About this opportunity
ClinDCast, LLC lists this Revenue Cycle Management (RCM) Program Director opportunity in wesley chapel, Florida. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Revenue Cycle Management (RCM) Program Director
Job#: 2231 - Revenue Cycle Management (RCM) Program Director
Job Description:
Key Responsibilities
Strategic Leadership: Drive end-to-end revenue cycle operations and strategy to optimize net collections, reduce denial rates, and improve A/R days across DSOHF facilities.
System & Workflow Governance: Lead Epic revenue cycle system optimization (Prelude, Cadence, Resolute HB/PB), automation, analytics, and reporting.
Compliance & Reimbursement: Manage complex Medicaid, Medicaid Managed Care, Medicare, and commercial billing; ensure strict adherence to CMS, HIPAA, and state regulations while maintaining audit readiness.
Stakeholder & Operations Alignment: Partner with senior leadership, state agencies, and payer organizations to align clinical operations, finance, and IT with overall financial goals.
Required Skills & Qualifications (5+ Years Each)
Full-Cycle RCM: Comprehensive experience across patient access, HIM/coding, billing, A/R, and denials.
Payer Expertise: In-depth knowledge of Medicaid, Medicaid Managed Care, Medicare, and commercial reimbursement models.
Enterprise Leadership: Proven track record managing enterprise revenue cycle teams and departmental managers.
KPI Management: Expertise in driving key metrics (A/R days, clean claim rate, denial rate, net collections).
Regulatory & Audit Control: Deep understanding of CMS, HIPAA, state policies, and internal compliance frameworks.
Epic Proficiency: Hands-on experience with Epic RCM modules (Prelude, Cadence, Resolute HB/PB) and workflow management.
Executive Communication: Demonstrated ability to report complex financial, operational, and regulatory insights to executive leadership.
Specialized Facility Domain Knowledge: Direct background managing RCM operations for behavioral health, psychiatric care, developmental disabilities, or state-operated facilities.
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Worksite address
wesley chapel, FL, 33545, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.