Full-Time Sr. Director, Revenue Cycle Optimization

Privia Health is hiring a remote Full-Time Sr. Director, Revenue Cycle Optimization. The career level for this job opening is Senior Manager and is accepting Remote, USA based applicants remotely. Read complete job description before applying.

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Privia Health

Job Title

Sr. Director, Revenue Cycle Optimization

Posted

Career Level

Full-Time

Career Level

Senior Manager

Locations Accepted

Remote, USA

Salary

YEAR $145000 - $150000

Job Details

The Sr. Director, Revenue Cycle Optimization is a key leader responsible for driving financial performance and operational efficiency across the Revenue Cycle Management (RCM) team. This role oversees offshore vendor partnerships, directs Robotic Process Automation (RPA) initiatives for RCM, and manages Revenue Optimization and Revenue Integrity functions.
Key Areas of Focus:
  • Auditing payer performance
  • Identifying underpayment trends
  • Managing charge alerts
  • Addressing downcoding opportunities
  • Providing strategic oversight of the chargemaster to ensure accurate revenue capture and compliance.
This role is vital to enhancing revenue integrity, strengthening operational efficiency, and driving sustained financial growth through strategic leadership and data-driven decision-making.
Primary Job Duties:
  1. Lead and mentor high-performing teams across Revenue Optimization and Revenue Integrity functions.
  2. Develop and execute strategic plans that support growth, operational efficiency, and market expansion.
  3. Foster collaboration across departments to support enterprise-wide financial and operational goals.
  4. Lead the strategy, performance, and relationship management of offshore RCM vendors to align with organizational goals.
  5. Develop and manage performance metrics to ensure vendor accountability and operational success.
  6. Identify and implement process improvements through offshore partnerships to drive efficiency and cost savings.
  7. Drive automation strategies to optimize operational workflows and increase accuracy across the revenue cycle teams.
  8. Collaborate with IT and operational teams to implement scalable RPA solutions.
  9. Monitor, refine and prioritize automation processes to maximize performance and return on investment.
  10. Oversee the Revenue Optimization team responsible for chargemaster setup, accuracy and athenaOne billing rules to ensure compliance and optimal revenue capture.
  11. Develop and execute strategies to improve revenue capture and reduce financial leakage.
  12. Lead the Revenue Integrity teams responsible for payer performance audits, focusing on underpayments, denials, and reimbursement trends.
  13. Partner with compliance and operational teams to mitigate financial risks and capitalize on revenue opportunities.
  14. Other duties as assigned.
Requirements:
  • Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field preferred.
  • 8+ years of experience in Revenue Cycle Management, Revenue Optimization, or related areas.
  • Strong people management experience required
  • Proven expertise in payer auditing, underpayment recovery, and chargemaster oversight.
  • Strong analytical and problem-solving skills with a strategic mindset.
  • Excellent leadership, communication, and cross-functional collaboration abilities.
  • Advanced Microsoft Excel skills strongly preferred (ex: VLOOKUP, sort/filtering/formatting, pivot table, and formulas).
  • Experience using Athena EHR required
  • Cognizant TriZetto products preferred
  • Experience using Salesforce for case management
  • Experience with RPA tools and process automation preferred.
  • In-depth knowledge of payer reimbursement policies and revenue cycle compliance preferred.

FAQs

What is the last date for applying to the job?

The deadline to apply for Full-Time Sr. Director, Revenue Cycle Optimization at Privia Health is 18th of September 2025 . We consider jobs older than one month to have expired.

Which countries are accepted for this remote job?

This job accepts [ Remote, USA ] applicants. .

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