Interim Director of Revenue Cycle Management

Location

United States

Posted

1 day ago

Salary

$90K - $120K / year

Seniority

Lead

No structured requirement data.

Job Description

Interim Director of Revenue Cycle Management

Community Care Network Of Va

Role Description The Interim Director of RCM will provide operational leadership and stabilization of the Central Business Office (CBO), ensuring continuity of billing, collections, and revenue optimization during the incumbent’s leave. This role will focus on maintaining cash flow performance, resolving operational bottlenecks, and providing executive-level oversight of revenue cycle KPIs. This is a hands-on strategic operator who can quickly assess, prioritize, and drive performance improvements across the full RCM lifecycle. This is a temporary interim position established to provide leadership coverage during an employee leave of absence. The assignment is anticipated to last approximately 6–12 months, but may end earlier or continue longer based on organizational needs and the status of the employee's leave. This temporary full-time position is eligible for company-sponsored benefits in accordance with applicable plan terms, conditions, and eligibility requirements. Nothing in this job description, the posting of this position, or the anticipated duration of the assignment creates a contract of employment or guarantees employment for any specific period of time. The assignment may conclude upon the return of the employee on leave, organizational restructuring, business necessity, or other lawful business reasons. Employment with Cenevia remains at-will, meaning either the employee or Cenevia may terminate the employment relationship at any time, with or without notice, and with or without cause, to the extent permitted by applicable law. Essential Functions - Revenue Cycle Oversight & Stabilization - Oversee end-to-end RCM: billing, collections, cash posting, denials, A/R, refunds, and month-end close - Ensure uninterrupted daily operations and service levels - Step into tactical problem-solving for high-risk revenue areas - Monitor clearinghouse, EDI, and payer processing issues - KPI Monitoring & Performance Management - Maintain and report on key metrics: - Days in A/R - Net collection rate - Denial rates / first-pass yield - Cash collections vs targets - Provide weekly dashboard and monthly executive summaries - Identify performance risks and implement rapid corrective actions - Team Leadership & Continuity - Provide leadership to billing managers/supervisors - Maintain productivity expectations and staffing coverage - Support issue escalation and decision-making - Reinforce accountability, morale, and communication - Revenue Integrity & Cash Acceleration - Focus on: - A/R clean-up strategy - Denial reduction - Payor issue escalation - Prioritize largest financial opportunities for short-term gain - Ensure billing accuracy to minimize rework - Executive & Stakeholder Communication - Serve as interim RCM leader for CEO and executive team - Provide clear, concise updates and recommendations - Act as liaison with vendors, clearinghouses, and payors - Compliance & Risk Management - Ensure adherence to: - CMS and payer guidelines - Internal policies and controls - Maintain audit readiness Qualifications - Bachelor's degree from an accredited college or university in Healthcare Administration, Business Administration, Health Information Management, Finance, or a related field; master's degree preferred. - 15+ years of progressive healthcare Revenue Cycle Management leadership experience. - Significant Federally Qualified Health Center (FQHC) RCM experience, including familiarity with FQHC reimbursement methodologies, compliance requirements, and payer regulations; experience supporting Virginia FQHC operations strongly preferred. - Demonstrated expertise across the full revenue cycle, including registration, charge capture, coding, billing, claims management, denial management, payment posting, accounts receivable follow-up, refund management, reporting, and revenue optimization. - Advanced proficiency as an