Director Of Sales jobs at Privia Health

Our client, a profitable B2B SaaS company in the event tech space, is looking for a Head of Product to own the product vision, strategy, and execution. As the voice of the customer, you will turn customer insights into a clear product roadmap and deliver features that drive growth and keep users engaged. Role Overview This is a leadership role focused on product strategy, design, and go-to-market. You will lead the product and design teams, partnering closely with the Head of Engineering to bring the product vision to life. Your success will come from leading through influence and ensuring the "what" and "why" of the product are clear and effectively executed. Key Responsibilities Product Leadership & Vision: Define and communicate the product vision and strategic priorities. Lead and mentor the product and design teams to create exceptional user experiences. Product Strategy & Roadmap: Own and maintain a prioritized product roadmap based on data and research. Use customer feedback, market analysis, and product data to make decisions. Customer Research & Insights: Gather and analyze customer feedback through interviews, surveys, and analytics. Work with Sales and Customer Success to identify and prioritize customer needs. Go-to-Market & Collaboration: Partner with Marketing and Sales to ensure successful product launches. Provide teams with the messaging and training needed for new releases. Qualifications Must-Haves: Previous experience as a Head of Product or VP of Product in a high-growth B2B SaaS company. Deep expertise in product-led growth (PLG) with a track record of improving free-to-paid conversion. Proven ability to use data and customer insights to guide product decisions. Experience leading remote-first product and design teams. Nice-to-Haves: Background in bootstrapped or lean startup environments. Experience with event tech, EdTech, or marketplace platforms. Familiarity with the education, healthcare, or corporate training markets. Compensation & Benefits Compensation: A competitive package including base salary, a target bonus, and a long-term incentive (equity). Benefits: Comprehensive medical, dental, vision, and life insurance. Unlimited PTO and paid holidays. A fully remote-first work culture. Annual company offsites in amazing locations (past trips include Brazil 🌎). A high-ownership, low-bureaucracy environment.

We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication to service. It's about providing clarity and hope. The Sales Director is a front-line sales leader responsible for execution of the commercial sales strategy for profitable growth in geographic area for general and specialized laboratory sales and service representatives. This is a field-based sales leadership position covering Washington DC, eastern Maryland, and Delaware. Hire and retain an effective sales team of Account Executives and Account Managers Coach, motivate and develop sales talent Establish regional action plans and market strategies Set metrics and accountability standards to drive performance towards goals Manage and measure sales force performance and provide feedback to reps Conduct district analytics and market intelligence Marshal and manage resources to solve problems and achieve plans Support key account development Provide input to regional marketing efforts Accountabilities/Metrics: Development and execution of sales plan Achievement of quota (retention and growth) Client attrition Price realization Selling costs Sales force attrition Talent development targets (pipeline, hiring, training) Knowledge: Knows the healthcare industry (payors/providers) and general economics of business Diagnostics/laboratory experience Leading/coaching direct reports Skills: Solid PC skills including Outlook, Excel, Salesforce.com, SAVO Education: Bachelor's degree (Required)

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Flexible PTO Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! As a Vice President of Business Development, you will drive new logo growth and sales pipeline development while playing a key role in the continued growth of the company. You will support strategic initiatives working with health plans, employer groups, ACOs, hospitals and health systems, provider groups, and other healthcare organizations. Build, own, and maintain a robust pipeline of qualified opportunities by cultivating executive-level relationships with payors, ACOs, Health Systems, and other strategic partners Work closely with company leadership to lead and coordinate complex deal execution and strategy in a fast-paced, competitive, and entrepreneurial environment Deliver measurable revenue and membership growth by rapidly advancing opportunities through all stages of the sales pipeline to contract execution Represent the company at industry events and client meetings to promote thought leadership, and drive new business opportunities Develop effective outbound content and thought leadership in partnership with the marketing team Stay up to date on knowledge of industry trends, market intelligence, and state/federal regulations and programs Lead proposal writing efforts to demonstrate company capabilities and secure new business opportunities Provide real-time pipeline and relationship updates, forecast accuracy, and growth reporting to executive leadership with a focus on transparency, urgency, and outcomes Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. 7-10 years of relevant experience in business development, enterprise sales, consulting, or commercial role working with health plans, provider groups, or other healthcare organizations Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and C-level Commercial acumen and a proven track record of driving new business development and creatively structuring agreements Ability to connect with diverse constituents and stakeholders across cross-functional teams (leadership, marketing, account management, new product development, data and analytics, market operations, finance and clinical) Demonstrated success driving new revenue growth and closing favorable deals with national and regional payors, ACOs, and other risk-bearing entities Experience developing compelling presentations using Microsoft PowerPoint Salesforce experience Travel to HQ in McLean, Virginia and client locations

$20,000 Sign on bonus! Your experience matters Rehabilitation Institute of South San Antonio is operated jointly with Lifepoint Health and the Rehabilitation Institute. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Director of Business Development (DBD) our team, you're embracing our promise to provide superior patient care that exceeds industry standards as well as patient expectations. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Director of Business Development (DBD) who excels in this role: Implements a comprehensive business plan to ensure Census and Mix Forecasts are met and/or exceeded. The business plan will include and identify internal and external targets (by specific referral groups and percentages); insurance rate targets (averages) and action plans to evaluate the effectiveness of the Clinical Liaison Team. The business plan will be accessed and updated no less than quarterly to ensure that all business indicators are met Will be the managing director over the clinical liaison and admissions teams Develops, organizes and maintains a database system for decision support information including identification of community needs; demand forecasting; utilization of programs and services; competitive analysis; medical staff utilization trends. Utilizes software tools including the Lifepoint Hospital information systems together with internal data and external database information for statistical analysis Ensures appropriateness of patient selection; assists patients/families in making informed admission decisions Create and implement comprehensive marketing plans and programs annually and on an as needed basis for the facility's long- and short-term goals Interfaces directly with managed care providers, key physicians and other program delivery personnel providing expertise in the development and implementation of business plans, situation analysis documents and feasibility studies to evaluate opportunities for new joint or shared program and/or service offering, and new product-line development, product enhancement and product differentiation in the competitive market environment Consistently interfaces with Referral Sources, Case Managers and Managed Care Providers to create to achieve maximum revenue generation for the hospital while maintaining environment of quality care for the patient Other duties as assigned Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Requirements include: Bachelor's degree in business, Marketing or Clinical discipline Minimum of 5 years' experience in healthcare management preferred Excellent skills needed in forecasting, market-based planning, communications and public relations Valid driver's license and clean driving record Connect with a Recruiter Not ready to complete an application, or have questions? Please contact Abby Scott by emailing **************************. More about Rehabilitation Institute of South San Antonio Rehabilitation Institute of South San Antonio is a state-of-the-art, 36-bed inpatient acute rehabilitation hospital dedicated to the treatment and recovery of individuals who have experienced the debilitating effects of a severe injury or illness. EEOC Statement “Rehabilitation Institute of South San Antonio is an Equal Opportunity Employer. Rehabilitation Institute of South San Antonio is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

