Senior Director, Centralized RCM Operations & Automation

XiFin Pharmacy Solutions; Charleston (SC); On-site; USD 165,000 - 205,000; Full time

Benefits offered by this job

Comprehensive health benefits

401(k) with company match

Health Savings Account (HSA)

Wellness incentives

Tuition assistance

Flexible time off

Company-paid holidays

Social events

Job summary

XiFin Pharmacy Solutions seeks a Sr. Director, Centralized RCM Operations to lead centralized revenue cycle services across multiple customers, reporting to the VP, Head of Centralized RCM.

This role oversees directors for front-end, back-end, and payment posting to ensure service quality, productivity, financial performance, and compliance. The executive will convert enterprise priorities into operating plans, standardize processes, and build accountability across teams, partnering with

Qualifications

• 12+ years of progressive leadership experience in healthcare revenue cycle management, shared services, or healthcare operations.
• Experience leading Directors or senior operational leaders across multiple teams, functions, or customer accounts.
• Demonstrated success leading front-end, back-end, payment posting, or other high-volume revenue cycle operations.
• Strong knowledge of healthcare revenue cycle workflows, including patient access, billing, claims, denials, collections, payment posting, and operational controls.
• Experience using KPIs, scorecards, service levels, quality metrics, and financial measures to drive performance and accountability.
• Proven success implementing standardized processes, operational excellence initiatives, and technology-enabled change.
• Experience managing escalations and leading cross-functional initiatives within a matrixed organization.
• Experience with workforce planning, organizational change, talent development, and performance management.
• Offshore or global delivery partnership experience preferred.

Responsibilities

• Lead centralized RCM operations across multiple customers including front-end, back-end, and payment posting performance.
• Lead, coach, and develop Directors responsible for each operational function, establishing priorities, decision rights, performance expectations, and accountability.
• Translate the VP’s strategic direction into operating plans, service standards, resource priorities, and measurable business outcomes.
• Establish consistent operating practices, controls, metrics, and governance across customers while addressing customer-specific needs.
• Monitor productivity, quality, service levels, cash and financial outcomes, and other KPIs to identify risks and drive corrective action.
• Lead operational reviews and communicate performance, risks, root causes, decisions, and recovery plans to senior leaders and customer-facing teams.
• Direct resolution of complex operational escalations and coordinate cross-functional support when issues span teams, customers, systems, or workflows.
• Advance process improvement, automation, AI-enabled solutions, and workflow enhancements that increase efficiency, accuracy, scalability, and customer value.
• Partner with workforce and operational leaders on capacity planning, staffing models, performance management, talent development, and succession planning.
• Ensure adherence to healthcare regulations, payer requirements, internal controls, company policies, and customer commitments.

Skills

Leadership

Healthcare RCM

Directors leadership

KPIs/metrics

Process improvement

Cross-functional partnerships

Workforce planning

Global delivery

Regulatory/compliance

Change management

Education

Bachelor’s degree

Advanced degree preferred

Job description

XiFin Pharmacy Solutions seeks a Sr. Director, Centralized RCM Operations to lead centralized revenue cycle services across multiple customers, reporting to the VP, Head of Centralized RCM.

This role oversees directors for front-end, back-end, and payment posting to ensure service quality, productivity, financial performance, and compliance. The executive will convert enterprise priorities into operating plans, standardize processes, and build accountability across teams, partnering with