Role Description The Senior Director of Revenue Cycle Management provides executive-level oversight of end-to-end revenue cycle operations across multiple service lines, states, and payor environments. This role is responsible for the strategic direction, operational performance, and financial accountability of all billing, collections, accounts receivable, denial management, and reimbursement functions within the organization. Operating in a complex, multi-state environment with diverse payor relationships, the Senior Director leads a large, multi-level team of Directors, Managers, and frontline revenue cycle professionals. This role is accountable for driving measurable improvements in cash collections, AR days, denial rates, and cost-to-collect while ensuring full regulatory compliance and maintaining the highest standards of operational excellence. The Senior Director serves as a key member of the executive revenue cycle leadership team and a primary liaison between revenue cycle operations, clinical leadership, finance, compliance, and managed care. Responsibilities - Strategic Leadership & Operational Oversight - Provide executive-level leadership across all revenue cycle functions including eligibility, authorization, billing, collections, denial management, and accounts receivable. - Develop and execute multi-year strategies to optimize cash collections, reduce AR days, improve denial outcomes, and drive cost efficiency across a large, multi-state revenue cycle operation. - Establish, monitor, and report on key performance indicators (KPIs) across all revenue cycle functions, using data to drive continuous performance improvement. - Partner with the Vice President of Revenue Cycle and executive leadership to align revenue cycle strategy with organizational goals, growth initiatives, and financial targets. - Lead revenue cycle planning and execution for mergers, acquisitions, joint ventures, start-ups, and divestitures. - Represent revenue cycle operations in cross-functional leadership forums and serve as a subject matter authority on revenue cycle performance. - Financial Performance & Accountability - Accountable for AR performance, cash collections, denial rates, write-off management, and overall cost-to-collect across the full revenue cycle portfolio. - Manage the annual departmental operating budget; identify and implement opportunities for cost efficiency, process improvement, and resource optimization. - Monitor payor reimbursement trends across a complex multi-payor environment. - Drive root cause analysis of billing, authorization, and collection challenges; implement sustainable corrective actions with measurable outcomes. - Develop and present financial performance reports and operational analyses to executive leadership. - Multi-State Payor & Regulatory Complexity - Lead revenue cycle operations across a geographically dispersed, multi-state footprint. - Maintain current and comprehensive knowledge of Medicare, Medicaid, managed care, commercial, and waiver program billing requirements. - Oversee payor contracting alignment from a revenue cycle perspective. - Cultivate and maintain strategic relationships with key payor representatives. - Monitor state-specific regulatory requirements and ensure timely operational alignment. - Serve as primary revenue cycle liaison with the managed care and payor contracting teams. - Team Leadership & Talent Development - Lead, develop, and retain a high-performing team of Directors, Managers, and frontline revenue cycle leaders. - Establish staffing models aligned with operational volume, complexity, and business needs. - Build a culture of accountability, engagement, continuous improvement, and professional growth. - Drive performance management processes. - Partner with HR and talent acquisition to attract, develop, and retain top revenue cycle talent. - Promote collaboration, inclusion, and knowledge-sharing across geographically distributed teams. - Compliance, Risk & Regulatory Oversight - Ensure full compliance with all federal, state, and payor regulations governing healthcare billing and collections. - Serve as an organizational subject matter expert on regulatory changes impacting revenue cycle operations. - Oversee internal controls across all revenue cycle functions. - Identify operational and compliance risks proactively. - Maintain accountability to all organizational compliance programs and policies. - Process Improvement & Technology Enablement - Drive enterprise-wide process standardization and optimization across all revenue cycle functions. - Identify and implement automation and technology solutions. - Maintain expert-level proficiency in revenue cycle technologies. - Partner with IT, Revenue Systems, and external vendors to optimize system functionality. - Champion a data-driven operational culture. - Vendor Management & External Partnerships - Oversee all revenue cycle vendor relationships. - Negotiate and manage vendor performance agreements. - Partner with procurement and legal on vendor contract renewals. Qualifications - Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required; Master’s degree preferred. - 10+ years of progressive leadership experience in healthcare revenue cycle management or healthcare operations. - Minimum 5 years of direct experience leading Director-level or above revenue cycle teams. - Demonstrated expertise in Medicare, Medicaid, managed care, commercial, and waiver program billing and reimbursement. - Proven track record of driving measurable improvement in AR performance, cash collections, denial rates, and cost-to-collect. - Strong financial acumen. - Demonstrated ability to lead, develop, and retain high-performing multi-level teams. - Advanced proficiency in revenue cycle technologies. - Experience leading revenue cycle through mergers, acquisitions, or large-scale organizational transformations preferred. Core Competencies - Executive-level strategic thinking and operational execution. - Advanced financial and analytical acumen. - Demonstrated ability to manage complexity across multi-state, multi-payor, multi-system environments. - Exceptional leadership, talent development, and organizational effectiveness. - High-stakes decision-making with demonstrated accountability for outcomes. - Superior communication and executive stakeholder management. - Expertise in healthcare regulatory compliance and billing integrity. - Proven change leadership in large-scale organizational transformation. Preferred Qualifications - Experience within home health, hospice, palliative care, or community-based care settings. - Graduate degree (MBA, MHA, MSHL) or professional certification (CRCR, CHFP, or equivalent). - Experience managing revenue cycle vendor relationships and performance contracts. - Familiarity with HCHB, Waystar, Change Healthcare, AlphaCollector, or comparable revenue cycle technology platforms. - Demonstrated experience presenting revenue cycle performance and strategy to C-suite or board-level leadership. Company Description Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.