Job Title: Business Development Manager Company: Compass Care, LLC , with an office in Stamford, CT Service Areas: New York City, Westchester County, Lower Fairfield County Position Type: Flexible Full-Time (Part-time considered for exceptional candidates) Salary: $100,000 to $125,000 annually, commensurate with experience (for full-time) Incentive Compensation: Annual Performance Bonus up to 25%, based on an increase in qualified and started referral cases during the program year. About Compass Care: Founded in 2014, CompassCare is the premier provider of concierge level private-duty home care in the NY tri-state area. With a reputation for excellence and innovation, we provide highly personalized, top-tier care, enabling clients to maintain their independence and quality of life at home. Our approach is rooted in developing customized care plans for each client, thoughtfully and holistically addressing the complexities of aging. We are passionate about exceeding expectations for our clients and their families, offering care that is both personalized and meaningful. Job Overview: CompassCare is seeking an independent and accomplished professional with a “can do” vision to lead our business development and marketing initiatives. While designed as a full-time position, we are open to considering a part-time role for an exceptionally qualified candidate. Our desired candidate will actively manage relationships with referral partners in a diverse range of industries, demonstrating adaptability to the ever-changing landscape of home care. To achieve the goal of increasing CompassCare's reach and growing the business, the person in this key role is responsible for initiating, cultivating, and expanding high-value referral relationships with new and existing referral sources, trusted advisors, professional networks, institutions, and other aligned partners that will position CompassCare as the premier provider of concierge non-medical homecare in the tri-state area. This is a performance-driven role, with success measured by referral growth, quality and quantity of Leads generated from referral sources, increased brand awareness, and the successful execution of marketing campaigns and events. Key Responsibilities: 1.Conduct Business Development Activities to Achieve Company Growth Goals Main responsibility is to deliver Qualified Prospects every month, meeting the goals and expectations of the company. Qualified Prospects are generated by developing and qualifying new Leads and converting them into Qualified Prospects. All Leads must meet CompassCare's criteria. Meet in person and virtually with physicians, social workers, discharge planners, leaders in aging industry, estate planners, financial institutions, etc. to build and strengthen referral sources. Plan and oversee creative community liaison activities in healthcare settings such as hospitals, rehabilitation facilities, skilled nursing facilities, and assisted living facilities. Consistently identify new potential referral sources and cultivate productive business partnerships that lead to business growth and increased revenue. 2. Develop and Implement Marketing Plan Develop and implement targeted marketing campaigns to enhance CompassCare's awareness and consistently grow the business. This includes activities such as consistently posting appropriate content on social media platforms, designing and writing quarterly newsletters, and orchestrating informational webinars, in-person presentations, and networking events. Attend industry conferences and regional networking events to identify potential new business opportunities and strengthen CompassCare's presence in the community. Become an expert in the home care industry and market trends, the competitive landscape, and share insights with the leadership team. Update marketing materials and support other branding efforts. 3.Performance Reporting Meet established activity targets for the Business Development function and achieve desired results, measured by an increase in active referral sources and qualified cases referred each month. Track and report on Key Performance Indicators (KPIs) and provide regular reports on referral growth and marketing outcomes to senior management. This includes planning and documenting daily Business Development activities, weekly meetings, and networking engagements, and providing weekly performance reports, including progress on referral source development. Skills and Experience: 1.Previous Success: Candidates must have previously demonstrated success in a Business Development role with marketing responsibilities, preferably in home care or related health care field. 2.Professional Communication: Poised and articulate public presenter. Engaging and persuasive in one-on-one meetings with referral sources. Clear, concise and detail-oriented in written and verbal communication. Ability to relate to a variety of stakeholders. 3.Personal Attributes: Production-oriented and driven to exceed goals, with a strong work ethic, professional demeanor and service mindset. Highly organized and disciplined. Accustomed to working in an entrepreneurial manner; a strategic thinker, with a practical, problem-solving approach to continuously drive growth and achieve business objectives. Desire to work in a fast-paced environment. Adaptability, creativity and resourcefulness are essential. 4.Technology Proficiency: Proficiency in CRM software to track leads, referrals, and other data. Fluent in Microsoft office: Outlook, Word, Excel, PowerPoint, etc. Working Environment: This is a Hybrid position. Requires travel throughout CompassCare territories including New York City, Westchester County, Lower Fairfield County, CT, with some time spent at CompassCare home office in Stamford, CT. Qualifications & Experience - Qualified candidates are asked to submit a cover letter with their resume. 1.Education: Bachelor's degree required; Master's degree preferred. Sales and Marketing in related field such as homecare, healthcare or related industry. 2.Experience: Proven success in business development and sales, preferably within the healthcare or homecare industry. Proven track record of achieving sales targets and driving market growth 5+ years' experience required. What We Offer: Competitive salary with performance incentives Comprehensive health benefits (medical, dental, vision) (401(k) with company contribution Paid Time Off Ongoing professional development opportunities A collaborative, mission-driven team environment The opportunity to make a meaningful impact in the homecare industry

Home Health Companions has received the Best of Home Care - Provider and Employer of Choice Award from Activated Insights. These awards are granted only to the top-ranking home care providers. Home Health Companions is now ranked among the Best Employers of in-home caregivers in the region. At Home Health Companions, we strive to go above and beyond in providing a higher standard of compassionate care for the clients we serve. We are currently looking for a passionate professional and creative thinker that thrives in a fast-paced, energetic environment and enjoys building strategic partner relationships with healthcare professionals. Responsibilities: Call on physicians, hospitals, skilled nursing facilities' management, discharge planners, and case managers within an assigned territory to promote our homecare services. Build and maintain client relationships. Prepare business plans and maintain target lists. Prioritize accounts in accordance with the market sales plan. Gather and organize account-related information and provide input on key customer opportunities, service line extensions. The main objective of the candidate is bringing in new business to increase overall market share as a primary goal of the job. Target accounts include, but are not limited to hospitals, physicians, home health agencies, assisted living facilities, nursing homes, senior centers, and hospice organizations. Developing and maintaining knowledge of Home Health Companions brand and effectively presenting marketing materials are essential for this position. The competent candidate needs to think strategically, analyzing the organization and market, as well as existing and potential customers. Excellent network skills and persuasive communication are required. Qualifications Bachelor's degree in Marketing, Business, or a health-related science (e.g., nursing, pharmacy, etc.) or the equivalent, plus a minimum of two years health care or related industry sales experience generally required Demonstrate exceptional interpersonal skills, multi-tasking and problem solving. Present well to clients and peers. Comfortable with closing/asking for business. Exhibit outstanding organizational skills and a service attitude towards the community. Excellent written and oral skills. Ability to handle confidential information and sign confidentiality agreement. Requires valid driver's license, reliable transportation and insurance. Compensation: The compensation package is competitive and is based on a reward for performance structure. There are accelerators and incentives for high achievement. Base + commission.