eClinicalWorks (eCW) Superuser, including backend system administration, workflow configuration, reporting, analytics, and automation capabilities. - Extensive experience developing, monitoring, and driving achievement of Revenue Cycle Management key performance indicators (KPIs), service-level agreements, operational dashboards, and client performance reporting. - Experience leading large, geographically dispersed and virtual RCM teams, including management of supervisors and client-facing service delivery operations. - Experience supporting multiple healthcare clients and managing complex client relationships. - Strong knowledge of payer reimbursement methodologies, revenue integrity principles, compliance requirements, and healthcare regulatory standards. - Certified Professional Coder (CPC) preferred. - Certified Professional Biller (CPB) preferred. - Waystar experience strongly preferred. - Equivalent combinations of education, certifications, and directly related experience may be considered. Other Skills and Abilities - Strong leadership experience leading and developing large teams of people towards increased morale, engagement, productivity, and positive outcomes. - Supportive of and accountable to staff. - Ability to work across billing departments to assure equity and fairness. - Ability to perform revenue cycle management functions. - Advanced eClinicalWorks (eCW) proficiency, including Superuser-level knowledge of backend configuration, reporting, workflow optimization, and automation capabilities. - Experience utilizing Waystar for claims management, eligibility, remittance processing, denial management, and payer connectivity. - Extensive Federally Qualified Health Center (FQHC) Revenue Cycle Management experience. - Familiarity with Virginia Medicaid and payer requirements impacting FQHC operations preferred. - Knowledge of dental and medical RCM process, billing, coding, and auditing. - Knowledge of various clearinghouses. - Familiarity with CMS and other payors as well as payor rules specific to FQHCs. - Strong Excel experience. - Strong problem-solving skills with the ability to diagnose problems and identify and implement solutions. - Exemplary communication and interpersonal skills. - Strong decision-making skills. - Time management, prioritization, and multitasking capabilities. - Willingness and expertise to assist team as needed with RCM lifecycle processes and reports. - Results driven, accountable, and responsive. - Demonstrated experience developing and maintaining effective working relationships across the organization. Supervisory Responsibilities Manages supervisors that oversee the employees in the billing department’s day-to-day workflow. Responsible for the overall direction, coordination, and evaluation while utilizing sound and fair judgement of each employee. Carries out managerial responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include, but are not limited to, interviewing, hiring, and training employees; planning, assigning, and directing work. Competencies - Business Acumen: Understands business implications of decisions; displays orientation to profitability; demonstrates knowledge of market and competition; aligns work with strategic goals. - Client Focus: Anticipating, understanding, and fulfilling customer needs and expectations by providing excellent direct and indirect service. - Communication: Conveying and receiving information and ideas efficiently and effectively through a variety of organizational mediums. - Initiative: Seeking new/additional responsibilities, projects, tasks; Acting independently in new/routine situations. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. Status Full-Time | Exempt | Temporary Interim Assignment | Benefits Eligible Compensation Salary is commensurate with experience, relevant certification/education, and relevant RCM software proficiency. Benefits Offered - Simple IRA Matching - Health Insurance - Paid Time Off - Paid Holidays - Dental Insurance - Vision Insurance - Life Insurance - Employee Assistance Program - Tuition Reimbursement - Disability insurance - Fitness Program

