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Executive Director Revenue Cycle

Nicklaus Children\'s Hospital

Miami, Florida • Today

Full-time

Data Scientist, Revenue Cycle

City of Hope

Remote • Today

Full-time

USD 53.28 - 85.26 per hour

Job Details

Skills

Operational Efficiency
Scheduling
Health Information Management
Clinical Data Management
Financial Services
Credit Management
Customer Service
Performance Management
KPI
Corrective And Preventive Action
Artificial Intelligence
Escalation Management
Augmented Reality
.NET
Collections
Call Center
Authorization
Reporting
Optimization
Electronic Health Record (EHR)
Analytics
Workflow
Regulatory Compliance
HIPAA
Internal Control
Accountability
Training
Continuous Improvement
Collaboration
Health Care Administration
Finance
Epic
Medicaid
Billing
Leadership
Communication
Negotiations
Shared Services
SANS
Health Care
Dynamics
Revenue Management
Management

Operational Efficiency
Scheduling
Health Information Management
Clinical Data Management
Financial Services
Credit Management
Customer Service
Performance Management
KPI
Corrective And Preventive Action
Artificial Intelligence
Escalation Management
Augmented Reality
.NET
Collections
Call Center
Authorization
Reporting
Optimization
Electronic Health Record (EHR)
Analytics
Workflow
Regulatory Compliance
HIPAA
Internal Control
Accountability
Training
Continuous Improvement
Collaboration
Health Care Administration
Finance
Epic
Medicaid
Billing
Leadership
Communication
Negotiations
Shared Services
SANS
Health Care
Dynamics
Revenue Management
Management

Summary

Description

Job Summary

The Executive Director of Revenue Cycle leads the end-to-end revenue cycle across Nicklaus Children\'s Health System. Provides oversight of front-end, mid-cycle, and back-end revenue functions and is accountable for achieving performance targets. Partners closely with operational leaders, Managed Care, Finance, IT, and external vendors to drive sustainable financial performance, operational efficiency, and a high-quality patient experience aligned with the organization\'s mission to deliver exceptional pediatric care.

Job Specific Duties

Lead and optimize all components of the revenue cycle, including:
- Patient access (scheduling, registration, authorization, financial counseling)
- Case Management, Social Work, Pastoral Services, and Transfer Center
- Health information management (HIM), coding and CDI
- Revenue integrity, Charge Description Master (CDM), charge capture, and billing
Patient financial services, A/R follow up, Appeals and Underpayments, Cash/Credit Management, and Customer Service
Ensure seamless coordination across all functions to achieve timely and accurate revenue capture and reimbursement.
- Lead governance and performance management of the organization\'s outsourced revenue cycle vendor(s), inlcluding:
- Establishing and enforcing SLAs tied to key KPIs (e.g., net collection rate, AR days, denial rate)
- Conducting regular business and performance scorecard reviews
- Driving continuous improvement and corrective action plans for underperformance
- Partnering on optimization initiatives (automation, AI, workflow redesign)
Oversee contract performance, escalation management, and alignment of vendor operations with system goals.
- Oversee key revenue cycle metrics, including, but not limited to:
- Days in AR-
- Denial rates-
- Net collection rate, including complex large balance claims-
- Bad debt performance-
- Excess/Avoidable Days
- Coding accuracy
- Point of Service Collections
- Call Center and Pre-Access Metrics: Speed to Answer, Accuracy, Authorization Days Out, etc.
- Patient Financial Experience
Develop and maintain a structured performance reporting framework and accountability forums.
Analyze trends and implement targeted initiatives to improve financial outcomes.
- Partner with leadership and vendor partners to define and execute a multi-year revenue cycle strategy:
- Technology optimization (e.g., EMR revenue cycle platforms, automation, analytics tools)
- Shared services and operating model design
- Integration of vendor and internal workflows
Collaborate with IT teams and vendors to identify system enhancements and ensure alignment with business needs.
Ensure adherence to all regulatory, payer, and compliance requirements (IRS, OIG, CMS, HIPAA, payer contracts).
Mitigate financial risk through strong internal controls and processes.
Lead and develop a high-performing revenue cycle organization, including internal leaders and vendor teams.
Establish clear accountability structures, performance expectations, and training programs.
Foster a culture of continuous improvement, collaboration, and service excellence.
Demonstrate strong communication and collaboration skills across the enterprise.
Partner with clinical and operational leaders to enhance transparency and the overall patient financial experience.
Ensure patient-friendly billing practices and effective patient financial assistance programs.

Qualifications

Minimum Job Requirements

Bachelor\'s Degree in Business or Healthcare Administration
7-10 years of progressive experience in the healthcare revenue cycle
Healthcare industry financial statistical indicators experience

Knowledge, Skills, and Abilities

Master\'s degree preferred.
HFMA, AAHAM, or similar professional certification preferred.
Epic experience preferred.
Florida Medicaid experience preferred.
Proven ability to lead large-scale operational and transformation initiatives.
Deep understanding of end-to-end revenue cycle processes, including, billing, coding, reimbursement, and denial management.
Strong leadership and communication skills.
Experience in negotiating contracts and resolving vendor/service issues.
Demonstrated experience managing outsourced revenue cycle vendors or shared services models.
Knowledge of healthcare regulatory requirements and payer dynamics.

Job:

Management

Department:

NCHS-REVENUE CYCLE MANAGEMENT-1000-900905

Job Status:

Professional

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: RTX1d8578
Position Id: 109566099
Posted 1 day ago

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