Remote Sales Manager (FIBC Bags $65K to $125K Dallas, TX About the Role: Are you a results-driven Sales Manager with a passion for driving business growth? We're looking for a motivated, experienced individual to lead our sales efforts in the FIBC bags sector. If you have a strong background in manufacturing or packaging sales and want to be part of a company that values strategic thinking and customer relationships, this role is for you. *Key Responsibilities: - Develop and implement targeted sales strategies to grow our footprint in the U.S. market. - Actively identify new business opportunities and cultivate relationships with potential clients. - Maintain and expand relationships with key customers, ensuring their needs are met and business is retained. - Work closely with the marketing team to create compelling sales campaigns that resonate with our target audience. - Stay ahead of market trends, adapting strategies to outpace competitors. - Generate detailed sales reports and forecasts to keep senior management informed of progress. - Lead and support a team of sales professionals, fostering a collaborative and high-performance culture. - Negotiate contracts, secure deals, and meet sales quotas. - Monitor and manage the sales budget to ensure profitability and efficiency. *What We're Looking For: - Proven success in sales within the manufacturing or packaging industries, with a preference for FIBC bag experience. - Strong closing and negotiation skills. - Excellent communication skills, both verbal and written, with the ability to build strong client relationships. - Expertise in developing and executing sales plans that deliver measurable results. - Experience with CRM systems and sales tracking software. - Leadership experience with a track record of coaching teams to success. - Deep understanding of the U.S. market, including regional nuances. - Ability and willingness to travel up to 50%. *Qualifications: - Bachelor's degree in Business, Marketing, or a related field. - 1+ years of experience in CRM software and account management. - 1+ years of negotiation experience in a sales environment. - Strong analytical mindset and business strategy development experience. - Budget management skills and the ability to meet sales targets. - Customer-centric approach with leadership capabilities. *Job Type: - Full-time - Remote *Benefits:* - Competitive salary with performance bonuses - 401(k) plan - Comprehensive health, dental, and vision insurance - Paid time off and flexible scheduling - Cell phone reimbursement - Work-from-home flexibility *Schedule: - Monday to Friday, 8-hour shifts *Location: - Fully remote role based in Dallas, TX, with travel required up to 50%. If you're a strategic thinker with a proven track record in sales and are excited about the opportunity to lead a dynamic sales team, we'd love to hear from you! Apply today to be part of a growing company with a strong vision for the future.

Location: Rochester, NY (In-person preferred; Remote option available for the right candidate) Employment Type: Full-time | Seniority Level: Executive Industry: Healthcare Staffing | Functions: Sales, Business Development, Operations About the Role: We are seeking a highly motivated, strategic, and results-driven Business Development Executive to join our executive sales team. As a rapidly expanding healthcare management and staffing firm, we are looking for an experienced sales executive to drive aggressive business growth, strengthen client partnerships, and spearhead the strategic expansion of the DelphiHealthcare business line in a pure "hunter" role. This executive role will focus on identifying new business opportunities, cultivating relationships with hospital and healthcare system leadership, and executing high-level growth and operational strategies. The ideal candidate brings proven experience in healthcare staffing, possesses existing relationships with key healthcare executives, demonstrates exceptional business development leadership, and exhibits a true business ownership mentality. --- Key Responsibilities Business Development Leadership · Develop and implement a comprehensive business development strategy · Lead new client acquisition and build long-term partnerships with target hospitals, health systems, clinics, and other healthcare organizations · Represent all lines of Delphi management business, including hospitalist, emergency medicine, anesthesia, and urgent care staffing services · Create and deliver compelling sales presentations, proposals, and marketing materials Strategic Relationship Management · Identify and drive opportunities for expansion within existing accounts · Attend client meetings, conferences, and industry events to enhance company visibility · Serve as a key liaison between executive leadership, business development, and recruiting teams Operational Oversight · Partner with internal teams to ensure operational excellence and fulfillment of client needs while identifying cross-selling opportunities · Track performance, KPIs, and growth metrics across DelphiHealthcare business line · Maintain and manage a structured sales pipeline using CRM systems for accurate forecasting of new accounts/contracts · Document calls, emails and meetings using CRM system and maintain accurate account records/notes for active opportunities and target lists Outreach & Market Growth · Conduct targeted outreach including cold calling, digital prospecting, in-person visits, and strategic follow-up. Some travel required for in-person visits/cold calling · Analyze industry trends to identify emerging markets, service lines, and competitive opportunities --- Required Qualifications · Minimum 5 years of successful business development or sales experience in the healthcare staffing industry preferred · Demonstrated success in generating new business, scaling operations, and managing key accounts · Bachelor's degree required; Master's degree preferred · Exceptional communication, negotiation, and presentation skills · Proficiency with CRM platforms and Microsoft Office Suite · Ability to manage multiple priorities and work cross-functionally in a fast-paced environment · Willingness to travel up to 50% --- Work Location · Rochester, NY office preferred · Remote option available for highly qualified candidates with strong industry experience

Director of Business Development - Hospice Coverage Territory: Montgomery County, MD & Washington, DC Employment Type: Full-time, Permanent A nationally recognized leader in post-acute care services, including home health and hospice, has partnered with HCRI to identify an exceptional Director of Business Development to lead hospice growth initiatives. This role will oversee a hospice sales team and will be responsible for driving admissions growth, strengthening referral relationships, and supporting excellence in hospice care delivery. Qualifications Bachelor's degree in Marketing, Sales, or a related field (preferred) Prior hospice sales management experience required Proven ability to lead, direct, and motivate a professional sales team Skilled in designing and delivering effective training and in-service sessions Experience creating or facilitating staff development programs Knowledge of healthcare regulations, compliance requirements, and hospice industry standards Responsibilities Develop and implement strategic business development initiatives to expand hospice service volumes and enhance referral patterns Recruit, mentor, and lead a high-performing hospice sales team to achieve organizational goals Design, deliver, and maintain training programs and in-service presentations for referral partners and internal teams Analyze referral data to identify trends, opportunities, and areas for strategic improvement Build and maintain strong relationships with community partners, healthcare providers, and referral sources Compensation & Benefits Salary + Bonus Plan: $120,000 - $150,000 Comprehensive health benefits package Generous Paid Time Off 401(k) with up to 6% employer match Mileage reimbursement

