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Director - Revenue Cycle Management (RCM) Platform Consulting
Director – Revenue Cycle Management (RCM) Platform Consulting
Location: Dallas, TX with occasional travel Employment Type: Full-Time
Candidates should reside within a reasonable commuting distance of Dallas, TX if applying for the local/hybrid option
Candidates must be legally authorized to work in the United States on a permanent basis; this role does not offer sponsorship now or in the future
Position Summary
We are seeking a senior leader to oversee Revenue Cycle Management (RCM) consulting initiatives focused on regulatory compliance, dispute resolution, and financial performance optimization. This role will work at the intersection of healthcare operations and technology, helping organizations navigate requirements related to the No Surprises Act (NSA) while improving reimbursement outcomes.
This individual will guide clients through the implementation and optimization of technology solutions that support IDR processes, reconciliation workflows, and revenue recovery strategies, while also partnering internally to enhance product capabilities.
Key Responsibilities
Client Advisory & Strategy
Act as a senior advisor to healthcare organizations on RCM strategy, compliance, and operational efficiency
Lead consulting engagements focused on NSA compliance, IDR strategy, and revenue optimization
Identify gaps in current processes and recommend scalable solutions to improve performance
Platform Implementation & Optimization
Oversee implementation of technology solutions supporting IDR workflows, reconciliation processes, and claims management
Translate regulatory and operational requirements into system configurations and process improvements
Partner with internal teams to enhance platform capabilities based on client needs
Revenue Recovery & Performance
Develop strategies to identify and recover underpayments, particularly in out-of-network scenarios
Improve reimbursement outcomes through optimized IDR processes and dispute resolution strategies
Analyze payer trends and revenue leakage to drive financial improvements
Reconciliation & Data Accuracy
Establish processes to ensure alignment between billed charges, reimbursements, and regulatory guidelines
Design reporting frameworks and dashboards to track performance and discrepancies
Drive automation and efficiency in reconciliation and financial workflows
Compliance & Regulatory Oversight
Ensure adherence to No Surprises Act (NSA) requirements and related regulations
Support audit readiness and risk mitigation initiatives
Monitor regulatory updates and translate them into operational and system changes
Team Leadership & Growth
Lead and mentor a team of consultants and analysts
Develop methodologies, best practices, and reusable frameworks for engagements
Support business development efforts through solution design and client presentations
Qualifications
Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (advanced degree preferred)
10+ years of experience in Revenue Cycle Management (RCM), with leadership experience
Strong understanding of NSA regulations, IDR processes, and payer reimbursement models
Experience working with healthcare organizations on financial or operational improvement initiatives
Background in consulting, SaaS platforms, or technology-enabled services
Preferred Experience
Familiarity with healthcare regulatory frameworks and compliance requirements
Experience with analytics, reporting tools, or workflow automation platforms
Industry certifications related to RCM or healthcare operations
Core Competencies
Executive-level communication and stakeholder management
Strong analytical and financial acumen
Ability to lead complex, cross-functional initiatives
Strategic mindset with hands-on execution capability
Experience driving change in dynamic environments
What Success Looks Like
Improved revenue capture and reduced leakage through optimized RCM processes
Increased effectiveness and efficiency of IDR workflows
Strong client adoption of technology solutions
Reduced compliance risk related to NSA requirements
Growth and scalability of consulting engagements
Additional Requirements
Candidates should reside within a reasonable commuting distance of Dallas, TX if applying for the local/hybrid option
Candidates must be legally authorized to work in the United States on a permanent basis; this role does not offer sponsorship now or in the future
Additional Information
Travel required on an as-needed basis for client engagements
Flexible work environment with remote or hybrid options
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