Revenue Optimization Consulting Director

SCOPE/GENERAL PURPOSE OF JOB: 

This role partners directly with hospital systems, physician groups, imaging centers, and specialty practices to identify operational gaps, optimize workflows, improve revenue integrity, and implement sustainable revenue cycle solutions. 

A proven healthcare revenue cycle leader with deep operational expertise, strong executive presence, and the ability to navigate complex healthcare environments while delivering measurable financial and operational results. 

Revenue Cycle Optimization & Operational Consulting  

• Assess and evaluate end-to-end revenue cycle operations across hospital systems and physician practices  
• Identify opportunities to improve revenue capture, reduce denials, optimize workflows, and enhance operational performance 
• Lead operational assessments focused on scheduling, registration, financial clearance, charge capture, coding, billing, collections, reimbursement, reconciliation, and denial management 
• Develop strategic recommendations and actionable improvement plans aligned with client goals and operational realities  
• Support clients through workflow redesign, operational transformation, and revenue integrity initiatives  
• Analyze KPIs, operational data, and financial trends to identify improvement opportunities and measure performance outcomes  
• Assist clients with revenue cycle stabilization, process standardization, and governance development 

Client Advisory & Strategic Leadership  

• Serve as a trusted advisor to healthcare executives, operational leaders, and physician stakeholders  
• Facilitate executive-level discussions and present findings, recommendations, and strategic roadmaps  
• Build strong client relationships through responsiveness, collaboration, and consistent value delivery  
• Provide subject matter expertise related to healthcare revenue cycle operations, reimbursement, revenue integrity, and operational best practices  
• Support business development efforts through client relationship expansion and identification of additional consulting opportunities 
• Collaborate internally with company leadership, consultants, analysts, and project teams to support successful client outcomes 

 Revenue Integrity & Financial Performance Improvement  

• Evaluate charge capture processes, reimbursement workflows, denial trends, and revenue leakage opportunities  
• Identify operational inefficiencies impacting cash flow, reimbursement accuracy, and financial performance  
• Support implementation of best practices related to revenue integrity, documentation improvement, and operational accountability  
• Develop performance improvement strategies focused on reducing avoidable write-offs, denials, and reimbursement delays  
• Assist organizations with optimization of EPIC and other revenue cycle technologies and reporting capabilities 

Reporting, Communication & Deliverables  

• Develop clear, executive-level presentations and operational reports outlining findings, recommendations, and project progress  
• Translate complex operational and financial data into actionable insights and client-friendly deliverables  
• Provide regular project status updates and communicate risks, barriers, and recommendations effectively  
• Support development of training materials, operational workflows, and process documentation when applicable 

 EDUCATION AND/OR EXPERIENCE: 

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred 
• HFMA, AAHAM, CRCR, or other healthcare revenue cycle certifications preferred 
• 8+ years of healthcare revenue cycle, revenue integrity, operational consulting, or healthcare financial management experience 
• Strong background working with hospital systems, physician groups, imaging centers, oncology, radiology, or specialty healthcare organizations. 
• Demonstrated experience leading operational improvement and revenue optimization initiatives  
• Experience with consulting engagements, client-facing advisory services, and executive stakeholder communication preferred  
• Proven ability to manage multiple projects and priorities in a fast-paced consulting environment 

QUALIFICATIONS: 

• Exceptional communication and presentation skills  
• Strong executive presence and ability to influence stakeholders 
• Ability to work independently while collaborating effectively across teams  
• Highly organized with strong attention to detail and follow-through 
• Ability to travel as needed based on client engagements 
• Strong understanding of healthcare revenue cycle operations including: 
  • Scheduling and registration  
  • Financial clearance and authorizations  
  • Charge capture and reconciliation  
  • Coding and billing operations  
  • Denials management  
  • Revenue integrity  
  • Reimbursement methodologies  
  • Operational workflow redesign 
• Experience with Epic revenue cycle applications strongly preferred 
• Familiarity with Cerner and other healthcare revenue cycle platforms a plus  
• Strong analytical, financial, and operational problem solving capabilities 
• Ability to communicate effectively orally and in writing.