Managing Director, Revenue Cycle Services

Job Title: Managing Director, Revenue Cycle Services

Job Description Summary

The Managing Director, Revenue Cycle Services serves as the senior leader responsible for driving execution and delivery of large-scale, complex healthcare transformation programs with a focus on hospital revenue cycle optimization and operational efficiency. This position oversees strategic initiatives across hospital and health system environments, ensuring seamless alignment between clinical operations, finance, IT, and business functions to accelerate billing, collections, and overall revenue realization.

Operating at the executive level, this leader partners directly with hospital C-suite executives, internal stakeholders, and cross-functional teams to implement high-impact process improvements that advance organizational goals while enhancing patient and financial outcomes.

Job Description

• Leads enterprise-scale hospital revenue cycle programs across multiple service lines, ensuring predictable and successful delivery from end-to-end—including patient access, charge capture, billing, collections, and cash flow optimization.

• Provides executive leadership and direction to large, global, and cross-functional teams, building alignment between financial, operational, and technology strategies to deliver measurable business value.

• Drives revenue cycle optimization by identifying and redesigning ineffective workflows, integrating automation and data-driven insights, and establishing best practices that reduce denials, shorten billing cycles, and improve days in A/R.

• Manages direct engagement with the C-suite (CFO, COO, CIO, CNO, and CEO) to ensure strategic alignment, effective communication of progress and outcomes, and timely decision-making across hospital operations and financial management.

• Proactively manages program financials, demonstrating in-depth understanding of hospital reimbursement methodologies, payer contracting, and key healthcare financial performance metrics. Implements strong financial governance and accountability frameworks across all initiatives.

• Establishes and maintains executive stakeholder relationships, anticipating needs and adapting communications to suit the strategic and operational context of hospital leadership teams. Prepares and delivers executive-level briefings, dashboards, and performance analyses to support informed decision-making.

• Oversees risk, issue, and change management within a dynamic healthcare environment, drawing on extensive experience to mitigate challenges related to compliance, technology integration, and operational transition.

• Creates a culture of trust, accountability, and innovation, fostering collaboration among clinical, administrative, and technical teams to deliver consistent, high-quality outcomes across the hospital enterprise.

• Monitors and drives performance metrics (KPIs)—including revenue cycle efficiency, cash acceleration, payer resolution rates, and workflow productivity—ensuring strategic alignment with organizational financial goals.

• Continuously drives innovation and improvement, leveraging analytics, benchmarking, and automation technologies (e.g., RPA, AI-driven revenue intelligence) to enhance hospital revenue integrity and operational throughput.

Ideal Background and Competencies

• Extensive experience (typically 10+ years) leading large-scale hospital or health system revenue cycle transformation initiatives.

• Proven expertise in hospital operations and workflow optimization, with ability to translate process change into measurable financial outcomes.

• Exceptional executive communication and relationship management skills, capable of confidently engaging with hospital boards, executive leadership teams, and major stakeholders.

• Demonstrated ability to execute complex, multi-site programs balancing financial, regulatory, and patient-centered objectives.

• Deep understanding of healthcare finance, payer interactions, and hospital billing systems (Altera Sunrise, Epic, Cerner, Meditech, or other major EHR/RCM solutions).

• Strong leadership, problem-solving, and strategic planning capabilities with a track record of improving reimbursement efficiency and organizational profitability.

Working Arrangements:

• The schedule is typically a standard work week but may require flexibility.

• Local travel may be required up to 25% of the time.

Salary range:

$153,000 - $200,000