Senior Director, Revenue Cycle Management

Mandate

• Own the RCM strategy, operating model, performance system, technology roadmap, and partner ecosystem from claim readiness through account resolution, with upstream handoffs managed in collaboration with the Patient Access Team.
• Move RCM from reactive claims work to proactive revenue integrity and denial prevention through payer intelligence, workflow redesign, automation, analytics, and responsible AI.
• Translate portfolio, coverage, contracting, regulatory, and payer changes into operational readiness and measurable financial outcomes.

Key Responsibilities

Strategy, operating model, and performance

• Set the multi-year RCM strategy, operating model, governance, capacity, service levels, budget, and investment priorities
• Maintain expert knowledge of the U.S. reimbursement landscape, including Medicare, Medicaid, commercial payers, managed care, evolving payment models, and diagnostics reimbursement pathways
• Establish actionable performance visibility, operating cadences, root-cause management, and accountability across products, payers, channels, denials, aging, and workflows

Revenue integrity and payer enablement

• Improve claim-input quality, documentation, adherence to approved coding standards, medical-necessity alignment, and claim defensibility
• This role identifies coding issues and provides insights but does not own coding strategy or policy
• Use claim, denial, appeal, payment, and payer-policy data to remove systemic barriers and inform reimbursement, contracting, evidence, commercial, and product decisions
• Ensure launch and change readiness, partnering with the Patient Access Team when upstream access, coverage, authorization, or financial-assistance processes are affected

Technology, automation, and experience

• Own the RCM technology and data roadmap; simplify and standardize work before applying automation and responsible AI
• Prioritize digital solutions that measurably improve claim quality, routing, follow-up, appeals, reconciliation, and billing communications, with appropriate oversight, privacy, security, and auditability
• Improve billing and account resolution for patients and customers in collaboration with Customer Service, field teams, and the Patient Access Team

Controls, partners, and leadership

• Maintain effective billing, privacy, security, quality, financial, vendor, audit, testing, and change controls
• Partner with Finance on forecasting, reserves, cash, leakage, and translation of operating drivers into financial outcomes
• Build and develop a high-performing organization, lead transformation, strengthen succession and capabilities, and foster integrity, patient focus, learning, and continuous improvement
• Comply with FMI's attendance policies

Basic Qualifications

• Bachelor's Degree and 12+ years of experience in revenue cycle management or a related healthcare operations or strategic function
• 5+ years of people leadership experience, including leading leaders and/or complex teams

Preferred Qualifications

• Master's Degree and experience leading RCM in healthcare, ideally within a diagnostic laboratory or payer-facing environment
• Proven success scaling teams, operating models, vendors, technology, and transformation in a matrixed organization
• Strong command of RCM performance, financial planning, analytics, service levels, controls, and continuous improvement
• Knowledge of CAP/CLIA environments and healthcare privacy, security, quality, and compliance requirements
• Executive-level communication, influence, prioritization, and cross-functional leadership skills
• Understanding of HIPAA and the importance of patient data privacy
• Commitment to reflect FMI's values: Integrity, Courage, and Passion