Important notice: currently available to those in the 35-mile radius of our office in Boca Raton, FL. Ready to lead a high-performing sales team and drive growth? Join All Star Healthcare Solutions as a Sales Manager and play a pivotal role in shaping success. You'll guide and inspire a team of talented professionals, foster strong client relationships, and deliver results that align with our core values of loyalty, trust, and long-term success. Work from All Star's brand-new headquarters at BRIC, a state-of-the-art campus featuring onsite daycare, a fitness center, and a free Tri-Rail shuttle. Plus, we've invested in Salesforce, the world's #1 CRM platform, giving you and your team powerful tools and training to maximize performance. If you're passionate about leadership and driving revenue, this is your opportunity to make an impact. Essential Duties & Responsibilities • Lead weekly meetings with Sales Consultants to review activity, progress, strategies, and achievements. • Provide coaching and mentorship to Team Captains to maximize production. • Conduct regular one-on-one and side-by-side coaching sessions to drive accountability and performance. • Recruit, interview, and train Sales Consultants to build a high-performing team. • Develop and maintain strong relationships with physicians and clients through collaboration and frequent communication. • Monitor and analyze sales processes to ensure compliance with company standards. • Source physicians nationwide using cold calling, database tools, and internet research. • Match physicians to client sites based on skill level, licensing, credentials, and regulatory requirements. • Participate in negotiations for physician placement opportunities. • Support physicians throughout the recruitment process, including offers, negotiations, relocation, and contract signing. • Maintain and expand a client database to support ongoing business development. • Achieve defined sales quotas by initiating and maintaining client relationships. • Ensure compliance with company objectives and government regulations. • Direct and support consistent implementation of company initiatives. • Perform other duties as assigned by leadership. Skills & Abilities • Strong persuasive and influential communication skills (verbal and written). • Proven ability to meet and exceed strict sales goals in a competitive environment. • Skilled at building rapport with physicians and clients. • Effective negotiation and conflict resolution skills. • Excellent time management and organizational abilities. Education & Experience • Bachelor's degree in Business Administration, Marketing, Communication, Management, or related field (or equivalent combination of education and experience). • Minimum of 4 years in a sales-driven environment required. • Supervisory or team leadership experience preferred. • Prior healthcare staffing experience strongly preferred. • Working knowledge of medical terminology and physician specialties. Awards • SIA Largest Healthcare Staffing Firms in the US • SIA Largest Staffing Firms in the US • SIA Best Staffing Firms to Work For • Modern Healthcare Best Places to Work in Healthcare • Sun Sentinel Top Workplaces in South Florida • South Florida Business Journal Business of the Year Finalist • ClearlyRated Best of Staffing Client & Talent Satisfaction Awards Ready to Lead and Make an Impact? If you're a driven sales leader with a passion for healthcare staffing and the ability to inspire high-performing teams, we want to hear from you! Join us in shaping the future of locum tenens staffing while building lasting relationships with physicians and clients nationwide

Moorings Park is looking for a Director of Revenue Cycle. The Director of Revenue Cycle is responsible for the overall strategy, analysis and implementation of the entire revenue cycle for Moorings Park's multi-campus Continuing Care Retirement Community that includes Independent Living, Assisted Living, Skilled Nursing, Outpatient Therapy, a Home Health Agency, and a Concierge Physicians Practice. This role manages all aspects of billing, cash posting, accounts receivable, payer setup, and contract approval. It ensures accurate and compliant revenue recognition, timely collections, and accountability for all billing processes-including those managed by a third-party billing company The Director of Revenue Cycle is hands-on, directly posting private pay cash receipts, cross-training staff, and serving as a subject matter expert on the EMR billing system. They are responsible for the financial qualification of prospective residents, approval of resident contracts, and customer-facing billing inquiries, making them a key partner in maintaining trust with residents, families, and partners. The role is fully remote and supervises a geographically dispersed team of remote partners. CANDIDATE MUST LIVE IN THE STATE OF FLORIDA - We will not consider any out of state applicants for this position - Contributions: Revenue Cycle Leadership & Vendor Oversight Lead and manage the revenue cycle across all business lines, including billing, collections, cash posting, and accounts receivable oversight. Serve as the primary liaison to the outsourced billing company, holding them accountable to contractual service levels and organizational goals. Supervise internal billing team members, providing leadership, training, and performance management in a fully remote work environment. Continuously evaluate revenue cycle performance, ensuring accuracy, compliance, and process efficiency. Cash Posting & Billing Oversight Personally post private pay cash receipts; ensuring daily and monthly reconciliation of all accounts receivable related deposits. Responsible for the oversight, reconciliation, and quarterly audits of the Patient Trust funds at the Skilled Nursing Facility and Assisted Living Facility, ensuring compliance with organizational standards and state regulations. Responsible for the oversight and monthly reconciliation of the Advance Deposit account ensuring that funds are applied and transferred in a timely manner. Train and cross-train team members on cash posting procedures to ensure adequate coverage. Oversee accurate and timely billing processes for private pay accounts while coordinating with third-party billing partners for Medicare and insurance claims. Monitor accounts receivable aging and work to resolve outstanding balances quickly. Systems & Data Expertise Serve as the subject matter expert and administrator for the EMR billing platform and clearinghouse, including payer setup, workflow configurations, and optimization. Partner with IT to implement system updates and enhancements that improve efficiency and reduce errors. Ensure data integrity across all billing and resident financial systems. Resident Contract and Financial Qualification Review and approve all resident contracts, ensuring compliance with organizational standards and state regulations. Evaluate prospective residents' financial documentation, making recommendations on acceptance and financial qualification. Enter resident contracts into the resident database, ensuring complete accuracy and appropriate recognition of amortization income and deferred revenue. Regularly reconcile database entries to financial statements to ensure accuracy of reported revenue. Customer Service & Stakeholder Communication Respond promptly and professionally to inquiries from residents, families, and coworkers regarding billing or contracts. Provide clear explanations of billing, contracts, and financial obligations to support resident trust and satisfaction. Serves as the billing expert for the Organization, stays informed of all Medicare and Insurance regulations and changes that may impact the Organization; stays up to date on industry best practices Works closely with community health care administrators and admissions teams; is the lead on trainings and status of receivables. Compliance, Audits & Reporting Ensure compliance with HIPAA and all relevant healthcare regulations. Assist with all financial statement audits, cost reports, bond reporting, and other external reviews. Implement and maintain strong internal controls to ensure compliance and safeguard financial integrity. Responsible for the creation, implementation and monitoring of policies and procedures across the Organization to ensure accurate and timely billing and collections; serves as the lead on any task force or project groups related to billing. Responsible for the development and monitoring of key performance indicators to ensure accountability and high performance. Job Requirements: Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field (Master's preferred). Minimum of 5 years' progressive revenue cycle management experience in a multi-service healthcare organization; CCRC or post-acute experience strongly preferred. Expertise with EMR billing systems, clearinghouses, payer setup, and data integrity management. Deep understanding of Medicare billing practices, payer contracts, and healthcare revenue recognition. Strong leadership experience, including managing vendor relationships and supervising a team. Excellent financial analysis and communication skills, with the ability to explain complex billing matters to non-financial stakeholders. Demonstrated knowledge of HIPAA regulations, internal controls, and audit processes. Advanced Microsoft Excel skills; ability to create dashboards and financial reports. Key Competencies: Strategic and hands-on management style, balancing leadership with day-to-day operational expertise. Ability to navigate a complex, multi-site organization with multiple lines of business. Strong problem-solving skills, attention to detail, and a focus on accuracy. High emotional intelligence and a resident-centered mindset. Ability to lead remote teams effectively and foster accountability. Commitment to continuous improvement, compliance, and organizational mission. Moorings Park Communities, a renowned Life Plan organization includes three unique campuses located in Naples, Florida. We offer Simply the Best workplaces through a culture of compassionate care for both our residents and our partners. Simply the Best Benefits for our partners include: FREE health and dental insurance FREE Telemedicine for medical and behavioral health Vision insurance, company paid life insurance and short-term disability. Generous PTO program HSA with employer contribution Retirement plan with employer match Tuition reimbursement program Wellness program with free access to on-site gym Corporate discounts Employee assistance program Caring executive leadership

