OneOncology
Director, RCM Analytics & Insights
Nashville, TN · Director
Sponsorship not specifiedDetected 1 day ago
Data AnalysisNegotiationAccountingExcelAR/VRICD-10LeadershipCommunicationCollaborationMentoringAdaptabilityAccounts PayableRisk Modeling
About the role
- This is an exciting time to join OneOncology.
- This role will report to the Sr Director - Revenue but will be embedded with the RCM team with dotted line reporting to the Chief Revenue Officer.
- This position will be integral to the Company's revenue recognition process as we more closely link RCM metrics to revenue recognition.
Responsibilities
- Lead RCM enterprise-wide analysis and trend assessments of registration, billing, denial, underpayment, and accounts receivable performance across multiple oncology practices to identify systemic root causes, emerging risks, and revenue optimization opportunities.
- Partner with RCM executive leadership to translate analysis and metrics into insights to support actionable strategies, operational priorities, and payer or practice-level escalations.
- Collaborate closely with the payer relations contracting team on complex, high-impact payer issues, supporting data-driven escalation, negotiation support, and resolution strategies.
- Work with the overall analytics team to develop and drive adoption of advanced analytics and AI use cases within the RCM team (e.g., predictive denial risk, automation opportunities, root-cause clustering) to reduce preventable denials and manual rework.
- Develop standardized processes to drive efficiency in analyzing and reporting data and trends in a repeatable, consistent reporting format.
- Partner with RCM Operations, Revenue Integrity, IT, and vendors to develop system enhancements, configuration changes, workflow redesign, and process standardization based on insight findings.
- Support denial prevention strategies through detailed analysis of payer policies, contract terms, billing requirements, and coding behaviors, ensuring corrective actions are embedded upstream.
- Develop and provide RCM reporting, dashboards, and KPIs, ensuring data accuracy, consistency, and alignment with enterprise performance and financial goals.
- Champion data-driven decision making and insight maturity across the RCM organization in support of scalable growth and long-term financial sustainability.
- Perform additional responsibilities as assigned to support the organization's mission of improving the lives of everyone living with cancer.
Requirements
- Prior experience with HCPCS, ICD-10, and CPT coding, including their downstream impact on denials, underpayments, and AR performance.
- Strong analytical and strategic thinking skills, with experience leveraging advanced analytics, automation, and/or AI-driven insights to improve revenue cycle performance.
- Excellent communication skills with the ability to translate complex data and technical findings into clear, actionable insights for diverse stakeholders.
- Ability to operate effectively in a matrixed environment, managing multiple priorities across regions, practices, and functional teams.
- degree in Healthcare Administration, Finance, Analytics, Informatics, or a related field strongly preferred. Master's degree a plus.
- 7-10 years of progressive experience in finance and healthcare data analytics
- revenue cycle management operations or reimbursement oversight, preferably within an oncology or complex, multi-site healthcare environment.
- Prior experience in Radiation Oncology and/or Medical Oncology is a plus.
- Essential Competencies:
- Proven ability to analyze and proactively identify enterprise-level systemic trends and root causes in the RCM space to support corrective actions with measurable financial and operational impact.
- Experience partnering with executive leadership, practice leadership, analytics, finance, contracting, payer engagement, billing vendors, and IT to resolve complex reimbursement challenges.
- Display a detail oriented and organized approach with a self-starter attitude.
- Solid understanding payer policies, reimbursement methodologies, and regulatory requirements related to medical billing, including Medicare, Medicaid, and commercial payers.
- Demonstrated leadership experience, including guiding, mentoring, or managing analytics, insights, or operational RCM teams.
Nice to have
- Bachelor's degree required
- Master's degree a plus.
Benefits
- Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.
Company info
- Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance.
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