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Operations Director, Revenue Cycle Management - Remote

Posted Yesterday
Project Management
Full Time
USA

Overview

The Operations Director, Revenue Cycle Management (RCM) provides strategic leadership for RCM Operations, ensuring alignment between strategy, payer requirements, operational execution, and financial outcomes for internal and external clients.

In Short

  • Lead enterprise strategy and operating model for payer management and admissions.
  • Establish governance frameworks for clean revenue and payer compliance.
  • Provide executive guidance on RCM risk and performance trends.
  • Set strategic direction for payer contract management.
  • Oversee payer audits and ensure compliance.
  • Develop RCM operational leaders and establish performance metrics.
  • Serve as a trusted advisor to client executives.
  • Drive continuous improvement and process optimization across RCM operations.
  • Ensure compliance with regulatory and financial requirements.
  • Support client growth initiatives and operational scalability.

Requirements

  • Bachelor’s degree in Finance, Accounting, Business Administration, or related field.
  • At least 8 years of experience in Revenue Cycle Management or healthcare operations.
  • Strong understanding of healthcare billing and reimbursement structures.
  • Proven people-leader with experience in large operational functions.
  • Excellent communication skills with ability to translate complexity.
  • Experience in operational transformation and scaling teams.
  • Strategic and analytical mindset.
  • Proficiency in business and analytics tools.
  • Ability to operate independently with high judgment.
  • Strong stakeholder management capabilities.

Benefits

  • Opportunity to work remotely.
  • Supportive work environment focused on improving health.
  • Engagement in meaningful work that impacts lives.
  • Collaboration with a dedicated team of experts.
  • Access to professional development opportunities.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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