Overview

The Director - Business Process Improvement for Revenue Cycle Management (RCM) is responsible for process evaluation and standardization, establishing performance metrics, identifying productivity enhancements, developing and maintaining process documentation, and driving overall continuous improvement. This role partners closely with operational leaders, IT, analytics, compliance, and executive stakeholders to identify opportunities to improve efficiency, reduce manual work, enhance accuracy, strengthen controls, and improve financial outcomes.

The Director - Business Process Improvement serves as both a strategic leader and operational architect-driving enterprise process improvement initiatives while ensuring efforts align with organizational goals, regulatory requirements, and the realities of healthcare operations. This role oversees operational workflows that align with strategic growth goals, project prioritization, vendor collaboration and procurement, planning, change management, and long-term optimization efforts across end-to-end revenue cycle functions.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

Strategic Leadership

Translates executive vision into an actionable, measurable roadmap for operational excellence across multiple departments.
Identifies high-impact automation and process improvement opportunities across the revenue cycle, including patient access, coding, billing, claims management, payment posting, denials, collections, and reporting.
Builds multi-year roadmaps focused on scalability, operational efficiency, and measurable ROI.
Establishes governance frameworks for intake, prioritization, implementation, and monitoring.
Serves as a strategic advisor to executive leadership regarding process transformation opportunities and operational modernization.

Process Optimization and Operational Excellence

Leads end-to-end process analysis to identify inefficiencies, bottlenecks, rework, and operational risk areas.
Standardizes workflows and operational practices to support scalable automation solutions.
Drives Lean, Six Sigma, or continuous improvement methodologies across RCM operations.
Partners with operational leaders to redesign workflows that improve productivity, quality, turnaround time, and employee experience.
Develops and monitors KPIs related to automation performance, operational efficiency, financial outcomes, and adoption.

Design and Implementation

Defines complex problem statements, develops success metrics, and presents outcomes to senior leadership.
Maps out end to end current and future state workflows to identify bottlenecks, waste, and friction points.
Develops and maintains process documentation, including process maps, standard operating procedures, and performance metrics.
Collaborates with IT, data, analytics, and vendors to ensure successful solution design, testing, implementation, and support.
Optimizes reporting, dashboards, and updates to show status, risks, and impact.

Stakeholder Partnership and Change Management

Builds strong partnerships across operations, finance, compliance, IT, analytics, and executive leadership.
Translates operational challenges into scalable solutions and actionable business requirements.
Leads organizational change management efforts related to process transformation and adoption.
Communicates project progress, risks, outcomes, and ROI to senior leadership and key stakeholders.
Drives a culture of innovation, operational excellence, and continuous improvement leveraging data to inform decisions and prioritize initiatives.
Coordinates, educates, and integrates data management to support leaders.

Qualifications

KNOWLEDGE/SKILLS/ABILITIES (KSAs):

Required

• Bachelor's degree in business, healthcare administration, information systems, finance, operations, or a related field.
• 7+ years of experience in healthcare revenue cycle operations, process improvement, automation, or operational transformation.
• 7+ years of leadership experience managing projects, programs, teams, or enterprise initiatives.
• Strong knowledge of healthcare revenue cycle functions, workflows, payer processes, and regulatory considerations.
• Demonstrated ability to lead cross-functional initiatives and influence senior stakeholders.
• Strong analytical, operational, and strategic problem-solving skills.
• Excellent communication, presentation, and executive-facing skills.

Preferred

• Master's degree (MBA, MHA, or related field).
• Experience with Epic, Cerner, Athenahealth, Meditech, or other healthcare systems.
• Lean Six Sigma, PMP, or related certifications.
• Experience leading AI-enabled workflow transformation initiatives.
• Familiarity with healthcare compliance requirements including HIPAA and CMS regulations.
• Experience implementing automation technologies and process improvement initiatives within complex healthcare environments.

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Occasional Standing

• Occasional Walking

• Frequent Sitting

• Frequent hand, finger movement

• Use office equipment (in office or remote)

• Communicate verbally and in writing