Revenue Cycle Management (RCM) Program Director

Raleigh, NC, US • Posted 1 hour ago • Updated 1 hour ago
Contract Independent
Contract W2
Contract Corp To Corp
6 Months
Able to Sponsor
On-site
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • .NET
  • Accountability
  • Accounts Receivable
  • Analytics
  • Auditing
  • Billing
  • Cadence
  • Cash Flow
  • Collaboration
  • Collections
  • Communication
  • Continuous Improvement
  • Epic
  • Finance
  • Forecasting
  • HB
  • HIPAA
  • Health Care
  • Health Information Management
  • Internal Control
  • KPI
  • Leadership
  • Management
  • Medicaid
  • Medicaid Managed Care
  • Medicare
  • Optimization
  • Organizational Change Management
  • PB
  • Partnership
  • RCM
  • Regulatory Compliance
  • Reporting
  • Revenue Management
  • Strategic Management
  • Workflow
  • Revenue Cycle Management
  • healthcare revenue cycle operations
  • patient access
  • HIM/coding
  • A/R
  • denials
  • CMS
  • state regulations
  • Epic revenue cycle systems
  • Prelude
  • Resolute HB/PB

Summary

Revenue Cycle Management (RCM) Program Director:

Direct Client is seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all endtoend revenue cycle operations across DSOHF facilities, including patient access, health information management, coding, billing, accounts receivable, payer management, and collections. This role drives strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multitiered team of managers and staff. The Director partners with senior leadership, state agencies, and payer organizations to align operations with financial goals, oversees key metrics and reporting, manages complex Medicaid/Medicare billing requirements, ensures audit readiness, and guides technology optimization within Epic and related systems to continuously improve efficiency and accountability.
Skills set:
  • Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
  • Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
  • Experience leading enterprise revenue cycle teams with managers and specialized staff.
  • Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
  • Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections.
  • Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
  • Skill in maintaining internal controls, audit readiness, and compliance frameworks.
  • Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
  • Ability to lead technology optimization, analytics, automation, and reporting.
  • Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations.
  • Executive communication ability to present complex financial, operational, and regulatory information.
  • Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.
  • Competence in leading organizational change, standardization, and continuous improvement initiatives.
  • Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.
Skill
Required / Desired
Amount of Experience
Total Years
Last used
Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
Required5 Years
Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
Required5 Years
Experience leading enterprise revenue cycle teams
Required5 Years
Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections
Required5 Years
Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
Required5 Years
Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
Required5 Years
Executive communication ability
Required5 Years
Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.
Required5 Years

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10179676
  • Position Id: 9088234
  • Posted 1 hour ago
Contact the job poster
Siva Prasad

Siva Prasad

Recruiter @ Solomons International
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