Sr Director - Revenue Cycle Finance

Duke PA; Durham (NC); On-site; USD 180,000 - 280,000; Full time

Job summary

Duke Health seeks a Senior Director of Revenue Cycle Finance to align Corporate Finance with the PRMO and optimize net patient revenue and cash performance. This executive will validate financial impact, reconcile reporting, and own margin improvement initiatives across the organization.

The role drives strategic financial partnerships, leads ROI analyses, and ensures consistent, transparent reporting of revenue cycle KPIs to executive leadership.

Qualifications

• Bachelor's degree required; Master's preferred.
• Minimum of 10 years work experience in healthcare finance/revenue cycle.
• Experience with Revenue Cycle analytical tools and BI tools.

Responsibilities

• Serve as the primary financial liaison between Corporate Finance and PRMO.
• Develop ROI models and quantify reimbursement opportunities and risks.
• Provide executive recommendations to improve financial performance.
• Oversee financial reporting and executive dashboards.
• Analyze cash, AR, denials, reimbursement, and write-offs.

Skills

Strong analytical skills

Root cause analysis

Communication skills

Interpersonal skills

Multitasking

Education

Bachelor's degree

Master's degree

Tools

Epic System

Kodiak Reporting

Power BI

MS Office

Job description

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At Duke Health, we are driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.

The Senior Director of Revenue Cycle Finance serves as the primary financial liaison between Corporate Finance and the Patient Revenue Management Organization (PRMO). This senior leader is responsible for ensuring alignment between Corporate Finance's financial calculations and Net Patient Revenue and PRMO's operational performance, including cash collections, accounts receivable, reimbursement, denials, and revenue cycle KPIs. The Senior Director translates operational performance into financial outcomes, reconciles variances between financial and operational reporting, and ensures both organizations have a consistent understanding of the drivers impacting net patient revenue and cash performance. This position serves as the enterprise owner for quantifying, validating, and reporting the financial impact of all Revenue Cycle initiatives, ensuring margin improvement opportunities are accurately measured, realized, and reflected.

Duties and Responsibilities of this Level:

Financial Strategy, Net Revenue Optimization and Executive Financial Partnership

• Serve as the primary financial liaison between Corporate Finance and Revenue Cycle Operations.
• Serve as the organizational owner responsible for connecting Corporate Finance's calculation of Net Patient Revenue with PRMO's operational cash collections and revenue cycle performance, ensuring consistency, transparency, and reconciliation between financial statements and operating reporting
• Develop strategies connecting operational performance with net patient revenue results.
• Interpret operational impact of Kodiak RCA reporting results
• Translate operational KPIs into financial impact.
• Partner on month-end close Revenue Cycle metrics
• Develop ROI models and quantify reimbursement opportunities and risks
• Provide executive recommendations to improve financial performance
• Identify and calculate impact of Underpayments opportunities
• Lead the validation and reporting of all Revenue Cycle margin improvement initiatives
• Oversee financial reporting and executive dashboards.
• Analyze cash, AR, denials, reimbursement, collection rate, payer mix and write-offs.
• Identify revenue leakage and reimbursement opportunities.

Cross-Functional Leadership and Strategic Initiatives

• Partner with Revenue Cycle Operations and Corporate Finance.
• Lead financial workstreams for strategic initiatives.
• Develop business cases and ROI analyses.
• Communicate and track progress of identified issues and action items

Other:

• Promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results.
• Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained.
• Interact with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel).
• Acknowledge management requests and emails in a professional, timely manner.
• Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned.
• Accomplish all tasks as assigned.

Required Qualifications at this Level:

Education: Bachelor's degree required. Master's degree preferred.

Experience: Minimum of 10 years work experience. Extensive knowledge of Revenue Cycle analytical tools, healthcare finance, business intelligence tools and statistical packages.

Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience

Degrees, Licensure, and/or Certification: None

Knowledge, Skills, and Abilities:

Knowledge of:

• Epic System (Revenue Cycle Applications)
• Revenue Cycle operations
• Kodiak Reporting
• Health System Finance
• Power BI

Ability to:

• Understand revenue cycle operational performance goals/metrics
• Strong analytical skills
• Perform root cause analysis with accuracy
• Identify and implement optimization opportunities within Epic
• Investigate and analyze information and provide recommend solutions for identified issues
• Develop, implement and oversee project teams comprised of IT and operational resources
• Communicate effectively, both orally and in writing
• Demonstrate strong interpersonal and communication skills
• Work effectively with a wide range of constituencies in a diverse community
• Foster a positive work environment
• Multi-task

Systems

• Epic

MS Office Applications (Word, Excel, Visio, PowerPoint)

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh

Read more about Duke's commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.