Director, Revenue Cycle

4 days ago

San Diego, CA, United States The E.W. Scripps Company Full time
Located in San Diego and requires local residence.

Eligible to participate in the Director Incentive Plan and Eligible for New Hire Incentives.

Elevate your career with Scripps Health, where Compassion Meets Excellence.

Why join Scripps Health?

AWARD-WINNING WORKPLACE:

At Scripps Health, your ambition is empowered, and your abilities are appreciated:
  • Nearly a quarter of our employees have been with Scripps Health for over 10 years.
  • Scripps is a Great Place to Work Certified company for 2025.
  • Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
  • Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
  • We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
  • Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a nationally respected health system driving the next generation of technology-enabled revenue cycle operations. In 2024 Scripps Health received the Kodiak Revenue Cycle Performance Award reflecting our commitment to operational excellence, financial stewardship, and patient-centered care.

The Director, Revenue Cycle - Patient Financial Services (PFS) is a strategic leader who blends operational excellence with data-driven innovation. This role oversees payment posting, EDI, and automation while leading our Revenue Cycle Informatics team to advance analytics, efficiency, and performance.

Key Responsibilities of the role:
  • Lead all signed revenue cycle operations with a focus on transactional excellence, automation, and digital enablement to drive measurable improvements in cash acceleration, accuracy, and efficiency,
  • Oversee transactional operational including payment postings, EDI workflows, automation initiatives, and vendor integrations, ensuring process standardization and system integrity across all sites.
  • Lead and mentor direct reports and staff beneath them in a manner that inspires them to lead and execute their duties and responsibilities in line with Scripps's vision and mission. Culture an environment where growth and learning are demonstrated, leading to an ever-increasing improvement in efficiency and excellence.
  • Direct supervision of vendor contract, including Timely, accurate and consistent fulfillment of negotiated deliverables; Scheduled performance review and reporting; Invoice monitoring and payment; contract updates as needed; Regular meeting / updates on vendor results; Review of services at term breaks to determine best options between continuation or solicitations to stay current with best practices
  • Partner across cross functional team to advance technology-driven initiatives such as robotic process automation (RPA), API integration, and data visualization for real-time decision support.
  • Build and lead a high-performing, analytically fluent team that leverages Epic, automation tools, and data insights to optimize performance and proactively solve complex operational challenges, as well as proposing process improvements to keep Scripps on the cutting edge. Cultivate collaborative relationships with internal stakeholders and payer partners to identify trends, resolve systemic barriers, and enhance digital transaction quality and payer connectivity.
  • Ensure compliance with all applicable regulations and stay current on industry trends and best practices.
  • Serve as a strategic architect for future state end-to-end revenue cycle design, incorporating AI readiness, predictive analytics, and automation scalability into long-term plans.
#LI-EE1

Qualifications
Requirements:
  • Bachelors of Science or Arts, Finance or Business.
  • 5 years of healthcare admitting registration/finance/patient accounting plus 5 years of progressive level of multi-hospital system management responsibility including operations redesign and project management.
  • Knowledge of Federal/State/County/Commercial Insurance Payers requirements.
Preferred Education/Experience/Specialized Skills/Certification:
  • Masters in Business, Healthcare Administration, and Finance preferred.
  • HFMA Certified Patient Accounting Manager (CPAM), NAHAM Certified Healthcare Access Manager (CHAM), Certified Healthcare Financial Professional (CHFP) or HFMA Fellow (FHFMA) preferred.
  • Extensive billing knowledge and experience with revenue integrity.
  • Expertise in Epic Revenue Cycle, payer connectivity, and RPA or workflow automation tools.
  • Experience dealing with commercial payers, governmental entities and financial institutions EDI processes.
  • Proven ability to lead cross-functional teams integrating operations, informatics, and EDI.
  • Demonstrated experience driving digital transformation, data-driven decision making, and AI enablement within revenue cycle operations.

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