Job DescriptionDescription Lake Health District is an organization that is excited to implement financial changes to better serve its patients and community. Under the general direction of the CFO, the Revenue Cycle Manager will oversee the development and process of collecting and organizing analytical data related to the organization's revenue, sales, and other financial activities. This role gets the opportunity to help implement a strong revenue cycle team and set the organization up for success in the future. Some of the responsibilities include the personnel and daily operations of all business office functions such as patient accounting, billing, switchboard, coordinating third-party payors, data entry, and credit and collections. The manager will plan, approve, and supervise the deployment of systems and processes to manage and analyze financial data and other records. The Revenue Cycle Manager will create, maintain, and administer training and professional development of the patient access and revenue cycle team to increase staff knowledge and skills. Requirements Education: Degree in business or related field, and/or up to five (5) years on the job experience in business operation of a medical facility/clinic. License/Certifications: Certified Professional Biller (CPB), Certified Professional Coder (CPC). Experience: Five years' experience in business operation of a medical facility/ clinic, preferred. Three to five years' experience working in a supervisory capacity, with responsibility for day-to-day activities of staff and evaluations, required. Experience with electronic health record systems required. Job Knowledge: Knowledge of Medicare, Medicaid, Workers Compensation, preferred provider plans, HMO plans, including their regulations and billing practices. Knowledge of commercial insurance regulations and billing practices. Knowledge of electronic health record systems. Skills: Computer knowledge, skills, and use of software relative to medical practices/billing. Clerical skills, including 10-key calculator, word processing, and keyboarding with accuracy. Understanding and accurate coding capabilities relative to reimbursement. Ability to maintain open communication on a professional level with staff, department heads, physicians, and the public. Ability to maintain cooperative and harmonious relationships with District staff, administration, medical staff, and outside clinic office personnel. Summary Employment Requirements: To apply, please fill out an application, attach a cover letter, and resume. Include gaps in employment and reasons for separation. Must be a U.S. Citizen or National. Subject to satisfactory adjudication of background investigation and/or fingerprint check. Successful completion of 500-hour probationary period. Criminal background check and pre-employment drug screen required upon conditional job offer. Disclaimer: If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty, which shows dates of service and discharge under honorable conditions. If currently on active-duty you must submit a certification of expected discharge or release from active-duty service under honorable conditions not later than 120 days after the date the certification is submitted. Veteran's preference must be verified prior to appointment. Without this documentation, you will not receive veteran's preference and your application will be evaluated based on the material(s) submitted. If claiming 10-point veteran's preference you must provide the DD214 or certification requirements (see above bullet), plus the proof of entitlement of this. Failure to submit these documents could result in the determination that there is insufficient documentation to support your claim for 10-point preference. Lake Health District is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance. Employment decisions are made without regard to race, age, religion, color, sex, national origin, physical or mental disability, marital or veteran status, sexual orientation, genetic information or any other classification protected by law. All employment requirements mandated by local, state, and federal regulations will be observed. Job Posted by ApplicantPro

