Director of Revenue Cycle Implementation - Remote/Nationwide

POSITION PURPOSE:

The Director of Revenue Cycle Implementation is a strategic leadership role responsible for the end-to-end onboarding of new healthcare system clients onto our managed services service delivery model. This position oversees the transition of core RCM functions--including Coding, Billing, Accounts Receivable, and Denial Management--from client-hosted environments to our hybrid US-based and global delivery model. The Director acts as the primary architect of the transition, workflow integration, managing the complex "human element" of staff re-badging while simultaneously integrating global offshore/nearshore teams to ensure operational stability and immediate financial improvement for the client.

ORGANIZATION:

This position reports to the Sr Vice President of Strategic Operations.

ESSENTIAL JOB FUNCTIONS include the following. Other duties may be assigned.

Service Implementation & Operational Design

• Client Onboarding & Transition: Lead the end-to-end implementation lifecycle of RCM services, including Health Information Management (HIM)/Coding, Patient Accounting, Billing and Insurance Follow-up.
• Operational Assessment: Lead "Discovery" sessions to map legacy client workflows and design future-state processes workflows for Coding, Billing, and AR follow-up.
• Resource Orchestration: Coordinate with internal Service Line Directors (Coding Manager, AR Manager, etc.) to ensure our labor force is scaled and trained to meet the incoming client's volume.
• Technology Handshake: Partner with IT to ensure seamless connectivity to client EHRs (Epic, Cerner, Meditech, etc.) and clearinghouse configurations and the RCM workflow applications.
• SLA Establishment: Define baseline metrics and implement Service Level Agreements (SLAs), including but not limited to targets for DNFB, Clean Claim Rates, Days in AR, Denial Recovery and Cash Collection percentages.

Staff Re-badging & Human Capital Transition

• Employment Transition: Direct the "Re-badging" lifecycle, transitioning client employees to our organization's payroll while maintaining operational continuity.
• Change Management: Lead town halls, 1-on-1 employee meetings, and orientation sessions to drive cultural adoption and mitigate turnover during the transition period.
• Talent Assessment: Evaluate the skills of legacy staff to determine optimal placement within the new service model or identify training gaps.

Global Team Integration & Knowledge Transfer

• Global Delivery Model (GDM): Design the distribution of work between onsite client teams, domestic service centers, and global offshore/nearshore delivery sites.
• Knowledge Transfer (KT): Lead formal KT protocols to ensure global teams master client-specific payer nuances, local regulations, and facility-specific documentation habits.
• Quality Governance: Establish audit loops to ensure global coding and billing accuracy meet or exceed legacy domestic performance.

Client Relationship & Hyper-Care Management

• Executive Liaison: Serve as the primary implementation lead for the client CFO and VP of Revenue Cycle, providing daily/weekly performance reporting during the "Hyper-Care" phase (first 90--120 days).
• Risk Mitigation: Proactively identify and resolve bottlenecks in the transition that could lead to "unbilled" backlogs or cash dips.

REQUIRED KNOWLEDGE & EXPERIENCE:

• Experience: 10+ years of Revenue Cycle experience, with at least 5 years in a BPO (Business Process Outsourcing) or professional services implementation leadership role.
• Educational Background: Bachelor's degree in Healthcare Administration, Finance, or Business (MHA/MBA preferred).
• Managed Services Mastery: Proven track record of implementing high-volume RCM services (not just technology) for small to large hospitals or multi-specialty physician groups. Proven experience transitioning "on-shore" or "in-house" hospital departments to a third-party service provider model.
• Service Line Knowledge: Expertise in Coding; Billing, AR/Denials.
• Client Management: Experience managing the "political" and human elements of a transition, including staff re-badging or departmental restructuring.
• Global Expertise: Direct experience managing or integrating with global delivery centers (India, Philippines, or similar).
• Technical Skills: High proficiency in major EHR systems and RCM workflow tools; deep understanding of 837/835 transaction sets.

Core Competencies:

• Executive Presence: Ability to command confidence from hospital C-Suite leadership during high pressure transitions.
• Cross-Cultural Leadership: Skill in managing diverse teams across multiple time zones and backgrounds.
• Strategic Problem Solving: Ability to identify "leakage" in a legacy revenue cycle and implement immediate service-based fixes.

GENERAL AREAS OF ACCOUNTABILITY:

Must conduct business and personal affairs in a manner that is always a credit to the company. Must maintain a good credit rating while employed with the company.

The following HIPAA and Privacy items apply to all positions at Signature Performance:

• Follow HIPAA guidelines for protecting the privacy and security of sensitive personal and/or health information.
• Follow Signature expected acceptable use to protect propriety and company owned information.
• Complete annually required Privacy and Security Training

PERFORMANCE MANAGEMENT:

All Signature Performance associates are subject to regular performance management to determine if skills and training requirements are suitable for the position.

MACHINES AND EQUIPMENT:

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copiers and fax machines.

SECURITY REQUIREMENTS:

• U.S. Citizenship or naturalized citizenship is required for this position.
• All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

PHYSICAL ACTIVITY:

The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements.

WORKING CONDITIONS:

The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required.

Remote Eligibility: This position is full-time remote eligible. Eligibility is determined by Management or Talent Operations.

The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

• U.S. Citizenship or naturalized citizenship is required for this position.
• All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.