Director, Epic Go-Live Integration

Role Overview

• Governance Committee Leadership (Operations–IT Integration)
• Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders.
• Design, launch, and chair a cross-functional IT/RCM governance committee responsible for reviewing, triaging, and prioritizing IT optimization tickets and Epic build requests that affect revenue cycle.
• Establish and maintain a formal request intake process aligned with ITIL/ITSM best practices, including categorization, SLA tracking, risk tiering, and stakeholder communication cadences.
• Develop governance charters, meeting rhythms, and escalation protocols to ensure issues are resolved at the appropriate organizational level, with regular reporting to Director, VP, and C-suite audiences.
• Maintain a living prioritization roadmap that balances operational urgency, financial impact, technical complexity, and resource availability across concurrent IT and RCM initiatives.
• Prepare and deliver monthly Steering Committee materials for executive leadership, including governance metrics, initiative status, risk summaries, and prioritization rationale.
• Establish and maintain governance performance dashboards tracking key revenue cycle KPIs (including DNFB, clean claim rate, denial rate, days in AR, and cash collection) ensuring real-time visibility for operational and executive stakeholders and driving data-informed prioritization of IT enhancement requests.
• Epic and EHR Workflow Expertise (IT-Side Integration Knowledge)
• Serve as the organization’s primary authority on end-to-end Epic workflow impacts across revenue cycle domains, including patient access, charge capture, HIM/coding, claims, denial management, and patient financial services — with particular depth in Hospital Billing (Resolute HB), Ambulatory/Professional Billing (Resolute PB), and PFS-facing Epic modules such as payment posting, credit balance, self-pay collections, and statements.
• Evaluate Epic IT tickets and enhancement requests for downstream revenue cycle implications, ensuring that build decisions do not inadvertently create compliance risk, billing delays, or reimbursement leakage.
• Partner with Epic application analysts and IT build teams to review proposed configurations prior to deployment, confirming alignment with RCM workflow requirements.
• Evaluate, govern, and champion the adoption of Epic AI modules, RCM-specific artificial intelligence solutions, and best-in-class automation technologies, including RPA and predictive analytics tools, to streamline key revenue cycle functions such as prior authorization, denial prevention, coding assistance, and claim scrubbing.
• Support clinic integration and acquisition activity by defining Epic build standards and workflow expectations for newly onboarded facilities, bringing systems back to a consistent foundation.
• Stay current on Epic release cycles, upgrade content, and new module capabilities with potential benefit to revenue cycle performance and communicate relevant updates to stakeholders.
• Revenue Cycle Alignment and Optimization (Operations-Side Integration Knowledge)
• Apply HFMA-aligned best practices to assess current-state revenue cycle performance and identify where IT system gaps, misconfigurations, or optimization opportunities are contributing to revenue leakage or operational inefficiency.
• Champion a process-first philosophy consistent with HFMA’s framework: ensure workflow standardization and data governance precede technology layering so that automation and system enhancements accelerate value rather than amplify variability.
• Collaborate with CDI, coding, patient access, and billing leadership to identify documentation and workflow gaps that have downstream system and reimbursement consequences.
• Lead or advise on Patient Financial Services strategy, including self-pay and insured follow-up workflows, bad debt segmentation, early-out and collections vendor governance, and payment plan configuration in Epic — ensuring both Hospital and Ambulatory billing functions operate from a consistent, optimized system foundation. Treat data integrity as a financial control (not merely an IT project) ensuring underlying data quality supports accurate analytics, automation, and compliant reimbursement.
• Project Management and Cross-Functional Execution (Integrator in Action)
• Manage a portfolio of concurrent IT/RCM optimization initiatives from request intake through go-live, applying structured project management methodologies (PMI/PMP or equivalent frameworks).
• Develop and maintain project documentation including charters, status dashboards, risk registers, and issue logs, ensuring visibility to all stakeholder levels.
• Apply change management best practices to support user adoption of system enhancements and new workflows across both IT and RCM teams.
• Identify, escalate, and mitigate implementation risks proactively, particularly during periods of acquisition-driven integration activity and clinic onboarding.
• Maintain project documentation including status updates, issue tracking, and mitigation strategies.
• Travel to client or organizational sites as required to support on-the-ground governance facilitation and stakeholder alignment.

Requirements

• Minimum 7 years of progressive experience spanning both healthcare IT and revenue cycle operations, including demonstrated leadership or senior contributor experience in Patient Financial Services, Hospital billing/follow-up, and Ambulatory/Professional billing; candidates with deep expertise in only one domain will not be considered — this role explicitly requires the ability to work fluently across all areas and serve as a credible peer to RCM, PFS, and IT leaders alike.
• Deep, end-to-end knowledge of Epic workflows across both Resolute Hospital Billing (HB) and Resolute Professional Billing (PB), including follow-up, denial management, and patient collections workflows must be able to evaluate IT tickets and build decisions for downstream RCM impact without necessarily functioning as a hands-on Epic builder.
• Demonstrated experience designing or managing a governance structure, steering committee, or cross-functional IT prioritization process in a healthcare setting, including stakeholder facilitation at VP and C-suite levels.
• Strong project management skills with the ability to manage a portfolio of concurrent initiatives, maintain formal documentation, and drive accountability across teams without direct authority.
• Proficiency in revenue cycle KPIs and HFMA-standard performance benchmarks, with the ability to translate operational metrics into system-level priorities and communicate them in financial terms.
• Demonstrated knowledge of Patient Financial Services operations, including self-pay segmentation and collections strategy, bad debt and charity care workflows, early-out vendor management, and the intersection of PFS policy decisions with Epic system configuration. Familiarity with IT service management frameworks (ITIL or equivalent) and structured request/change management processes, including SLA management and ticket governance.
• Exceptional communication and facilitation skills; capable of presenting to and influencing C-suite, VP, and Director-level audiences across both clinical and IT functions.
• Experience supporting health system acquisition activity, clinic integrations, or EHR standardization initiatives.
• Ability to interpret operational and system data and translate findings into actionable, prioritized recommendations.
• Strong written and verbal communication skills with ability to produce executive-level summaries, governance dashboards, and project status reports.
• Willingness and ability to travel to client sites as needed to support on-site engagement; minimum quarterly travel required.
• Completion of regulatory/mandatory certifications as required.

Tech Stack

• ITSM
• PMP
• RPA