Sr Director of Treasury and RCM Operations

About the role

The Senior Director, Treasury & Revenue Cycle Management (RCM) Operations is a strategic finance leader responsible for optimizing enterprise cash flow, improving working capital performance, and driving operational excellence across the revenue cycle. This role will oversee treasury operations, cash forecasting, accounts receivable performance, billing operations, collections effectiveness, denial management, and continuous improvement initiatives.

The ideal candidate will combine strong treasury expertise with deep healthcare revenue cycle knowledge to improve liquidity, accelerate cash collections, reduce revenue leakage, and establish scalable processes and reporting disciplines. This leader will partner closely with Finance, Accounting, Operations, Clinical teams, and external RCM partners to improve financial performance and support company growth.

What you'll do

Treasury & Cash Management

• Develop, maintain, and continuously improve a 13-week cash flow forecasting model to provide visibility into short-term liquidity, cash requirements, and funding needs.
• Own weekly cash forecasting processes, including cash inflows, operating expenditures, payroll, capital expenditures, debt obligations, and other liquidity drivers.
• Prepare and present weekly cash balance reporting with analysis of actual performance versus forecast and identification of key drivers.
• Develop daily cash management processes, including:
• • Daily cash receipts reporting
  • Cash application monitoring
  • Deposit reconciliation
  • Cash collection trend analysis
• Partner with Accounting and Operations teams to improve cash conversion cycles and working capital performance.
• Support banking relationships, treasury controls, and cash management optimization initiatives.
• Establish treasury policies, procedures, and internal controls to safeguard company assets.

Revenue Cycle Management (RCM) Leadership

• Lead the optimization of end-to-end revenue cycle processes, including:
• • Billing processes
  • Claims submission
  • Payment posting
  • Denial management
  • Collections
  • Accounts receivable management
• Drive initiatives to reduce Days Sales Outstanding (DSO) and improve cash collections.
• Establish RCM performance metrics, dashboards, and operating cadence.
• Analyze revenue cycle trends and identify opportunities to improve:
• • Clean claim rates
  • First-pass resolution rates
  • Denial rates
  • Collection effectiveness
  • Aging receivables
  • Net collection rates

Denial Management & Revenue Optimization

• Develop and execute strategies to reduce claim denials and prevent revenue leakage.
• Establish root-cause analysis processes to identify systemic billing and operational issues.
• Partner with operational leaders to implement corrective actions and process improvements.
• Monitor payer trends, reimbursement issues, and regulatory changes impacting revenue realization.
• Improve documentation, workflows, and controls supporting accurate and timely reimbursement.

Process Documentation & Continuous Improvement

• Lead the creation and maintenance of comprehensive RCM process documentation, including:
• • Standard operating procedures (SOPs)
  • Process maps
  • Roles and responsibilities
  • Key controls
  • Performance metrics
• Build a culture of continuous improvement using data-driven methodologies.
• Identify automation opportunities to improve efficiency, reduce manual processes, and increase scalability.
• Establish governance routines to monitor progress against improvement initiatives.
• Drive operational excellence through standardization, accountability, and measurable outcomes.

Leadership & Cross-Functional Partnership

• Partner with CFO, VP, Accounting, Finance, Operations, and executive leadership to improve financial performance.
• Provide executive-level reporting and insights regarding:
• • Cash position
  • Liquidity outlook
  • Revenue cycle performance
  • Collection trends
  • Operational improvement opportunities
• Lead, mentor, and develop treasury and RCM team members.
• Manage relationships with third-party billing vendors, consultants, and service providers.

Qualifications

• Bachelor’s degree in finance, Accounting, Business Administration, Healthcare Administration, or related field.
• 10+ years of progressive experience in treasury, finance operations, healthcare revenue cycle management, or related functions.
• Demonstrated experience building and managing 13-week cash flow forecasting models.
• Proven track record improving DSO, reducing denials, and optimizing collections.
• Experience documenting and redesigning complex business processes.
• Strong analytical skills with the ability to translate data into actionable insights.
• Experience leading cross-functional teams and driving operational change.

Preferred Qualifications

• MBA, CPA, or other relevant professional certification.
• Experience in high-growth healthcare, SaaS-enabled healthcare, or PE-backed environment.
• Experience implementing RCM technology platforms, automation, or analytics solutions.
• Experience managing outsourced RCM providers.