Director - RCM Process Improvement and Project Management

US Fertility is hiring a Director of RCM Process Improvement and Project Management to lead revenue cycle improvement and project execution across its fertility care organization. The role oversees analytics, workflow and technology enhancements, standardization, change management, executive reporting, and a team of process improvement and project management professionals.

Responsibilities:

• Lead end-to-end revenue cycle management (RCM) process improvement initiatives across charge capture, billing, collections, and denials management, leveraging AI, automation, and data analytics
• Identify operational inefficiencies and partner with business leaders, IT, vendors, and cross-functional teams to implement sustainable workflow and technology enhancements
• Develop and oversee RCM dashboards, KPIs, and performance reporting to drive accountability, improve visibility, and support data-driven decision-making
• Analyze revenue cycle performance, identify root causes of operational challenges, and translate findings into actionable improvement strategies
• Lead change management, training, and communication initiatives to drive consistent adoption of new processes, systems, and workflows across the organization
• Direct RCM project planning and execution, establishing governance, scope, timelines, milestones, and deliverables aligned with organizational priorities
• Standardize workflows, standard operating procedures, and performance metrics across clinics and centralized business offices to improve consistency and operational efficiency
• Lead cross-functional project teams and collaborate with internal stakeholders and external vendors to implement technology solutions, process improvements, and strategic initiatives
• Monitor project performance, proactively address risks and barriers, and communicate progress, outcomes, and recommendations to executive leadership
• Oversee the preparation and presentation of monthly RCM reporting packages, performance updates, and strategic recommendations for practice leadership, executive management, the CFO, and board members
• Partner with Accounting and Finance to ensure reporting accuracy and data integrity, while supporting RCM due diligence and other strategic business initiatives
• Recruit, develop, and lead a high-performing team of process improvement leaders, project managers, and analysts to advance operational excellence and organizational goals

Requirements:

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or equivalent relevant professional experience
• 8 to 10 years of progressive experience in healthcare revenue cycle management, including RCM reporting, with at least 3 to 5 years in a leadership role
• Strong expertise in RCM analytics, payer reimbursement methodologies, and financial performance improvement
• Proven track record of leading enterprise-level projects, process improvement, and cross-functional initiatives
• Demonstrated experience identifying, implementing, and measuring AI, automation (e.g., RPA), or workflow technology solutions within revenue cycle operations
• Proficiency in RCM and EMR/practice management systems (NextGen, Epic, Athena, or similar) and data analytics/visualization tools (Tableau, Power BI, SQL, or similar)
• Advanced proficiency in Microsoft Excel, Word, and PowerPoint for data analysis, reporting, and executive presentations
• Exceptional leadership, communication, and stakeholder management skills