Revenue Cycle Management (RCM) Program Director - HYBRID

Chandra Technologies, Inc; Raleigh (NC); On-site; USD 150,000 - 210,000; Full time

Job summary

Chandra Technologies, Inc. is hiring a Revenue Cycle Management Program Director to provide leadership and strategic direction for end-to-end revenue cycle operations across DHHS facilities.

Responsibilities include optimizing cash flow, ensuring regulatory compliance, reducing denials, and guiding a multi-tiered team of managers and staff. The role partners with senior leadership, state agencies and payer organizations to align operations with financial goals and oversees technology

Qualifications

• ,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 staff.
• Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
• Expertise managing KPIs such as A/R days, denial rate, clean claims and net collections.
• Strong knowledge of CMS, HIPAA, state regulations and payer policies.
• Proficiency with Epic revenue cycle systems and workflow governance.
• Leadership in technology optimization, analytics, automation and reporting.
• Executive communication of complex financial, regulatory and operational data.
• Experience leading organizational change and continuous improvement initiatives.
• Awareness of revenue cycle considerations for behavioral health and state-operated facilities.

Responsibilities

• Provide leadership and strategic direction for end-to-end revenue cycle operations across DHHS facilities.
• Drive strategy to optimize financial performance, minimize denials and improve cash flow.
• Guide multi-tiered teams of managers and staff and ensure audit readiness.

Skills

Revenue cycle leadership

Payer reimbursement knowledge

Enterprise RCM experience

Strategy development

Key KPIs management

CMS/HIPAA/state regs

Epic RCM systems

Tech optimization & automation

Executive communication

Change management

Behavioral health facilities knowledge

Tools

Epic Prelude

Epic Cadence

Resolute HB/PB

Job description

Job Description

Crop to Crop resumes are accepted DHHS is seeking a Revenue Cycle Management (RCM) Program Director to provide leadership and strategic direction for all end‑to‑end revenue cycle operations across DSOHF facilities, including patient access, health information management, coding, billing, accounts receivable, payer management, and collections. This role drives strategy to optimize financial performance, ensure regulatory compliance, minimize denials, and improve cash flow while guiding a multi‑tiered team of managers and staff. The Director partners with senior leadership, state agencies, and payer organizations to align operations with financial goals, oversees key metrics and reporting, manages complex Medicaid/Medicare billing requirements, ensures audit readiness, and guides technology optimization within Epic and related systems to continuously improve efficiency and accountability.

Skills Set

• Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
• Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
• Experience leading enterprise revenue cycle teams with managers and specialized staff.
• Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
• Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections.
• Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
• Skill in maintaining internal controls, audit readiness, and compliance frameworks.
• Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
• Ability to lead technology optimization, analytics, automation, and reporting.
• Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations.
• Executive communication ability to present complex financial, operational, and regulatory information.
• Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.
• Competence in leading organizational change, standardization, and continuous improvement initiatives.
• Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.

Required Skills

• Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
• Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
• Experience leading enterprise revenue cycle teams
• Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections
• Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
• Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
• Executive communication ability
• Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.