Senior Director of RCM Consulting

The Senior Director of RCM Consulting is a strategic leadership role responsible for overseeing the Revenue Cycle Management (RCM) Consulting and Auditing divisions. This individual plays a key role in
developing high-level client relationships, driving revenue cycle strategy and optimization for clinical laboratory and pathology clients, and serving as a strategic advisor to internal and external stakeholders. This role provides vision and direction across a cross-functional team of Auditors and RCM Client Managers and collaborates with Sales and executive leadership to expand services, improve client experience, and enhance client retention.

Essential Functions & Basic Duties

-Provide strategic leadership to the RCM Consulting department, including direct oversight of RCM
-Client Managers and Director of Auditing – handling all administration, recruitment, and performance management.
-Build, implement, and refine internal processes, SOPs, and workflows that align with department goals and client needs.
-Lead performance management and training efforts to ensure high-quality service delivery and continuous team growth.
-Oversee departmental KPIs, resourcing, and client engagement assignments, including onboarding and ongoing support.
-Maintain a product/service feedback loop to inform process improvements and internal service development.

Client Strategy & Consulting
-Serve as the lead consultant for client engagements, guiding strategic conversations from startup/scoping calls to executive wrap-ups.
-Act as an escalation point and senior problem solver for client issues, at times through on-site visits.
-Build trusted relationships with client stakeholders, including C-level executives, CFOs, and financial leadership.
-Provide expert consulting on RCM challenges including denials, reimbursement policy, medical necessity audits, and revenue optimization.

-Identify opportunities to deliver incremental client value and expand the service footprint in collaboration with Sales.
-Support payor contracting strategy, including negotiations, rate analysis, and tactics to improve client reimbursement.

-Clearly communicate company's service offerings and differentiate clinical lab vs. pathology workflows when guiding clients.

Operational Excellence & Execution
-Lead the development of policies, procedures, and best practices that optimize customer satisfaction, communication, and accountability.
-Oversee and improve workflows related to client operations, RCM processes, and LIS/system integration.
-Facilitate collaboration across internal and external stakeholders to identify areas of improvement in service delivery and client outcomes.
- Monitor active client engagement projects, assess performance, and guide teams in identifying and implementing timely solutions.
-Perform and oversee data analysis to identify trends, risks, and performance gaps, recommending actionable insights and strategies.
- Establish and nurture preferred vendor relationships to support clients’ needs beyond company service scope.
- Ensure compliance with HIPAA and all company policies, procedures, and applicable federal and state regulations.
-Available to travel overnight up to 10% of the time and work occasional weekends to meet client and project needs.

Minimum Qualification Requirements
-Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field.
-Equivalent experience may be considered. Master’s degree is preferred.

Experience
-Minimum of 10 years in healthcare billing and revenue cycle management with expertise in laboratory/pathology billing.
-At least 5 years of client-facing consulting experience, with a strong emphasis on strategy, stakeholder management, and communication.
-3+ years of leadership or management experience, preferably with cross-functional teams.