[Hiring] Regional Director Revenue Cycle @CommonSpirit Health

Role Description

As our Regional Director Revenue Cycle you will serve as the preeminent revenue cycle leader for the Physician Enterprise (PE) California Region, charged with orchestrating the financial revenue cycle integrity and operational success of a complex, multi-site physician organization.

• This division encompasses 1,200+ providers billing under DHMF/PHC, generating over $2.3B in annual Gross Revenue.
• The role also provides critical billing agency services for California Hospital-owned and managed RHC, 1206(d), and 1204(a) physician clinics, representing an additional $24M in annual Gross Revenue.
• Reporting directly to the DHMF CFO/CA Regional VP of Finance, the Regional Director acts as a high-level strategic advisor, influencing key business decisions and shaping the revenue capture outcomes of the organization.
• Responsible for the planning, development, and execution of systematic workflows that maximize revenue realization and optimize cash flow.
• Encompasses the entire end-to-end revenue cycle—from registration and charge capture to complex insurance/patient collections, contract analysis, and reimbursement strategy.
• Lead in a rapidly changing environment, particularly during the transition to the Epic billing system and managing the legacy A/R rundown within the IDX business system.
• Ensure all revenue cycle functions including billing, coding, and denial management align with federal/state regulatory guidelines (including Medicare/Medicaid) and organizational mission.
• Represent the PE West Division on CommonSpirit national committees, bridging the gap between national strategy and regional execution.
• Possess deep expertise in Epic-based revenue cycle management, superior communication skills, and excellent analytical skills to identify performance trends and implement solutions.

Qualifications

• Ten or more (10+) years of increasing healthcare revenue cycle management experience in Multi-Specialty, Physician billing.
• Must have business office and/or patient financial services experience with Medicare, Medicaid and commercial billing, patient registration, and coding.
• Bachelor's degree or equivalent combination of education and work experience.
• Knowledge of Key Performance Indicators (KPI’s) across revenue cycle spectrum and experience with implementing and managing effective performance outcomes.
• Excellent analytical skills with a proven track record in identifying performance trends and implementing solutions.
• A team builder with a track record in formulating revenue cycle policy, developing and implementing operational plans, new strategies, and procedures.
• Strong technical understanding and appreciation for the automation of all functions related to the revenue cycle.
• A solid understanding of system and business processes, as well as healthcare financial issues.
• Excellent communication skills – including written, oral, presentation, and listening.
• Ability to build effective teams and provide coaching, guidance, and support.
• Ability to understand priorities and set short and long term department goals.
• Ability to develop and implement strategies to meet goals.
• Ability to develop systems, processes, and policies to support the achievement of goals in a cost-effective manner.
• Working knowledge of Google Suites, Athena IDX BAR, SCHED, FRM and other modules, Epic, Cerner PCA, Optum Claims Manager, Experian Eligibility and Contract Manager, HealthLogic.

Requirements

• Fifteen or more (15+) years of increasing healthcare revenue cycle management experience in Multi-Specialty, Physician billing preferred.
• Knowledge and experience in HMO contracting and payment mechanisms preferred.
• Experience in complex regional/shared service environment with multiple/matrix reporting relationships preferred.
• Experience in using team building and quality management concepts, such as Just Culture, to positively influence the work environment preferred.
• Experience with Epic EHR preferred.

Benefits

• Remote work with provided equipment including a laptop, docking station, dual monitors, and accessories.
• Periodic onsite activities may be required.