Job Description
The Revenue Cycle Transformation Leader is a senior executive-level operator responsible for driving enterprise-wide revenue cycle performance, financial outcomes, and operational transformation across complex healthcare organizations. This role is deployed into high-priority environments where performance, leadership alignment, and financial results are at risk. The individual is expected to take full ownership of the situation, rapidly assess performance, align executive stakeholders, and implement changes that deliver measurable and sustained impact. Operating within highly complex and politically sensitive environments, this leader must influence at all levels of the organization — including CFO and executive leadership — while driving accountability across matrixed teams, vendors, and operational leaders. This individual functions as the de facto revenue cycle leader within client environments, setting direction, establishing governance, and ensuring that strategy translates into disciplined execution and tangible financial outcomes. Success is defined by meaningful improvement in cash performance, reduction in AR and denials, alignment of leadership, and the establishment of sustainable operating models that persist beyond the engagement. Duties and Responsibilities Rapid-Response Operations & Crisis Stabilization Knows, understands, incorporates, and demonstrates Healthrise's Core Values in all interactions with team members, clients, and stakeholders. Deploys on short notice to client sites or internal operations experiencing performance breakdowns, leadership vacancies, or go-live turbulence requiring immediate stabilization. Serves as interim operational lead for patient access, billing, AR, coding, denials, or client delivery functions when permanent leadership is absent, transitioning, or over capacity. Conducts rapid operational assessments within 48–72 hours of deployment: identifies root causes, surfaces risk, and presents a prioritized remediation plan to leadership. Establishes command and control within days of deployment by setting clear expectations, defining priorities and decision rights, and holding teams accountable. Takes ownership of operational breakdowns, escalated risks, and stalled workflows by directing teams, removing barriers, and restoring throughput. Establishes stabilization metrics and a daily communication cadence with senior leadership during crisis and highly visible engagements. Transitions stabilized operations back to permanent leaders with documented handoff plans, updated SOPs, and performance baselines in place. Cross-Functional Revenue Cycle Execution Sets direction and oversees all revenue cycle functions (patient access, coding, billing, AR, denials, cash posting), stepping into hands-on execution selectively to accelerate stabilization or remove critical bottlenecks. Navigates multiple EMR/PM platforms (Epic, Cerner, Meditech, Athena, or equivalent) and adapts quickly to new systems, payer portals, and proprietary RCM tools. Supports quality reviews, documentation improvement initiatives, and denial root-cause analyses across HB and PB environments. Stays current on coding updates (CPT, ICD-10-CM, HCPCS), CMS billing guidelines, and payer policy changes that impact claim accuracy. Identifies structural breakdowns across people, process, technology, and reporting, and drives enterprise-level solutions. Aligns domestic, offshore, vendor, and client teams under a unified operating model. Financial Performance Ownership Owns revenue cycle financial performance within assigned engagements, including cash collections, AR reduction, denial performance, and cost efficiency. Establishes performance targets tied to financial outcomes and holds teams accountable to achieving them. Identifies revenue leakage, margin opportunities, and cost inefficiencies, and implements corrective actions. Translates operational performance into financial impact, clearly linking initiatives to cash, margin, and cost improvement. Partners with executive leadership to align operational strategy with financial goals and organizational priorities. Client Engagement & Relationship Support Builds rapid trust with client stakeholders through transparency, responsiveness, and demonstrated operational command, even in high-pressure environments. Acts as the senior-most revenue cycle leader within client environments when required, driving direction, alignment, and performance across executive and operational teams — while remaining willing to roll up sleeves and identify opportunities at any level. Engages direct