Job Summary The Revenue Cycle Management (RCM) Program Director will provide leadership and strategic direction for end-to-end healthcare revenue cycle operations, including patient access, health information management, coding, billing, accounts receivable, payer management, and collections. The role will drive strategies to optimize financial performance, ensure regulatory compliance, minimize denials, improve cash flow, and enhance operational accountability. The Director will lead managers and specialized teams, partner with senior leadership and payer organizations, oversee key performance metrics, manage complex Medicaid and Medicare billing requirements, support audit readiness, and guide technology optimization across Epic and related revenue cycle systems. Key Responsibilities • Lead and provide strategic direction for end-to-end revenue cycle operations, including patient access, HIM/coding, billing, accounts receivable, denials, payer management, and collections. • Develop and execute revenue cycle strategies aligned with financial, operational, and compliance objectives. • Lead enterprise revenue cycle teams consisting of managers and specialized staff. • Monitor and manage key performance indicators, including A/R days, denial rates, clean claims, and net collections. • Partner with senior leadership, state agencies, payer organizations, finance, clinical operations, IT, and compliance teams to align revenue cycle operations with organizational objectives. • Oversee Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement processes and requirements. • Ensure compliance with CMS, HIPAA, state regulations, payer policies, and applicable internal controls. • Maintain audit readiness and support compliance frameworks across revenue cycle operations. • Lead optimization of Epic revenue cycle workflows and related systems, including Prelude, Cadence, and Resolute HB/PB. • Guide technology optimization, analytics, automation, reporting, and workflow improvements. • Evaluate financial and operational trends, forecast cash flow, assess reimbursement risks, and identify opportunities for improvement. • Lead organizational change, standardization, and continuous improvement initiatives. • Present complex financial, operational, regulatory, and revenue cycle information to executive leadership and other stakeholders. • Drive accountability, operational efficiency, financial performance, and continuous improvement across revenue cycle functions. Required Qualifications • 5+ years of experience with full healthcare revenue cycle operations, including patient access, HIM/coding, billing, accounts receivable, and denials. • 5+ years of experience with Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement. • 5+ years of experience leading enterprise revenue cycle teams. • 5+ years of experience managing revenue cycle KPIs, including A/R days, denial rates, clean claims, and net collections. • 5+ years of experience working with CMS, HIPAA, state regulations, and payer policies. • 5+ years of experience with Epic revenue cycle systems, including Prelude, Cadence, and Resolute HB/PB, and related workflow governance. • 5+ years of experience communicating complex financial, operational, and regulatory information to executive stakeholders. • Strong knowledge of internal controls, audit readiness, and compliance frameworks. • Strong financial acumen with the ability to evaluate trends, forecast cash flow, assess reimbursement risks, and drive financial improvements. • Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations. • Demonstrated ability to lead organizational change, standardization, and continuous improvement initiatives. • Understanding of revenue cycle considerations within behavioral health, psychiatric care, developmental disabilities, and state-operated healthcare facilities.