Director, Denials Prevention & Revenue Optimization

Beth Israel Lahey Health; Boston (MA); Hybrid; USD 165,000 - 180,000; Full time

Job summary

Beth Israel Lahey Health (BILH) is seeking a Director of Denials Prevention & Performance Improvement to lead enterprise strategies for reducing denials and improving upstream workflows across Revenue Cycle functions. The role requires on-site presence for a hybrid work arrangement and collaboration with clinical and operational partners to strengthen financial outcomes.

The ideal candidate will have 5–8 years of Revenue Cycle improvement leadership, strong analytics, and experience with

Qualifications

• Bachelor's degree required; Master's degree preferred.
• 5-8 years’ experience leading Revenue Cycle performance improvement initiatives in a complex health system.
• Deep knowledge of hospital and professional billing workflows and denial prevention best practices.
• Executive presence and strong communication skills for presenting complex issues to senior leadership.
• Strong ability to influence physicians, clinical leaders and operational stakeholders without direct authority.

Responsibilities

• Lead enterprise denials prevention strategy across hospital and professional billing environments.
• Analyze denial trends to identify root causes and drive corrective actions upstream.
• Partner with Clinical Revenue Cycle, Physician Advisors, and clinical departments on documentation and coding-related denial drivers.
• Collaborate with Access & Experience to mitigate front-end denials.
• Coordinate with Patient Financial Services to understand denial patterns and system-level trends.
• Establish enterprise standards for denial categorization, tracking, and reporting.
• Oversee the ROI of denial-reduction initiatives and monitor impact on AR performance.

Skills

Denials prevention

Analytics

Leadership

Communication

Influence without authority

Clinical Revenue Cycle knowledge

Education

Bachelor's degree

Master's degree

Tools

Epic Revenue Cycle

Job description

Beth Israel Lahey Health (BILH) is seeking a Director of Denials Prevention & Performance Improvement to lead enterprise strategies for reducing denials and improving upstream workflows across Revenue Cycle functions. The role requires on-site presence for a hybrid work arrangement and collaboration with clinical and operational partners to strengthen financial outcomes.

The ideal candidate will have 5–8 years of Revenue Cycle improvement leadership, strong analytics, and experience with