Related Categories

Related Job Pages

More Director Jobs

Director of Enterprise Applications and Data

Simply Results Talent

Partner with clients to identify opportunities for CX modernization, workflow optimization, AI enablement, automation, and operational transformation Help customers navigate evolving customer experience strategies through the integration of technology, AI, human expertise, and global delivery models Drive adoption and expansion of strategic Liveops capabilities, including AI-enabled and platform-led solutions Translate industry trends, market dynamics, and emerging technologies into actionable recommendations for customers Serve as the voice of the customer internally to influence future innovation, solution development, and service strategy Identify opportunities for account expansion, new solution adoption, and long-term strategic growth Partner closely with Sales, Product, Professional Services, Technology, and Operations teams to align solutions with customer priorities and business objectives Support the development of outcome-based partnership opportunities and value-driven solution strategies Drive commercial growth through consultative relationship management and strategic business alignment Coordinate internal teams to ensure alignment between customer expectations, operational execution, and business outcomes Collaborate across Workforce Management, Talent Acquisition, Training, Operations, Professional Services, Technology, and Product teams to deliver seamless customer experiences Lead cross-functional efforts focused on continuous improvement, innovation, scalability, and operational excellence Influence internal priorities and decision-making based on customer needs, strategic opportunities, and market trends

Director1 day ago

Role Description The Director of Enterprise Applications & Data leads the strategy, implementation, and management of enterprise systems and data platforms across the organization. This role ensures business applications (e.g., Salesforce) and collaboration tools run securely, reliably, and at scale—while also driving a modern data strategy that delivers analytics, reporting, and actionable insights. Key Responsibilities - Enterprise Applications - Define the strategy, roadmap, and operations for enterprise applications. - Partner with business leaders to translate functional needs into scalable technology solutions. - Manage vendor relationships, contracts, licensing, upgrades, and integrations. - Ensure all applications meet security, compliance, and scalability requirements. - Data Strategy & Governance - Develop and execute a comprehensive enterprise data strategy. - Oversee platforms such as data warehouses, data lakes, reporting, and analytics tools. - Drive adoption of self-service BI and analytics across the business. - Establish policies for data ownership, stewardship, and lifecycle management. - Innovation & Transformation - Introduce AI, automation, and advanced analytics to modernize business processes. - Lead initiatives to consolidate and modernize data platforms, including cloud migration. - Align enterprise systems with digital transformation goals in collaboration with senior leadership. - Leadership & Collaboration - Build and mentor a high-performing team of application admins, data engineers, and BI specialists. - Foster collaboration across IT, business stakeholders, and vendors. - Manage budgets, contracts, and a portfolio of strategic projects. Qualifications - Required - Bachelor’s degree in Computer Science, Information Systems, Data Science, or related field (Master’s preferred). - 10+ years of progressive IT experience, including 5+ years leading both enterprise applications and data teams. - Strong knowledge of Salesforce and enterprise data platforms (e.g., Snowflake, Redshift, Tableau, Power BI). - Proven expertise in data governance, integrations, and BI tools. - Experience with cloud services (AWS, Azure) and SaaS applications. - Excellent leadership, communication, and stakeholder management skills. - Preferred - Background in highly regulated industries (healthcare, finance, BPO). - Familiarity with AI/ML, RPA, and automation tools. - Certifications such as TOGAF, DAMA-DMBOK, or AWS/Azure Solutions Architect.

Mexico

Director, Enterprise Applications and Data

Simply Results Talent

Partner with clients to identify opportunities for CX modernization, workflow optimization, AI enablement, automation, and operational transformation Help customers navigate evolving customer experience strategies through the integration of technology, AI, human expertise, and global delivery models Drive adoption and expansion of strategic Liveops capabilities, including AI-enabled and platform-led solutions Translate industry trends, market dynamics, and emerging technologies into actionable recommendations for customers Serve as the voice of the customer internally to influence future innovation, solution development, and service strategy Identify opportunities for account expansion, new solution adoption, and long-term strategic growth Partner closely with Sales, Product, Professional Services, Technology, and Operations teams to align solutions with customer priorities and business objectives Support the development of outcome-based partnership opportunities and value-driven solution strategies Drive commercial growth through consultative relationship management and strategic business alignment Coordinate internal teams to ensure alignment between customer expectations, operational execution, and business outcomes Collaborate across Workforce Management, Talent Acquisition, Training, Operations, Professional Services, Technology, and Product teams to deliver seamless customer experiences Lead cross-functional efforts focused on continuous improvement, innovation, scalability, and operational excellence Influence internal priorities and decision-making based on customer needs, strategic opportunities, and market trends

