Senior RCM Director - Strategy & Optimization (Hybrid)

Stellar IT Solution; Raleigh (NC); Hybrid; USD 180,000 - 240,000; Full time

Job summary

DHHS in Raleigh, NC seeks a Revenue Cycle Management (RCM) Program Director to guide end-to-end revenue cycle operations across facilities, including patient access, HIM, coding, billing, A/R, and payer management. Lead a multi-tiered team and align with senior leadership on financial goals.

The role requires deep knowledge of Medicaid/Medicare reimbursement, CMS/HIPAA compliance, and experience optimizing cash flow through data-driven strategies.

Qualifications

• Knowledge of full healthcare revenue cycle operations including 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.
• 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 to present complex financial, operational, and regulatory information.

Responsibilities

• Provide leadership and strategic direction for end-to-end revenue cycle operations across facilities.
• Drive strategy to optimize financial performance and improve cash flow.
• Oversee compliance, audit readiness, and regulatory requirements.
• Lead multi-tiered teams and partner with senior leadership and payers to align operations.

Skills

Revenue cycle operations

Medicaid & Medicare

RC team leadership

KPI management

CMS & HIPAA

Epic RCM systems

Analytics & reporting

Cross-functional collaboration

Tools

Epic RCM tools

Job description

DHHS in Raleigh, NC seeks a Revenue Cycle Management (RCM) Program Director to guide end-to-end revenue cycle operations across facilities, including patient access, HIM, coding, billing, A/R, and payer management. Lead a multi-tiered team and align with senior leadership on financial goals.

The role requires deep knowledge of Medicaid/Medicare reimbursement, CMS/HIPAA compliance, and experience optimizing cash flow through data-driven strategies.