The Director of Revenue Cycle is responsible for overseeing all aspects of the revenue cycle process within the organization, including patient access, billing, collections, coding, reimbursement, and compliance. This position ensures that revenue cycle operations align with federal and state regulations, payer requirements, and organizational financial goals. The Director will lead teams across patient financial services, health information management, and billing functions to optimize efficiency, reduce denials, and maximize revenue capture. DISTINGUISHING CHARACTERISTICS This role requires a highly strategic leader with expertise in healthcare finance, regulatory compliance, payer relations, and revenue cycle technology. The Director must balance operational leadership with regulatory knowledge (e.g., CMS, HIPAA, Medi-Cal, Medicare, and commercial payers), while maintaining strong communication with clinical and administrative departments. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: The following are exemplary essential job duties and responsibilities and are not intended to represent an all-inclusive listing of related essential functions of the position. Leadership & Strategy · Develop and implement revenue cycle strategies to ensure timely and accurate billing, collections, and reimbursement. · Lead, mentor, and evaluate teams in patient access, billing, coding, and collections. · Collaborate with clinical and administrative leaders to improve workflows affecting reimbursement. Financial Performance · Monitor key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, collection efficiency, and cash flow. · Develop revenue cycle dashboards and reports for executive leadership. · Identify areas for process improvement and implement corrective actions. Compliance & Risk Management · Ensure adherence to state and federal regulations (California Department of Health Care Services, Medi-Cal, Medicare, HIPAA). · Maintain compliance with payer contracts, coding regulations, and billing requirements. · Lead internal audits and respond to payer audits or inquiries. Revenue Integrity & Technology · Oversee charge capture, coding accuracy, and documentation improvement initiatives. · Implement and optimize revenue cycle technologies, including EHR and billing systems. · Partner with IT and compliance departments to strengthen revenue integrity. Stakeholder Engagement · Serve as primary liaison between the organization and third-party payers. · Develop and maintain effective communication with patients regarding financial responsibilities. · Educate clinical and administrative staff on revenue cycle best practices. OTHER WORK AS REQUIRED/REQUESTED May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company operations. MINIMUM & PREFERRED QUALIFICATIONS: Education/Training Minimum: Bachelor's degree in Healthcare Administration, Finance, Business Preferred: Master's degree preferred Experience Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts). Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position. Skills, Knowledge & Abilities · Advanced knowledge of revenue cycle processes, payer regulations, and healthcare reimbursement. · Strong financial and analytical skills, with ability to interpret complex data. · Excellent leadership, communication, and conflict resolution skills. · Ability to work collaboratively with physicians, administrators, and external stakeholders. · Strong problem-solving skills with an emphasis on process improvement Requirements Education/Training Minimum: Bachelor's degree in Healthcare Administration, Finance, Business Preferred: Master's degree preferred Experience Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts). Salary Description $120,000 - $140,000 / annual

Requirements Education/Training Minimum: Bachelor's degree in Healthcare Administration, Finance, Business Preferred: Master's degree preferred Experience Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts). Salary Description $120,000 - $140,000 / annual

+ San Leandro, CA + Fairmont Hospital + AMB Call and Referral Center + Full Time - Day + Management + $69.06 - 115.14/Hour + Req #:42568-31596 + FTE:1 **Alameda Health System offers outstanding benefits that include:** + 100% employer health plan for employees and their eligible dependents + Unique benefit offerings that are partially or 100% employer paid + Rich and varied retirement plans and the ability to participate in multiple plans. + Generous paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to optimize hospital and ambulatory revenue cycle operations. This role collaborates closely with internal teams and external teams to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging automation technologies, the Director will work to improve operational performance by reducing rework, improve cash flow, enhance the patient experience using self-service technology and overall revenue cycle performance. This role collaborates with external clients to align and support community standards. **DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. + Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems. + Work with operations and IT to develop automation strategies that align with business objectives. + Work directly with clients to assess workflow challenges and develop customized automation scenarios. + Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance. + Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement. + Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently. + Work with operations, clients, and payers to streamline data exchange and denial resolution through automated appeals, adjustments, and follow-ups. + Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI. + Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy. + Provides guidance and training to clients on automation tools, workflows, and best practices. + Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines). + Act as a liaison between departments, clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support. + Other duties as assigned. + Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. **MINIMUM QUALIFICATIONS:** + Education: Bachelor's degree (BA) from a four-year college/university; or equivalent combination of education and related experience preferred. + Minimum Experience: 5+ years of experience in hospital revenue cycle management, with a focus on report writing. + Preferred Experience: 3+ years of experience with behavioral health services. Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

Alameda Health System offers outstanding benefits that include: * 100% employer health plan for employees and their eligible dependents * Unique benefit offerings that are partially or 100% employer paid * Rich and varied retirement plans and the ability to participate in multiple plans. * Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to optimize hospital and ambulatory revenue cycle operations. This role collaborates closely with internal teams and external teams to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging automation technologies, the Director will work to improve operational performance by reducing rework, improve cash flow, enhance the patient experience using self-service technology and overall revenue cycle performance. This role collaborates with external clients to align and support community standards. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. * Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems. * Work with operations and IT to develop automation strategies that align with business objectives. * Work directly with clients to assess workflow challenges and develop customized automation scenarios. * Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance. * Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement. * Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently. * Work with operations, clients, and payers to streamline data exchange and denial resolution through automated appeals, adjustments, and follow-ups. * Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI. * Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy. * Provides guidance and training to clients on automation tools, workflows, and best practices. * Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines). * Act as a liaison between departments, clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support. * Other duties as assigned. * Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. MINIMUM QUALIFICATIONS: * Education: Bachelor's degree (BA) from a four-year college/university; or equivalent combination of education and related experience preferred. * Minimum Experience: 5+ years of experience in hospital revenue cycle management, with a focus on report writing. * Preferred Experience: 3+ years of experience with behavioral health services.

