Revenue Cycle Management (RCM) Program Director

Apex Systems; Raleigh (NC); On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Medical, dental, vision

401K with company match

ESPP program

HSA

Job summary

Everforth Apex seeks an RCM Program Director to lead end-to-end revenue cycle operations for designated healthcare facilities in Raleigh. You will drive strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multi-tiered team.

The role requires collaboration with senior leadership, oversight of KPIs, and expertise in Medicaid/Medicare billing and Epic workflow optimization to support organizational goals.

Qualifications

• Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
• Understanding of Medicaid/Medicare and commercial payer reimbursement.

Responsibilities

• Provide leadership and strategic direction for patient access, HIM/coding, billing, A/R, payer management, and collections.
• Develop and execute revenue cycle strategy aligned with financial and compliance objectives.
• Oversee KPIs and reporting (A/R days, denial rate, clean claims, net collections).
• Manage Medicaid/Medicare billing requirements and ensure audit readiness.
• Guide technology optimization within Epic and related systems to improve efficiency.
• Lead organizational change, standardization, and continuous improvement initiatives.
• Partner with finance, clinical operations, IT, compliance, and payer organizations.
• Present complex financial, operational, and regulatory information to executive leadership.

Skills

Leadership

Revenue cycle

Strategic direction

Compliance

Tools

Epic

Job description

Job Description

Revenue Cycle Management (RCM) Program Director

Job #: 3052587

Location

Raleigh, North Carolina (Onsite)

Role Overview

We are seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all end-to-end revenue cycle operations across designated healthcare facilities. This role drives strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multi-tiered team. The Director will partner with senior leadership and external organizations to align operations with financial goals.

Key Responsibilities

• Provide leadership and strategic direction for patient access, health information management, coding, billing, accounts receivable, payer management, and collections.


• Develop and execute revenue cycle strategy aligned with financial and compliance objectives.


• Oversee key performance indicators (KPIs) and reporting, including A/R days, denial rate, clean claims, and net collections.


• Manage complex Medicaid/Medicare billing requirements and ensure audit readiness.


• Guide technology optimization within Epic (Prelude, Cadence, Resolute HB/PB) and related systems to improve efficiency.


• Lead organizational change, standardization, and continuous improvement initiatives.


• Partner with finance, clinical operations, IT, compliance, and payer organizations.


• Present complex financial, operational, and regulatory information to executive leadership.

Required Qualifications

Experience

• Knowledge of full healthcare revenue cycle operations, including patient access, HIM/coding, billing, A/R, and denials.


• Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.


• Experience leading enterprise revenue cycle teams with managers and specialized staff.


• Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.


• Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.

Technical Skills

• Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.


• Ability to lead technology optimization, analytics, automation, and reporting.


• Strong knowledge of CMS, HIPAA, state regulations, and payer policies.


• Skill in maintaining internal controls, audit readiness, and compliance frameworks.


• Required Technologies: Word.

About Everforth Apex

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Benefits

• Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection.


• We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure.


• Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.


• In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA.


• Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach.


• You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

Equal Opportunity Employer

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

Accommodation Statement

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

Transparency Statement

UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.

Contact & Address

© 2026 Everforth, Inc. All rights reserved.

Everforth Apex Systems is part of the Commercial Segment of Everforth, Inc.

NYSE: EFOR

4400 Cox Road

Suite 200

Glen Allen, Virginia 23060

Equal Opportunity Employer (Repeat)

Everforth Apex is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.