Director, Revenue Cycle Management Evernorth
Oakdale, CA - USA
Job Summary
Join a team that helps patients get care and helps clients get paid with accuracy and care. As Director Revenue Cycle Management you will lead the strategy for admissions payer work billing and collections. You will guide leaders partner with clients and improve how work gets done across a complex client base. This role is a strong fit for a caring ambitious expert who can bring clear direction sound judgment and a growth mindset to important work.
Responsibilities
Set the revenue cycle strategy for admissions payer work billing and collections with a focus on scale quality and strong client results.
Build clear standards controls and success measures that support clean revenue payer rules and steady execution.
Lead payer contract operations payer updates and audit response work while reducing risk and fixing root causes.
Coach and develop revenue cycle leaders set clear goals and build team habits that support growth and accountability.
Turn financial and operational data into clear insights actions and recommendations for clients and senior leaders.
Partner with clinical finance technology compliance and client teams to align revenue cycle work to business goals.
Sponsor process improvement automation and system changes that reduce manual work improve cash flow and make work easier for teams.
Track receivables aging cash flow payer trends and rule changes to guide priorities and support sound decisions.
Qualifications -
High school diploma or GED. Bachelors degree in finance accounting business healthcare administration ora relatedfield.
8 years of progressive experience in home infusion revenue cycle management healthcare operations financial operations orarelatedfield.
Experience leading large complex teams or work that supports more than one client.
Strong knowledge of healthcare billing reimbursement payer rules financial controls and compliance needs.
Success leading change growing teams or putting large business plans into action.
Ability toinfluence acrossteams and explain complex topics in a clear practical way.
Strong business judgment and comfort using data to guide plans and decisions.
Experience leading people leaders and building high-performing inclusive teams.
Qualifications - Preferred
Home infusion revenue cycle management experience.
Experience with payer contract review payer audits benefit checks billing collections and reimbursement strategy.
Experience working with technology or product teams to improve systems reports automation or workflow design.
Experience supporting new client launches Ambulatory Infusion Center launches or other growth efforts.
If you will be working at home occasionally or permanently the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position we anticipate offering an annual salary of 134900 - 224800 USD / yearly depending on relevant factors including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
At The Cigna Group youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several health-related benefits including medical vision dental and well-being and behavioral health programs. We also offer 401(k) company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year paid holidays and leaves of absence. For more details on our employee benefits programs click here.
About The Cigna Group
Doing something meaningful starts with a simple decision a commitment to changing lives. At The Cigna Group were dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services we are committed to enhancing the lives of our clients customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Required Experience:
Director
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.