Job Details NOAH Administration - Phoenix, AZ Full Time $92414.84 - $113054.15 SalaryDescription Neighborhood Outreach Access to Health (NOAH) is a Federally Qualified Health Center (FQHC) that offers comprehensive, integrated, and affordable healthcare services to people in need. We serve over 40,000 neighbors with a variety of services, including medical, dental, behavioral health, nutrition, preventive health, eligibility assistance, and health education programs. At NOAH, we are dedicated to promoting the overall wellness of our employees by fostering a supportive and balanced work environment. We understand the importance of physical, mental, and emotional well-being, and we strive to create a workplace where our team members can thrive both personally and professionally. Join us in making a difference in our community while enjoying a fulfilling and rewarding career. Job Summary: The Director of Revenue Cycle Management (RCM) is a strategic and operational leader responsible for optimizing all aspects of the patient revenue cycle at NOAH. This includes oversight of coding, claims, reimbursement, collections, and denials management. The Director plays a vital role in supporting the financial health of the organization and must ensure revenue is captured efficiently, accurately, and compliantly. Supervisory Responsibilities: Leads and manages the RCM department, including billing, coding, payment posting, and insurance follow-up functions. Oversees department structure and staffing; recruits, hires, trains, coaches, and evaluates performance of RCM staff. Builds and reinforces a culture of accountability, ownership, and continuous improvement. Conducts regular staff meetings to communicate expectations, share updates, and address issues proactively. Administers disciplinary actions and performance improvement plans in accordance with organizational policy. Promotes team engagement, career development, and professional growth. Duties/Responsibilities: Owns full lifecycle of the revenue cycle process, ensuring timely and accurate charge capture, coding, billing, collections, denial management, and cash posting. Monitors KPIs weekly and monthly (e.g., AR days, denial rate, clean claim rate, net collection rate) and initiates corrective action in collaboration with department leads and CFO. Presents regular KPI dashboards, trends, and action plans to the CFO and executive team. Provides feedback and financial insight to the Accounting team for accurate month-end close, revenue recognition, and forecasting. Coordinates with billing contractors and monitors the quality, productivity, and compliance of their work. Ensures contracted resources are effectively utilized while actively developing internal team capacity to reduce long-term dependency. Leads development, implementation, and enforcement of comprehensive and compliant SOPs for all RCM functions. Works closely with stakeholders to mitigate gaps and designs and delivers billing-related training programs for RCM, Front Office, Community Resources, and PEC teams to ensure complete and accurate data collection at point of service. Leads initiatives to reduce revenue leakage, increase clean claims, and reduce avoidable denials and write-offs. Ensures compliance with payer contract terms, FQHC-specific billing regulations (e.g., PPS, wraparound), Medicaid guidelines, and other federal/state requirements. Oversees and ensures accuracy of AHCCCS PPS reconciliations and other state/federal submissions. Partners with IT and system vendors to ensure RCM systems (e.g., billing, claims, clearinghouse) are configured correctly and optimized for efficiency. Manages high-level and complex patient billing inquiries with professionalism and empathy. Participates in the annual budgeting process; assists CFO and Controller with revenue projections and modeling. Collaborates with peer organizations and industry groups to remain current on FQHC billing best practices. Attends and contributes to cross-functional meetings, trainings, and community initiatives as required. Performs other duties as assigned. Qualifications Required Skills/Knowledge/Abilities: Deep knowledge of full revenue cycle workflows; as well as billing/coding procedures for Medicaid, Medicare, and Commercial insurers. Proven ability to monitor and improve RCM performance through data-driven strategies. Strong understanding of healthcare payer contracting and reimbursement mechanisms. Exceptional leadership, team development, and communication skills. Ability to synthesize complex data into actionable insight and communicate clearly across audiences. Proficiency in electronic health record/practice management systems (preferably EPIC) and data reporting tools (Excel, Tableau, Power BI, etc.). Adept at navigating change, solving problems, and implementing process improvement initiatives. Strong project management and cross-functional collaboration skills. Education and Experience: Required: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent professional experience may be considered in lieu of a degree. Minimum of 10 years of progressive experience in Revenue Cycle operations, including 5+ years in an RCM manager or director-level role. Preferred: Experience in a Federally Qualified Health Center (FQHC) or similar safety-net provider strongly preferred. EPIC certification in Charge Review, Payment Posting, Self-Pay Follow Up, Insurance Follow Up, and/or Coding. Advanced training or certification in Revenue Cycle Management, Healthcare Compliance, or Project Management is a plus. Other Requirements: New Hires are required to pass pre-employment background check and drug testing (effective 11/1/2022). Must reside within the state of Arizona

ESSENTIAL DUTIES/RESPONSIBILITIES: Oversee and support the daily operations of all patient financial services (PFS) functions, including billing, follow-up and collections, cash posting and all Patient Access areas. Work closely with other departments (HIM, Case Management, Information Technology, Clinics, etc.) to streamline procedures that will help ensure correct billing to patients and payers in a timely manner, thereby expediting Clinic receivables. Oversee the work schedule and direct changes in priorities and schedules as needed to ensure work is completed in an efficient and timely manner and to improve the department's performance and service. Implement a Quality Assurance program for PFS functions and monitor staff and team performance, making changes, when required, to support accurate billing to payers and patients in a timely manner and compliance with laws and department procedures. Assist with the development of budgets and monitoring of department operations to achieve goals within the budget. Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers. Maintain appropriate internal controls for the safeguarding of cash. Follow and monitor compliance with Clinic policies and standards. Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters. Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers. Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers. Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions. Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks. Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current workflow. Monitors daily productions of claims, denials, and appeals. Analyzes claims, utilization, and medical cost data. Monitors aged accounts and verify appropriate collections procedures are being followed. Reviews, monitors and recommends updates to the Clinic's fee schedule to maintain fees at levels that maximize reimbursement. Ensures compliance with relevant federal, state, and payor-specific billing requirements. Regularly provides upper management with revenue cycle status including reports, metrics, and presentation. Establish a regularly scheduled revenue cycle meeting to discuss strategies and ensure everyone is educated on the direction of the department. Work with Managed Care vendors in identifying any payer relation issues or contracts that need to be renegotiated or negotiated for the first time. Any and all other projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed or indicated by Administration. SUPERVISORY RESPONSIBILITIES: Central Business Office ASC and Orthopedic Practice QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education: Bachelor's degree in healthcare administration, business, accounting, finance or related field with 5-7 years of management level experience in medical revenue cycle with expertise in billing and collections. Experience:Thorough knowledge of patient financial services processes and standards related to billing collections, and cash posting. General knowledge of patient registration, finance, and data processing. Knowledge of regulatory requirements related to patient accounting including a solid understanding of Medicare, Medicaid and managed care processes. Skills:Presentation skills, training management, motivating others, foster teamwork, coaching, and motivation. In addition, experience in Microsoft Suite (Word, Excel, and PowerPoint). Other Skills: Strong analytical and problem-solving skills.

