Sr Director Rev Cycle Mgmt

The Senior Director of Revenue Cycle Management provides executive-level oversight of end-to-end revenue cycle operations across multiple service lines, states, and payor environments. This role is responsible for the strategic direction, operational performance, and financial accountability of all billing, collections, accounts receivable, denial management, and reimbursement functions within the organization.

Operating in a complex, multi-state environment with diverse payor relationships — including Medicare, Medicaid, managed care, commercial, and waiver programs — the Senior Director leads a large, multi-level team of Directors, Managers, and frontline revenue cycle professionals. This role is accountable for driving measurable improvements in cash collections, AR days, denial rates, and cost-to-collect while ensuring full regulatory compliance and maintaining the highest standards of operational excellence.

The Senior Director serves as a key member of the executive revenue cycle leadership team and a primary liaison between revenue cycle operations, clinical leadership, finance, compliance, and managed care. This position requires a strategic thinker and decisive operational leader who can manage complexity, lead through change, and build high-performing teams across a large, geographically dispersed organization.

Primary Responsibilities

Strategic Leadership & Operational Oversight

• Provide executive-level leadership across all revenue cycle functions including eligibility, authorization, billing, collections, denial management, and accounts receivable.
• Develop and execute multi-year strategies to optimize cash collections, reduce AR days, improve denial outcomes, and drive cost efficiency across a large, multi-state revenue cycle operation.
• Establish, monitor, and report on key performance indicators (KPIs) across all revenue cycle functions, using data to drive continuous performance improvement.
• Partner with the Vice President of Revenue Cycle and executive leadership to align revenue cycle strategy with organizational goals, growth initiatives, and financial targets.
• Lead revenue cycle planning and execution for mergers, acquisitions, joint ventures, start-ups, and divestitures — ensuring timely billing, clean integration, and uninterrupted cash collections throughout transition periods.
• Represent revenue cycle operations in cross-functional leadership forums and serve as a subject matter authority on revenue cycle performance.

Financial Performance & Accountability

• Accountable for AR performance, cash collections, denial rates, write-off management, and overall cost-to-collect across the full revenue cycle portfolio.
• Manage the annual departmental operating budget; identify and implement opportunities for cost efficiency, process improvement, and resource optimization.
• Monitor payor reimbursement trends across a complex multi-payor environment — including Medicare, Medicaid, managed care, commercial, VA/Tricare, and waiver programs — resolving payment variances and escalating systemic issues impacting revenue.
• Drive root cause analysis of billing, authorization, and collection challenges; implement sustainable corrective actions with measurable outcomes.
• Develop and present financial performance reports and operational analyses to executive leadership, identifying risks, opportunities, and recommendations.

Multi-State Payor & Regulatory Complexity

• Lead revenue cycle operations across a geographically dispersed, multi-state footprint — managing diverse and complex payor environments that vary significantly by state, service line, and payer type.
• Maintain current and comprehensive knowledge of Medicare, Medicaid, managed care, commercial, and waiver program billing requirements across all states of operation.
• Oversee payor contracting alignment from a revenue cycle perspective — identifying billing and reimbursement implications of contract terms, rate changes, and payor policy updates.
• Cultivate and maintain strategic relationships with key payor representatives to facilitate escalation resolution, reduce payment delays, and improve reimbursement outcomes.
• Monitor state-specific regulatory requirements and ensure timely operational alignment across all billing and collections functions as regulations evolve.
• Serve as primary revenue cycle liaison with the managed care and payor contracting teams on issues impacting billing operations and reimbursement performance.

Team Leadership & Talent Development

• Lead, develop, and retain a high-performing team of Directors, Managers, and frontline revenue cycle leaders across a large, multi-state organization.
• Establish staffing models aligned with operational volume, complexity, and business needs — ensuring appropriate resource allocation across all revenue cycle functions.
• Build a culture of accountability, engagement, continuous improvement, and professional growth throughout the revenue cycle organization.
• Drive performance management processes — setting clear expectations, providing meaningful feedback, coaching leaders through development, and executing performance redirection when needed.
• Partner with HR and talent acquisition to attract, develop, and retain top revenue cycle talent in a competitive market.
• Promote collaboration, inclusion, and knowledge-sharing across geographically distributed teams.

