This position will be onsite in Highlands Ranch, CO and typically works Monday through Friday 8am - 5pm.
SUMMARYThe Director of Revenue Cycle & Managed Care Analytics leads operational and financial analytics across the revenue cycle and managed care functions. The role is responsible for delivering accurate, actionable insights that identify revenue risk and opportunity, explain performance drivers, support payer and reimbursement strategy, and translate analytics into operational action and accountability. The Director serves as a strategic partner to Finance, Revenue Cycle, Operations, and executive leadership.
ESSENTIAL DUTIES AND RESPONSIBILITIESThe following statements illustrate the job's essential duties and are not an exhaustive list of responsibilities. The organization retains the right to modify or assign additional duties based on business needs.
- Own, maintain and improve daily, weekly, and monthly Revenue Cycle and Managed Care reporting, scorecards, dashboards, and executive summaries.
- Analyze revenue cycle performance, trends, variances, and root causes across cash collections, accounts receivable, denials, write-offs, takebacks, charge and coding activity, authorizations, and other key operational metrics.
- Translate analytics into clear executive insights, including financial impact, key risks and opportunities, recommended actions, accountable owners, and follow-through.
- Lead payer reimbursement and contract-performance analytics, including fee-schedule validation, expected versus actual reimbursement, underpayment identification, revenue leakage, and recovery opportunities.
- Develop and maintain standardized analytical tools, KPI definitions, methodologies, and reporting governance to ensure consistent, accurate, and auditable information.
- Support revenue recognition, contractual allowance and adjustment analysis, AR reserve analytics, and month-end reporting through accurate reconciliations and explanation of material variances.
- Partner with Revenue Cycle, Finance, Managed Care, Operations, and clinical leadership to identify performance improvement opportunities and measure results.
- Lead analytical workstreams and special projects requiring data from multiple systems or business units; independently frame the business question, validate results, and communicate conclusions.
- Prepare schedules and analytical support for internal and external audits and maintain awareness of regulatory requirements and Revenue Cycle best practices.
- Ensure work products are accurate, reconciled, timely, concise, and appropriate for executive decision-making before distribution.
- Proactively identify material risks, data breakages, reimbursement issues, and emerging trends; quantify impact and escalate significant concerns promptly.
- Drive work from identification through resolution by establishing actions, ownership, timing, and measurable outcomes.
- Balance analytical detail with clear communication so leadership can quickly understand what happened, why it matters, and where action is required.
THE EXPERIENCE YOU NEED- Minium of three years experience in healthcare Revenue Cycle, Managed Care, reimbursement, financial analytics, or a closely related discipline, including experience leading complex analytical work.
- Advanced analytical skills with demonstrated ability to reconcile complex data, identify root causes, quantify financial impact, and translate findings into recommendations.
- Bachelor's degree in Finance, Accounting or a related field; equivalent relevant experience may be considered.
- Knowledge of payer reimbursement, fee schedules, claims adjudication, contractual allowances/adjustments, denials, AR, and other core revenue cycle concepts.
- Advanced proficiency in Excel; Power Query, Data Model, Power BI and healthcare revenue cycle systems experience strongly preferred.
- Excellent written and verbal communication skills with demonstrated ability to present complex financial and operational information to senior and executive leadership.
- Highly organized, self-directed, and able to manage multiple priorities, deadlines, and cross-functional workstreams with limited oversight.
Preferred- Master's degree or other relevant professional credential.
- Experience with Athena or comparable practice-management/revenue-cycle platforms and payer contract modeling.
JOB ELEMENTS / WORKING CONDITIONS- While performing the duties of this job, the employee is regularly required to communicate, use a computer and other office equipment, and perform work requiring close visual attention.
- The role may require periods of sitting, standing, walking, and occasional lifting or moving of materials consistent with a professional office environment.
Work EnvironmentThe above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties, or skills required. Responsibilities and priorities may be added, modified, reprioritized, or discontinued at management's discretion based on business needs.
BENEFITS OFFERED- Health insurance plan options for you and your dependents
- Dental, and Vision, for you and your qualified dependents
- Company Paid life insurance
- Voluntary options for short-term disability, and long-term disability coverage
- AFLAC Plans
- FSA options
- Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
- Paid Time-Off earned
- Bonus Eligible
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have, how many hours per week you will be working, and comparison to other employees already in this role.
Salary: $110,000 -$125,000 / annually
