Director, Revenue Cycle Management

Ovation Healthcare; Mississauga; On-site; CAD 120,000 - 180,000; Full time

Job summary

Ovation Healthcare in Mississauga is seeking a Director, Revenue Cycle Management to lead strategy and operational excellence across hospital revenue cycle activities. You will drive KPIs, optimize denials trends, and partner with leadership to align finance and operations.

This role requires strong leadership and analytical skills to improve cash flow and service delivery. The ideal candidate will have extensive revenue cycle experience in hospital settings, CMA/CPA not required but preferred,

Qualifications

• Proven leadership of large teams in a hospital revenue cycle.
• Strong understanding of hospital billing, denials analysis, and CMS/healthcare regulations.
• Excellent communication and cross-functional collaboration.
• Data-driven approach with KPI measurement and reporting.

Responsibilities

• Direct revenue cycle operations across billing, claims and follow-up.
• Analyze denials, cash acceleration and net revenue to improve performance.
• Partner with finance, operations and vendors to implement improvements.
• Develop action plans for underperforming metrics and report progress.
• Lead, coach and develop team members toward goals and accountability.
• Create strategic roadmaps and oversee system implementations and consolidations.
• Present findings and recommendations to senior leadership.

Skills

Leadership

Project management

Strategic planning

Revenue cycle knowledge

Stakeholder management

Education

Bachelor's degree or equivalent experience

Job description

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary

The Director, Revenue Cycle Management (RCM) will support with strategic oversight to direct, manage, and improve the revenue cycle operations that favorably impact accounts receivable, cash acceleration, and net revenue. This position will drive operational excellence and accountability through a metrics driven culture conducting daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs). The Director, RCM will be responsible for defining ways to leverage data for management decision making, performance monitoring, or future planning. The Director Hospital Revenue Cycle is to serve as the internal revenue cycle liaison for hospital leadership, responding to stakeholder needs and supporting revenue cycle related initiatives. The director works with hospital leadership to ensure understanding of revenue cycle processes and metrics and assesses how facilities are performing financially, including denials trending and analysis. The director provides direction and development support to ensure facility strategic objectives are met, including development of actions plans for metrics not meeting established goals and facilitates regularly scheduling meetings onsite with regional leaders to report financial performance, opportunities, training and improvement plans with key stakeholders. This director will work collaboratively with the Revenue Cycle teams to implement best practices. Provide oversight of billing, claims, and follow-up items related to the operations of the facilities. Analyze facility efficiencies and provide feedback for improvements in operations. Establishes and maintains strong working relationships with Revenue Cycle leaders and fosters a strong working relationship with supporting organizations (coding, IS, managed care). Challenges best practices and seeks opportunities to drive process improvements, ensuring standardization across the region. Identifies training needs to enhance performance and coordinates deployment with training team.

Key Success Factors

The ideal candidate must have knowledge of internal revenue cycle metrics, processes, and terminology as it relates to the continuum of care for inpatients, hospital and clinic environments, operations, revenue cycle services, CMS regulations and medical terminology. The ideal candidate must have strong verbal, written and communication skills and have the strong ability to establish relationships including executives and front-line staff.

Responsibilities

• Manages activities and responsibilities of various functions within the revenue cycle Assists in the development of broader goals and objectives based on assigned the Company’s needs and ensures continuous improvement in quality, operational cost effectiveness, customer satisfaction and resource utilization.
• Create and optimize an in-depth knowledge of revenue cycle principles practices, procedures, contractual compliance, and internal controls.
• Develop and maintain an infrastructure for timely and accurate submission of claims and issuance of patient statements.
• Evaluate and/or identify needs for appropriate and key partnerships such as outsourcing, collections, underpayment, vendors, eligibility, etc.
• Ownership over revenue cycle reporting
• Provide continuous monitoring and active management of all revenue cycle processes.
• Partner with leadership, finance team, and vendors to ensure that the revenue cycle efforts support the needs of the organization.
• Develops work plans that reflect sound hypothesis-based problem solving, thorough understanding of project objectives, and milestones.
• Creates sophisticated, compelling communications that commands client audiences and motivate clients to action.
• Leads project team by continually assessing priorities, the flow of work, and timing of deliverables while anticipating roadblocks.
• Creates a positive team environment, uses best practice communication approaches, and maintains a pulse on team morale.
• Champions professional development of team members and helps them achieve their goals through coaching and timely, actionable feedback.
• Manages and develops the team talent required to achieve the goals
• Develops and executes business initiatives and roadmaps with practice leadership, support and product management teams, including practice management system implementations, business office consolidations and supporting technology implementations.
• Directly manages a team of and/or directors who manage specific business functions, initiatives or roadmaps.
• Manage a team of front line staff in addition to Managers or other Directors.
• Provides guidance to the team to achieve goals in accordance with established policies.
• Establishes and recommends changes to policies or operating models which affect the revenue cycle or supporting organization(s).
• Erroneous decisions or failure to achieve goals results in additional costs and personnel, and serious delays in overall schedules.
• Manages, through direct line managers, the coordination of activities of a section or department with responsibility for results in terms of costs, methods, and employees.
• Frequently interacts with team leaders, customers and/or functional peer group leaders.
• Will interact with senior management. Interactions normally involve matters between functional areas, other company divisions or units, or customers and the company
• Other duties as assigned. Receives any other assignments as needed in the form of objectives and establishes goals to meet objectives.
• Work is reviewed and measured based on meeting objectives and schedules.

Knowledge, Skills, And Abilities

• Accomplished leader with outstanding teamwork and general management skills
• Evidence of creativity, intensity, high integrity, reasoned and thoughtful judgment, balance between analytical and intuitive skills and a willingness to “roll up one’s sleeves” to apply these attributes
• Thorough knowledge of project management
• Strong sense of urgency and drive to produce results
• Understands the “big picture” and is able to juggle many priorities
• Understands and is able to navigate dynamics and politics within practices, Network support and McKesson corporate teams
• Strong written and verbal communication skills
• Track record of positive conflict resolution in complex matrixed environment
• Understanding of billing systems platforms (Centricity strongly preferred) and oncology billing
• Analytical skills to identify opportunities to improve revenue cycle performance, process and workflow

Work Experience, Education, And Certifications

• Bachelors or Equivalent Experience
• 10+ years’ experience in technology implementation, product or program management, including 5+ years managerial experience
• 5+ years of revenue cycle management experience
• 5+ years of leading teams, specifically coaching and developing teams
• 5+ years of board or senior leadership level meeting experience

Travel

• Must be willing to travel 30-45%