Director1 day ago

Role Description The Director of Enterprise Applications & Data leads the strategy, implementation, and management of enterprise systems and data platforms across the organization. This role ensures business applications (e.g., Salesforce) and collaboration tools run securely, reliably, and at scale—while also driving a modern data strategy that delivers analytics, reporting, and actionable insights. Key Responsibilities - Enterprise Applications - Define the strategy, roadmap, and operations for enterprise applications. - Partner with business leaders to translate functional needs into scalable technology solutions. - Manage vendor relationships, contracts, licensing, upgrades, and integrations. - Ensure all applications meet security, compliance, and scalability requirements. - Data Strategy & Governance - Develop and execute a comprehensive enterprise data strategy. - Oversee platforms such as data warehouses, data lakes, reporting, and analytics tools. - Drive adoption of self-service BI and analytics across the business. - Establish policies for data ownership, stewardship, and lifecycle management. - Innovation & Transformation - Introduce AI, automation, and advanced analytics to modernize business processes. - Lead initiatives to consolidate and modernize data platforms, including cloud migration. - Align enterprise systems with digital transformation goals in collaboration with senior leadership. - Leadership & Collaboration - Build and mentor a high-performing team of application admins, data engineers, and BI specialists. - Foster collaboration across IT, business stakeholders, and vendors. - Manage budgets, contracts, and a portfolio of strategic projects. Qualifications - Required - Bachelor’s degree in Computer Science, Information Systems, Data Science, or related field (Master’s preferred). - 10+ years of progressive IT experience, including 5+ years leading both enterprise applications and data teams. - Strong knowledge of Salesforce and enterprise data platforms (e.g., Snowflake, Redshift, Tableau, Power BI). - Proven expertise in data governance, integrations, and BI tools. - Experience with cloud services (AWS, Azure) and SaaS applications. - Excellent leadership, communication, and stakeholder management skills. - Preferred - Background in highly regulated industries (healthcare, finance, BPO). - Familiarity with AI/ML, RPA, and automation tools. - Certifications such as TOGAF, DAMA-DMBOK, or AWS/Azure Solutions Architect.

United States
Baylor Genetics logo

Associate Director, Assay Validation

Baylor Genetics

Baylor Genetics pioneered the history of genetic testing. Now, we’re leading the way in precision diagnostics.

Director1 day ago
Full TimeRemoteTeam 501-1,000Since 1978H1B No Sponsor

Role Description - Lead the planning, design, and execution of analytical validation studies for sequencing-based assays, including germline, somatic, and liquid biopsy applications. - Develop and maintain validation strategies, protocols, and reports that comply with CLIA, CAP, NYS, and internal quality standards. - Collaborate with Assay Development, Bioinformatics, Quality, and Product teams to align validation strategy with assay design, clinical claims, and product readiness. - Establish acceptance criteria, reference materials, and performance metrics to support analytical and clinical validation activities. - Serve as the subject matter expert for NGS validation methods, study design, assay performance characterization, and regulatory expectations. - Analyze validation data and provide data-driven recommendations for assay optimization, issue resolution, and launch readiness. - Support regulatory or laboratory inspections and contribute to responses, documentation, or corrective action plans as needed. - Mentor scientists at different levels and contribute to building a scalable validation function within the R&D organization. - Maintain up-to-date knowledge of emerging trends, technologies, and regulatory guidance in NGS assay validation and clinical genomics. - Perform other duties as assigned to support team and organizational objectives. - Comply with all company policies, procedures, and applicable regulatory requirements. Qualifications - PhD. in Molecular Biology, Genetics, Genomics, or a related discipline with 6+ years of relevant experience; or M.S. with 8+ years of experience in NGS assay development and validation. - Demonstrated track record leading validation of clinical NGS assays under CLIA, CAP, NYS, or equivalent regulatory frameworks. - Strong expertise in NGS library preparation, sequencing platforms, and assay performance characterization. - Deep understanding of analytical validation parameters, including accuracy, precision, limit of detection, specificity, reproducibility, and related statistical evaluation. - Experience collaborating with bioinformatics teams for pipeline verification and integrated assay validation. - Familiarity with quality management systems, design control, and documentation best practices. - Excellent problem-solving, communication, and cross-functional collaboration skills. - Proven ability to lead complex projects and influence without direct authority in a matrixed environment. - Equivalent combination of education and experience may be considered. Requirements - Prior experience with germline clinical genetic testing or prenatal liquid biopsy testing. - Knowledge of NYS clinical test submission requirements or FDA IVD development processes. - Experience managing a small team. - Familiarity with automation or process scaling for NGS workflows. Competencies - Scientific rigor and strong attention to detail. - Strategic thinking with hands-on execution capability. - Collaborative mindset with strong communication across scientific and business functions. - Commitment to quality, compliance, and continuous improvement. Physical Demands and Work Environment - Location: Houston, TX / Remote. - Work may be performed in an office, remote, and/or laboratory environment depending on business needs and assigned responsibilities. - May require exposure to standard laboratory conditions and adherence to applicable safety, quality, and regulatory requirements. - Must be able to use standard office equipment and computer systems for extended periods. - Travel requirements may vary based on business needs. EEO Statement Baylor Genetics is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from all backgrounds to apply. We do not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law.

