Senior Director of Finance & Operations

Oms Medical Billing Llc; Addison (TX); On-site; USD 180,000 - 240,000; Full time

Job summary

OMS Medical Billing Llc is seeking a Senior Director of Finance & Operations to lead new facility implementations and ongoing operations across markets. You will drive onboarding, align cross-functional teams, and ensure strong clinical, financial, and operational performance post-launch.

The role focuses on Day 1 revenue cycle readiness, staffing optimization, KPI management, and cross-functional leadership with clinical and executive stakeholders. Travel 25–50% is required.

Responsibilities

• Lead end-to-end onboarding of new hospitals, ASCs, and health system partners.
• Develop and manage detailed implementation timelines from contract execution through go-live.
• Coordinate with Clinical Leadership to ensure safe, compliant staffing models.
• Ensure Day 1 revenue cycle readiness: Billing system configuration, Payor mapping and rate validation.
• Oversee provider credentialing and enrollment timelines.
• Maintain operational oversight for assigned facilities post-go-live.
• Monitor KPIs: case volume trends, utilization rates, overtime, margin, AR and clean claim rates.
• Drive standardization of workflows across sites.
• Lead quarterly business reviews with facility partners.

Job description

Senior Director of Finance & Operations Job DescriptionDepartment:Operations / FinanceReports To:SVP of Operations and VP of FinanceFLSA Status:ExemptTravel:25–50%Position SummaryThe Senior Director of Finance & Operations is a senior operational leader responsible for both (i) new facility implementations and integrations and (ii) ongoing operational performance across assigned markets. Reporting to the SVP of Operations and the VP of Finance, this role serves as a strategic operator who ensures seamless facility launches while also driving sustained clinical, financial, and operational excellence post-go-live.This leader will oversee external site onboarding, internal revenue cycle readiness, provider credentialing coordination, and cross-functional execution — while also maintaining accountability for site-level KPIs including staffing optimization, case coverage efficiency, margin performance, and facility partner satisfaction.The ideal candidate thrives in high-growth, multi-site healthcare services environments and is equally comfortable launching new facilities and optimizing mature operations.Key ResponsibilitiesNew Facility Implementations & IntegrationsExternal ExecutionLead end-to-end onboarding of new hospitals, ASCs, and health system partnersConduct on-site operational assessments (OR throughput, staffing models, call coverage, documentation workflows)Develop and manage detailed implementation timelines from contract execution through go-liveCoordinate with Clinical Leadership to ensure safe, compliant staffing modelsServe as primary operational liaison to facility administrators and executive leadershipProactively identify operational and financial risks prior to launchInternal ReadinessEnsure Day 1 revenue cycle readiness:Billing system configurationPayor mapping and rate validationCharge capture workflow implementationOversee provider credentialing and enrollment timelinesEnsure compliance, malpractice coverage, and regulatory documentation are completeAlign Operations, RCM, Credentialing, IT, Recruiting, and Finance for seamless launchOngoing Operations LeadershipMaintain operational oversight for assigned facilities post-go-livePartner with Clinical Leaders to optimize staffing ratios, coverage models, and productivityMonitor and manage KPIs including:Case volume trendsUtilization ratesOvertime and premium laborMargin performanceAR and clean claim rates (in partnership with RCM)Identify operational inefficiencies and implement corrective action plansDrive standardization of workflows across sitesLead quarterly business reviews with facility partnersAddress service-level concerns, provider performance issues, or workflow disruptionsSupport recruitment planning based on volume and growth forecastsFinancial & Performance AccountabilityPartner with the VP of Finance to manage site-level P&L performanceAssist in budgeting and forecasting for assigned marketsEvaluate contract economics and staffing alignmentIdentify opportunities for cost containment and margin expansionSupport pro forma development for new site opportunitiesCross-Functional & Strategic LeadershipDevelop standardized implementation and integration playbooksProvide operational input during M&A diligenceBuild scalable systems and processes to support organizational growthMentor and develop operations managers or regional leads as the organization scalesProvide executive reporting to the SVP of Operations and the VP of FinanceOther duties as assignedPerformance MetricsEmployee will be measured on on-time and on-budget facility launches, clean claims submitted within 30 days of go-live, sustained site-level margin improvement, reduced premium labor and overtime expense, facility partner satisfaction, and provider engagement and retention. Successful launches combined with sustained post-go-live operational and financial performance define success.Position RequirementsBachelor’s degree required; MBA, MHA, or related advanced degree preferred8–12+ years of healthcare operations leadership experienceDirect experience with:Multi-site physician practice or anesthesia operationsFacility integrations and de novo launchesRevenue cycle coordination and charge capture workflowsProvider credentialing and payor enrollment processesStrong understanding of ASC and hospital operational dynamicsAbility to travel 25–50%Core QualitiesStrong P&L and operational performance orientationExceptional project management and execution disciplineAbility to influence across clinical and administrative stakeholdersData-driven decision makingHigh accountability and ownership mindsetExecutive presence and ability to work with C-suite hospital leadership