JOB SUMMARY: The Director of Revenue Cycle serves as the central coordinator of Operations for the hospital or cluster thereof. Functions as the Director of Revenue Cycle liaison between Admitting; Business Services; Utilization Management, Information Systems, other operation departments, and divisions. Revenue Cycle refers to the effective and efficient administration, implementation, monitoring, enforcement, and termination of contract provisions. Responsibilities KNOWLEDGE OF WORK 1. Demonstrates ability to review non-cap contract and assure all the necessary language is on the contract and delete languages that are not of best interest to the hospital. 2. Demonstrates knowledge in cap contract related to rates, stop loss, reinsurance, PMPM prior authorization, UR requirement, Knox-Keene requirement. 3. Able to analyze and interpret general business journals, professional journals, technical procedures, and government regulations, that may reference topics that impact Managed Care operations. 4. Always keeps in contact with affiliated medical groups and health plans and a thorough knowledge of affiliated medical group/IPA development. 5. Experience with hospital accounts receivable and finance - reporting, operations, and systems. 6. Able to write memo, correspondence, contract, letter of agreements, amendments in proper contract language. 7. Monitors utilization of health plans especially the new contracts. 8. Always demonstrates a thorough knowledge of financial reimbursement and monitors managed care contract performance. DUTIES AND RESPONSIBILITIES 1. Prepares rate models/performances based on historical or expected utilization patterns to support negotiations and approval of rates for new or renewal contracts. 2. Develop analysis of service, product, or program costing of MC contracts. 3. Reviews contracts for unique provisions having a system, reporting, or operational impact and coordinates appropriate implementation and monitoring. Assists in developing and implementing procedures and systems to ensure internal and external compliance with contract provisions. 4. Maintains contract contact lists for use in problem resolution and MC contract terms database. 5. Coordinates contract effective dates with Division Managed Care and hospital departments. 6. Identifies, tracks, and coordinates invoicing for reimbursement under unique contract provisions (e.g. Pass-through items, non-cap capitation reinsurance recoveries, etc.) 7. Develops and performs MC A/R payment audits to ensure reimbursement per contract provisions. Initiates underpayment recoveries and system and operational changes to prevent recurrence. 8. Assists departments with contract interpretation and problem solution. Escalates problem resolution to Division, as appropriate. 9. Coordinates plan notifications and responses to plans for information requests. 10. Prepares routine and special MC performance reports to track and analyze revenues, costs, margins, and utilization. 11. Reviews monthly risk pool performance reports and monitors out of area/network utilization. Communicates with Managed Care staff to seek contractual relationships with highly-utilized third-party providers. Serves as a capitation resource in the hospital. 12. Coordinates monthly Internal JOC meetings and quarterly external JOC meetings with affiliated IPAs. Develop Agenda and previous meeting minutes for the meetings. 13. Initiates and facilitates new business development opportunities through proactive relationships with affiliated IPAs. 14. Establishes positive business relationships with key physicians and medical groups. 15. Prepares CATS/CDS packages for all potential referral sources (e.g. physician directorship/service agreements, hospital provider agreements, etc.) to be submitted to Region for review and approval. 16. Performs fiscal/operational analysis of hospital's services/programs and presents findings to the Hospital Administrative Team. 17. Assists finance, Admin and Director of Business Development in the development of Hospital's annul Business Plan/volume assumption schedules. 18. Compiles Medi-Cal managed care utilization data to the State to preserve and increase Disproportionate Share Hospital (DSH) funds. 19. Prepares other special reports as requested by Hospital Administrative Team. 20. Demonstrates ability in the interpretation of legal language and seek appropriate input and clarification of the contract. 21. Always utilizes Corporate resource guidelines in the review of contract and completes the work sheet. 22. Demonstrates the ability to assess a situation, consider alternatives and decide on an appropriate course of action. 23. Able to determine the approach to achieve the best outcome and effective response. 24. Seeks direction and guidance as necessary for performance of duties. 25. Always keeps Finance and Division Managed Care Coordinator informed. 26. Prioritize workload to assure timely completion of task according to urgency and timeline. 27. Able to determine the approach to achieve the best outcome and effective response. 28. Always works in a highly professional manner in utilizing resources around the facility. 29. Performs other duties as assigned. INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY 1. Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet them. 2. Recognizes and responds to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives. 3. Accepts constructive criticism in a positive manner. 4. Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness. 5. Uses time effectively and constructively. Does not abuse supplies, equipment, and service. 6. Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies). SERVICE EXCELLENCE 1. Understands, respects and displays sensitivity to culture, age and persons with disabilities. 2. Participates actively and positively affects the outcomes of customer service activities. 3. Uses effective collaborative strategies as evidenced by: a) Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goals. b) Recognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems. c) Timely notification to Department Manager/Director of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager/Director is made aware of the problem or concern. d) Displaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goals. e) Supports Patient Rights. 4. Displays honesty and respect for others, and respect for the organization as evidenced by: a) Treating internal and external customers as the most important part of the job. b) Being sensitive to customer's emotions, thoughts and feelings. c) Refraining from negative comments of any kind where the public or other customers can hear. d) Taking appropriate actions to resolve the concern. 5. Facilitates and enhances communication as evidenced by: a) Effective and timely processing of customers requests according to hospital and departmental policies. b) Utilizing verbal communication methods, which enable others to clearly understand what is being said. c) Utilizing verbal and non-verbal behaviors without being defensive, manipulative, aggressive or controlling. d) Using written communication that is legible, timely and at a level based on the position specific requirements. e) Listening attentively to ensure effective two-way communication. f) Expressing and accepting feedback in a professional manner. g) Answering the telephone with stating department, name and greeting. 6. Interacts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient manner. 7. Establishes good rapport and working relationships with coworkers, other hospital staff, physicians and the public 8. Observes dress code policy and wears hospital identification as required by our policies and procedures. CONTINUOUS QUALITY IMPROVEMENT 1. Understands and abides by all departmental policies and procedures as well as the Codes of Ethics, HIPAA requirements and patient rights. 2. Complies with federal, state, local laws that govern business practices. Complies with all Department of Health Services requirements for the State of California, and HCFA standards that apply to the position. 3. Is knowledgeable and adheres to JCAHO/DHS/CMS standards specific to the position. 4. Participates actively in ensuring that all state and federal rules and regulations are followed as they apply to this position. 5. Conducts business in an ethical and trustworthy manner at all times when dealing with patients, visitors, physicians, and fellow employees. EDUCATION AND ENVIRONMENT OF CARE 1. Attends scheduled inservice and mandatory inservice. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes. 2. Follows standard precautions and transmission based precautions as shown by consistent use of appropriate personal protective equipment. 3. Adheres to procedures for the disposal of waste - household waste and biohazard waste as well as the proper disposal of sharps. 4. Uses proper body mechanics and safe patient handling devices at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patient. 5. Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment. Adheres to safe work practices in order to prevent injuries and illnesses. 6. Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Red, Code Blue, Code Pink, Code Orange, Code Yellow, Code Gray, Code Silver, Code Purple, etc.) 7. Maintains the department in a neat, clean, and orderly manner, especially in own work area. 8. Eliminates or assists in eliminating any seen or known hazards in the workplace. Reports any unsafe conditions to his or her immediate supervisor. 9. Demonstrates good safety habits and judgment by maintaining a safe environment at all times. 10. Complies with all hospital safety and injury prevention policies and regulations (seven Environment of Care plans and hospital safety policies and procedures). PERFORMANCE IMPROVEMENT 1. Understands the Continuous Quality Improvement Process and applies it in performing everyday tasks/duties. Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities. 2. Understands performance improvement concepts and demonstrates understanding by: a) Defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting. b) Ability to describe a quality improvement problem solving process (e.g., PDCA) and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goals. c) Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months. 3. Cooperates with others in the improvement of services offered at our institution. Continually makes recommendations that assist in the improvement of services. 4. Continually strives for self-improvement in areas of responsibility by attending continuing education classes. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Bachelor's in finance or healthcare related major. 2. A minimum of 3 years hospital managed care experience required.