United States
National Psoriasis Foundation logo

Director, Consumer Relations

National Psoriasis Foundation

The National Psoriasis Foundation (NPF) is the leading patient and research organization service for the more than 125 million people worldwide who live with psoriatic disease. For more than 55 years, NPF has been a dynamic and evolving organization dedicated to finding a cure for psoriasis and psoriatic arthritis while supporting anyone impacted. NPF provides free patient support and continuing medical education to be sure those impacted by psoriatic disease are armed with the latest information and resources to manage this chronic, systemic disease.

Director1 day ago

Role Description The Director, Consumer Relations supports the growth and sustainability of NPF’s mission by leading the expansion and management of strategic corporate partnerships, with a primary focus on the Seal of Recognition program and consumer-facing corporate engagement opportunities. This role is responsible for driving business development efforts, cultivating partnerships within the consumer health, skincare, wellness, personal care, and related non-pharmaceutical industries, and ensuring exceptional partner experiences. The Director will play a key role in expanding the reach, visibility, and revenue of the Seal of Recognition program through strategic prospecting, relationship management, and cross-functional collaboration. This position works closely with internal stakeholders and external partners to support program innovation, growth opportunities, and successful execution of partnership deliverables. Essential Duties and Responsibilities - Partnership Development & Management - Identify, research, and engage prospective corporate partners across consumer health, skincare, wellness, personal care, apparel, beauty, and related non-pharmaceutical sectors. - Develop and maintain a robust pipeline of prospective Seal of Recognition and consumer partnership opportunities. - Support the full partnership lifecycle, including outreach, proposal development, contracting support, renewals, stewardship, and ongoing relationship management. - Manage a portfolio of active corporate relationships, ensuring partner value is maximized and commitments are fulfilled effectively and efficiently. - Build and strengthen relationships with manufacturers, brands, retailers, and industry stakeholders aligned with NPF’s mission and patient community needs. - Seal of Recognition Program Growth & Strategy - Lead day-to-day management and growth initiatives for the Seal of Recognition program. - Identify opportunities to expand the program into new product categories and consumer market segments. - Collaborate cross-functionally to enhance program visibility, value proposition, participant experience, and revenue growth. - Support development of marketing, educational, and promotional strategies that increase awareness and engagement with the Seal of Recognition program. - Monitor industry trends, product innovation, and consumer health market activity to identify emerging opportunities for program expansion. - Consumer Partnership Development - Support the development of strategic consumer-facing partnerships and campaigns that align with NPF’s mission and organizational priorities. - Collaborate with internal teams to develop partnership opportunities that drive patient education, awareness, engagement, and revenue diversification. - Assist in creating customized partnership proposals and activation opportunities tailored to partner objectives and organizational goals. - Strategic Support & Collaboration - Collaborate closely with the Vice President, Corporate Relations to support strategic planning, forecasting, and partnership pipeline development. - Work cross-functionally with marketing, patient navigation, research, and communications teams to align partnership opportunities with organizational initiatives. - Represent NPF professionally in meetings, conferences, trade shows, and industry events as appropriate. Qualifications - Bachelor’s Degree required - Minimum of 5 years of experience in nonprofit development, corporate partnerships, business development, or related field - Experience managing consumer-facing partnerships, sponsorships, or corporate relationships preferred - Experience with skincare, wellness, beauty, personal care, healthcare, or related industries preferred - Strong relationship-building, prospecting, and business development skills - Excellent organizational, project management, and interpersonal skills - Excellent oral and written communication skills - Ability to manage multiple projects and priorities simultaneously in a fast-paced environment - Proficiency with Microsoft Office and CRM/database systems - Ability to work collaboratively across teams and departments - Available for occasional overnight travel - Must be available to work occasional evenings and weekends - Must be able to lift 40 pounds

United States
$105K - $115K / year