Director, Revenue Cycle Management Transformation

Responsibilities

• Serve as the senior day-to-day engagement leader on RCM advisory mandates, owning client relationships and project timelines
• Act as the primary point of contact for client leadership, including CFOs and Revenue Cycle Directors
• Lead discovery and diagnostic activities, including stakeholder interviews and process assessments
• Oversee project requirements across coding accuracy, charge capture, billing compliance, and claims submission
• Lead denial management workstreams, including root cause analysis and appeals strategy
• Drive underpayment identification and recovery efforts through contract modeling and remittance auditing
• Design and implement KPI frameworks and performance dashboards for revenue cycle health
• Direct and develop Analysts and Associates through hands-on coaching and workproduct review
• Contribute to business development activities, including proposals and RFP responses

Requirements

• Bachelor’s degree in Finance, Healthcare Administration, or a related field
• Minimum of 10 years of progressive experience in healthcare Revenue Cycle Management
• Proven track record of leading client-facing engagements and delivering measurable results
• Deep knowledge of RCM best practices, including patient access, coding, billing, and denials
• Understanding of commercial, Medicare, and Medicaid billing and reimbursement structures (DRG, APC, RBRVS)
• Proficiency in RCM systems such as EPIC, Athenahealth, Cerner, or eClinicalWorks
• Strong financial modeling skills and ability to evaluate financial statements
• Excellent communication skills for presenting to C-suite and senior leadership

Preferred Qualifications

• Master’s degree
• Certifications from HFMA, AAPC, AHIMA, or NAHAM

About the Company

At Riveron, we partner with clients—from global multinationals to high-growth private entities—to solve complex finance challenges, guided by our DELTA values: Drive, Excellence, Leadership, Teamwork, and Accountability.