About Us:
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.
Title: Sr. Director, Revenue Cycle Management (RCM) – Optimization & Performance Excellence
Location: Remote – United States
Schedule: First Shift Monday - Friday
Department: Insurance
Compensation:
About the Role:
The Sr. Director of RCM Optimization & Performance Excellence provides senior leadership over Insurance operations transformation, insurance operations support, and continuous performance improvement. This role is accountable for driving end-to-end optimization across denial management, high-dollar account resolution, User Acceptance Testing (UAT), Jira-based work intake, and the RCM automation pipeline.
Reporting at a senior leadership level, this position oversees both operational excellence and transformation functions, ensuring alignment between revenue cycle operations, technology, product, analytics, and finance. The Sr. Director is responsible for delivering measurable financial outcomes, including cash acceleration, cost reduction, and margin improvement, while establishing scalable, best-in-class processes and governance.
This leader manages and develops Directors and Sr. Manager leaders across Insurance Operations Support and Transformation, Testing & Automation, ensuring cohesive strategy execution and sustained performance improvement.
Key Responsibilities:
Enterprise Insurance & CBO Optimization Strategy
- Define and execute a comprehensive RCM optimization and performance excellence strategy across insurance operations and transformation functions
- Align denial management, automation, and system enhancements to enterprise financial and operational goals
- Identify and prioritize high-impact initiatives that improve reimbursement, reduce AR, and drive efficiency
- Lead multi-year transformation roadmap spanning people, process, and technology
Insurance Operations Performance & Denial Strategy Oversight
- Provide executive oversight of denial management, high-dollar AR strategy, and complex claim resolution processes
- Ensure robust root cause analysis, payer trend identification, and corrective action planning across all lines of business
- Drive standardization of workflows, appeals processes, and operational best practices
- Monitor and improve key performance metrics including denial rates, overturn rates, AR days, and cash acceleration
Transformation, Testing & Automation Leadership
- Oversee enterprise UAT strategy, governance, and execution for all RCM systems and enhancements
- Ensure effective Jira intake, prioritization, and delivery governance aligned to operational and financial impact
- Develop and lead execution of the RCM automation roadmap (RPA, AI, workflow optimization)
- Drive adoption of scalable solutions that reduce manual work, improve accuracy, and enhance throughput.
Operational Excellence & Best Practices
- Establish and enforce standardized workflows aligned with industry best practices in revenue cycle operations
- Lead continuous improvement initiatives, including Lean/Six Sigma methodologies where applicable
- Drive standardization across teams for denial workflows, appeals processes, and account resolution
- Ensure compliance with payer requirements, CMS regulations, and internal policies
- Promote a culture of accountability, transparency, and performance excellence
Financial Performance & Value Realization
- Own the measurement, validation, and reporting of financial outcomes tied to all RCM initiatives
- Oversee forecasting models that correlate automation, system enhancements, and operational improvements to cost savings and revenue lift
- Partner with Finance to standardize ROI methodologies and ensure transparency in value realization
- Provide executive-level reporting on realized vs. projected performance
Data, Analytics & Performance Insights
- Partner with the Data Analytics team to ensure the PowerBI conversion meets the needs of the Insurance Division and supports both modularized and CBO operating models
- Establish enterprise reporting and analytics frameworks across denial performance, automation outcomes, and operational KPIs
- Leverage advanced analytics to identify trends, risks, and optimization opportunities
- Drive data-driven decision-making across all revenue cycle functions
- Partner with Client Success to ensure consistent, executive-ready dashboards and performance reviews
Governance & Cross-Functional Leadership
- Establish governance models for prioritization, execution, and tracking of department initiatives
- Serve as a strategic liaison across RCM Operations, IT, Product, Client Success, and Finance
- Ensure alignment between operational needs and technology delivery
- Drive organizational change management and adoption of new processes and tools
Leadership & Organizational Development
- Lead, mentor, and develop Directors and senior leaders across:
- Insurance Operations Support
- Transformation, Testing & Automation
- Build a high-performance culture focused on accountability, innovation, and continuous improvement
- Establish clear performance expectations, KPIs, and career development pathways
Required Qualifications:
- Bachelor’s degree in healthcare administration, Business, Finance, IT, or related field
- 10–15+ years of progressive leadership experience in Revenue Cycle Management
- Insurance operations and denial management
- RCM technology and system implementations
- Process optimization and automation
- Proven success leading large-scale transformation and performance improvement initiatives
- Strong financial acumen, including ROI modeling, savings validation, and revenue optimization
- Experience leading cross-functional teams in complex healthcare environments
Core Competencies:
- Enterprise Strategy & Execution
- Financial & Operational Acumen
- Data-Driven Decision Making
- Transformation Leadership
- Process Excellence & Standardization
- Cross-Functional Influence
- Innovation & Automation Mindset
Preferred Qualifications:
- Master’s degree (MBA, MHA, or related field)
- Lean Six Sigma, HFMA, or similar certification
- Experience with RPA, AI, and advanced analytics solutions
- Experience with major EHR/RCM platforms (Epic, Cerner, Meditech, etc.)
- Background in large health systems or RCM vendor organizations
Physical & Work Requirements:
- Employees are expected to maintain a professional appearance and always conduct themselves in a professional manner
- Work is performed indoors in an office setting, requiring sustained periods of sitting and/or standing while operating a computer
- Demonstrates physical and functional ability to perform full anatomical range of motion to accomplish tasks
- Ability to lift XX pounds
- Effective communication skills are required for interaction in person and via telephone
Employment eligibility:
Must be legally authorized to work in the United States without sponsorship
As a condition of employment, a pre-employment background check will be conducted
