[Hiring] Director, Revenue Cycle Management @Tegria

Role Description

As a Director, Revenue Cycle Services, your work at Tegria will focus on the direction and leadership of operational, financial, programmatic, and personnel activities for the Tegria Revenue Cycle Services team, including claims, payments, credit balance, insurance reimbursement, denials, coding, systems, third-party management, and self-pay management. You will establish, meet, and continuously monitor goals and objectives in alignment with Tegria’s strategic goals, with primary responsibility for directing day-to-day operations, budgeting and forecasting, financial management of clients, and human resource management. You will work closely with a variety of stakeholders and other Tegria leaders, coordinating the activities of the Revenue Cycle team for Tegria clients.

THE ROLE YOU PLAY

• Living our Tegria values: Respect Every Person, Act with Integrity, Strive for Better, Embrace Change, Deliver as a Team
• Leads Operations, Client Engagement, and Business Development for Revenue Cycle Services, setting performance targets and driving continuous improvement.
• Develops and manages operational initiatives with clear, measurable outcomes.
• Builds and leads an energetic, collaborative team by fostering strong morale, celebrating wins, and defining success collectively.
• Ensures the development and retention of a successful, satisfied customer base.
• Maintains a strong partnership with MEDITECH to support future enhancements, consulting engagements, implementations, and billing-as-a-service.
• Collaborates with executives to define goals and strategic plans, and makes informed strategic decisions aligned with company objectives.
• Engages with and presents to executives across Tegria, partner organizations, and healthcare clients to ensure programs remain innovative, relevant, and well understood.
• Partners with Tegria’s sales team to attract new clients and expand services with current clients to meet revenue goals, including an assigned revenue target.
• Drives business development efforts aligned with regional needs and creates strategies to support business growth by reducing development timelines, enabling decision-making, improving productivity, and enhancing customer service.
• Leads product innovation by guiding the development, delivery, and operations of the product and services roadmap.
• Evaluates all services continuously, identifies issues, analyzes data, and implements innovative solutions; engages staff and stakeholders in ongoing process improvements and allocates resources to support participation.
• Stays current on regulatory changes, industry trends, and best practices, and integrates them into Revenue Cycle programs.
• Aligns team goals with client objectives and uses data to measure and communicate success.
• Safeguards the integrity of business-critical information, enforces compliance with standardized procedures, implements contingency plans, and maintains guidelines, processes, and procedures to ensure compliance with company policies.
• Allocates budget and personnel resources effectively.
• Hires, retains, trains, and coaches team members; conducts performance appraisals and pay reviews; and documents action plans and provides corrective coaching/action when necessary.
• Performs other generally related duties as assigned.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, or a related field, or an equivalent combination of education and experience
• Extensive experience with direct accountability for P&L management, strategic planning, operations, financial oversight, and team leadership and development
• Broad expertise in IT governance, change management, service delivery, and customer support
• Proven track record of successfully selling products and services to clients, with a background in business development, client services, or business operations
• More than five years of experience working with electronic health record (EHR) applications
• Extensive business knowledge with a comprehensive understanding of revenue cycle performance, including multiple types of billing, coding, and reimbursement models
• Thorough understanding of applicable laws and regulations, including HIPAA, False Claims Act (FCA), Anti-Kickback Statute (AKS), Stark Law, Affordable Care Act (ACA), Fair Debt Collection Practices Act (FDCPA) and state collection laws, EMTALA, IRS regulations (for non-profit hospitals), and state-specific regulations
• Advanced leadership skills, including the ability to build a high-performing organization in a remote environment, foster employee engagement and a culture of excellence, accountability, and respectful behaviors, and mentor and coach team members and peers
• Ability to develop and execute strategic plans that drive measurable business outcomes and align with organizational goals, and to innovate and lead continuous improvement initiatives
• Exceptional interpersonal, communication, and organizational skills, including the ability to deliver engaging presentations with confidence, manage positive client relationships, and drive customer satisfaction
• Ability to work successfully without supervision, with extensive latitude for independent judgment, and to be productive and reliable in a remote work environment
• Proficiency with Office productivity and collaboration tools (e.g., O365)
• Reliable internet access with sufficient speed to perform the job satisfactorily, and a secure, private office at home
• W2 project-based consultants will be expected to provide a computing device that adheres to industry standards and security best practices to use in satisfying the Project Services on behalf of Tegria

SUCCESS CRITERIA

• Model company values and are accountable for their actions, decisions, and responsibilities
• Direct people, operations, or projects capably, confidently, and respectfully
• Lead by example and inspire others through their actions, words, and deeds
• Enjoy leading, mentoring, and developing team members
• Collaborate productively with others to achieve goals
• Maintain a high standard for the quality of their own and others’ work
• Establish rapport and credibility with clients and colleagues by demonstrating expertise, reliability, and integrity
• Leverage influencing and negotiation skills to secure cooperation and drive optimal decisions from others
• Display exceptional initiative, resilience, adaptability, resourcefulness, and determination

Salary Range

$150,000 - $195,000

Benefits

• Choice of multiple health and dental plans with nationally recognized networks
• Vision benefits, a total wellness program, and an employee assistance program for you and your family
• Competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA)
• Professional development offerings and opportunities for remote work
• A generous paid-time-off program