and patient responsibility after insurance, recommending improvements and opportunities that are scalable and meet PCI and other regulatory requirements. - Ensure RCM operations and resources are aligned with financial targets and growth objectives. - Measure and drive efficiency through automation, technology, and process redesign. - Evaluate ROI on technology, vendors, and internal investments. - Support integration of acquisitions with a focus on financial performance and scalability. - Ensure financial and regulatory compliance across all RCM activities. - Working with Compliance, maintaining strong internal controls related to billing, collections, payment reconciliation, quality and reporting. - Monitor regulatory changes impacting reimbursement and revenue recognition. - Serve as the financial voice of RCM with executive leadership and the Board. - Partner with clinical, operational, and finance teams to align incentives and outcomes. - Build a performance-driven culture with clear accountability for results. Qualifications - 10+ years in healthcare revenue cycle and financial leadership roles required. - Demonstrated experience owning a net revenue budget of $500M+ across multiple specialties or markets required. - Demonstrated experience in evaluating and managing resource utilization, incorporating offshore vendor resource implementation and adoption of automation or AI resources required. - Proven ownership of P&L and large-scale financial operations required. - Proven track record of presenting financial performance, variance analysis, and strategic recommendations to a CFO, Board of Directors, or equivalent executive body required. - Deep expertise in reimbursement, payer dynamics, and revenue optimization required. - Strong track record of driving measurable financial improvement required. - CPA with healthcare industry experience preferred. - CRCE (Certified Revenue Cycle Executive — AAHAM) preferred. - Experience in physician enterprise or multi-specialty acute care RCM spanning Emergency Medicine, Hospital Medicine, Anesthesiology, and/or Radiology preferred. - Experience leading revenue cycle financial due diligence for M&A or new practice acquisitions preferred. - Familiarity with AI/automation ROI modeling in a revenue cycle context preferred. - Experience in oversight of a budget, revenue and expense management. - Experience in strategic planning and execution of short term and long-term plans. - Strategic, visionary, and innovative leadership. - Proven ability to develop strong relationships and work collaboratively across multiple business functions. - Highly skilled at conflict management and resolution. - Possess excellent problem-solving capabilities. - High level of emotional intelligence and proven professional judgment. - Ability to manage multiple work streams, projects, tasks, and goals. - Knowledge and experience with industry charge methodology, billing and collection regulations. - Possess excellent communication skills and ability to communicate effectively with staff, executives, and other professionals. - Ability to travel regularly. Benefits - Superior health plan options. - Dental, Vision, HSA/FSA, Life and AD&D coverage, and more. - Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service). - Generous paid time off starting 3-4 weeks’ annually. - Student Loan Refinancing Discounts. - Professional and Career Development Program. - EAP and travel assistance included. - Wellness program. - Purpose-driven culture focused on improving the lives of our patients, communities, and employees.