Public Partnerships

Public Partnerships

Sr Dir Revenue Cycle

US Remote · Senior

Sponsorship not specified$165k-$190kDetected 30 days ago
ExcelContract ManagementLeadershipCommunicationCollaborationProblem SolvingMicrosoft OfficeAccounts PayableClaims Management

About the role

  • The Senior Director, Revenue Cycle provides strategic and operational leadership for a centralized enrollment, authorization, eligibility, billing, and reimbursement function.
  • Strategic Leadership & Business Alignment
  • Provides revenue cycle management leadership for centralized enrollment, authorization, eligibility, and reimbursement operations.

Responsibilities

  • Develops and translates business strategies into standard technology platform product offerings and roadmaps aligned with strategic financial goals.
  • Partners with senior leaders to establish operational performance standards and ensure expectations are consistently met or exceeded.
  • Collaborates on contract terms to mitigate risk and maximize financial objectives.
  • Drives efficient revenue cycle operations to generate optimal cash flow supporting organizational initiatives.
  • Directs, manages, and implements revenue cycle programs and strategies across onboarding and implementation.
  • Monitors clearinghouse edit and rejection rates and leads corrective action to minimize claim rework, submission delays, and remittance reconciliation errors.

Requirements

  • Bachelor's Degree in business finance or related field.
  • Substantial professional experience may be considered in lieu of a formal degree.
  • Proven history of leading organizational change and process transformation initiatives at scale.
  • Strong knowledge of billing policies, accounts receivable procedures, denials management and prevention as well as payer contract management.
  • Education:
  • Bachelor's Degree in business finance or related field. Substantial professional experience may be considered in lieu of a formal degree.
  • 15+ years in finance or revenue cycle management, including demonstrated experience with EDI claims processing, healthcare clearinghouse management (e.g., Waystar, Change Healthcare), and authorization management. Proven history of leading organizational change and process transformation initiatives at scale.
  • Working Conditions:
  • Remote with occasional business travel
  • Supervisory Responsibility (If applicable):
  • May supervise up to 40 people
  • Compensation & Benefits:
  • 401k Retirement Plan

Skills

  • Ability to work effectively with all levels of management.
  • Advanced analytical and problem-solving skills.
  • Excellent written and oral communication and presentation skills.
  • Solid technical skills to include Microsoft Office Suite applications with demonstrated Word, Excel, Access and PowerPoint expertise.
  • Staff productivity
  • Authorization and eligibility accuracy
  • Enrollment files
  • Billing activity
  • Accounts receivable performance
  • Holds staff accountable for achieving performance targets and business plans.
  • May supervise up to 40 employees.
  • Ensures full compliance with all Federal and State regulations related to billing procedures.

Compensation

  • range: $165,000 - $190,000 annually
  • This role is eligible for a base salary within the posted range.
  • Actual compensation will be determined based on a variety of factors, including skills, experience, and geographic location.
  • Compensation may vary for positions based in high cost-of-labor markets.
  • At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications.

Benefits

  • This role ensures optimal net revenue performance, efficient operations, and compliance with regulatory requirements while supporting the organization's mission, vision, and values.
  • Assesses and responds to current and future internal and external healthcare trends to guide revenue cycle direction.
  • Ensures efficient end-to-end operations across enrollment, eligibility, billing, and reimbursement processes.
  • Manages and optimizes clearinghouse relationships (e.g., Waystar, Change Healthcare) to ensure accurate and timely claim submission, remittance processing, and EDI transaction integrity (837/835/271/270).
  • Serves as subject matter expert (SME) for RFP content to ensure accuracy and technical rigor in authorizations, eligibility, and reimbursement.
  • Hires, develops, mentors, and leads a high-performing billing and reimbursement team.
  • PPL believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Equal opportunity

  • Public Partnerships is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion.

Visa & Work Authorization

  • disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any
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This listing is sourced directly from Public Partnerships's careers page and normalized into a canonical job model.