Compliance, Risk & Regulatory Oversight

• Ensure full compliance with all federal, state, and payor regulations governing healthcare billing and collections — including Medicare, Medicaid, HIPAA, and applicable state-specific requirements.
• Serve as an organizational subject matter expert on regulatory changes impacting revenue cycle operations, ensuring timely identification and operational response.
• Oversee internal controls across all revenue cycle functions and actively support internal and external audit processes.
• Identify operational and compliance risks proactively; develop and implement mitigation strategies before risks escalate.
• Maintain accountability to all organizational compliance programs and policies, including those governing billing integrity and payer relations.

Process Improvement & Technology Enablement

• Drive enterprise-wide process standardization and optimization across all revenue cycle functions — eligibility, authorizations, billing, collections, denial management, and AR.
• Identify and implement automation and technology solutions that improve efficiency, accuracy, and scalability across the revenue cycle.
• Maintain expert-level proficiency in revenue cycle technologies including EMR platforms, clearinghouse systems, denial management tools, and analytics platforms.
• Partner with IT, Revenue Systems, and external vendors to optimize system functionality, data integrity, and user performance.
• Champion a data-driven operational culture — leveraging reporting, analytics, and benchmarking to guide strategy and measure outcomes.

Vendor Management & External Partnerships

• Oversee all revenue cycle vendor relationships — holding vendors accountable for productivity, quality, service levels, and contractual obligations.
• Negotiate and manage vendor performance agreements; escalate and resolve performance issues in a timely and effective manner.
• Partner with procurement and legal on vendor contract renewals, amendments, and new vendor evaluations.

Required Qualifications

• Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required; Master’s degree preferred. Equivalent progressive experience may be considered in lieu of a degree.
• 10+ years of progressive leadership experience in healthcare revenue cycle management or healthcare operations, with demonstrated accountability for large-scale, multi-state operations.
• Minimum 5 years of direct experience leading Director-level or above revenue cycle teams in a complex, multi-site health system or home and community care environment.
• Demonstrated expertise in Medicare, Medicaid, managed care, commercial, and waiver program billing and reimbursement — with specific experience navigating multi-state payor complexity.
• Proven track record of driving measurable improvement in AR performance, cash collections, denial rates, and cost-to-collect across a large revenue cycle organization.
• Strong financial acumen — including experience managing departmental operating budgets and presenting financial performance analysis to executive leadership.
• Demonstrated ability to lead, develop, and retain high-performing multi-level teams in a geographically distributed environment.
• Advanced proficiency in revenue cycle technologies including EMR platforms, clearinghouse systems, denial management tools, and data analytics platforms.
• Experience leading revenue cycle through mergers, acquisitions, or large-scale organizational transformations preferred.

Core Competencies

• Executive-level strategic thinking and operational execution
• Advanced financial and analytical acumen
• Demonstrated ability to manage complexity across multi-state, multi-payor, multi-system environments
• Exceptional leadership, talent development, and organizational effectiveness
• High-stakes decision-making with demonstrated accountability for outcomes
• Superior communication and executive stakeholder management
• Expertise in healthcare regulatory compliance and billing integrity
• Proven change leadership in large-scale organizational transformation

Preferred Qualifications

• Experience within home health, hospice, palliative care, or community-based care settings
• Graduate degree (MBA, MHA, MSHL) or professional certification (CRCR, CHFP, or equivalent) in revenue cycle or healthcare finance
• Experience managing revenue cycle vendor relationships and performance contracts
• Familiarity with HCHB, Waystar, Change Healthcare, AlphaCollector, or comparable revenue cycle technology platforms
• Demonstrated experience presenting revenue cycle performance and strategy to C-suite or board-level leadership

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.