Baylor Scott & White Health · 1 day ago
Director, Revenue Cycle Payer Performance
Dallas, TX
Contract
Onsite
Lead/Staff, Director/Executive
5+ years expBaylor Scott & White Health is the largest not-for-profit healthcare system in Texas, dedicated to promoting the well-being of individuals and communities. The Director, Revenue Cycle Payer Performance will lead strategic efforts to address issues related to commercial underpayments and denials, serving as a liaison between Revenue Cycle and Managed Care leadership while developing tools to monitor reimbursement and track revenue opportunities.
FitnessHealth CareMedicalSports
Responsibilities
Develop effective communication channels across the Revenue Cycle to identify commercial payer trends, underpayments, and opportunities for BSWH revenue improvement
Track denials and avoidable write-offs (AWOs) across all regions; improve efficiency of regional workgroups by coordinating scalable, system-wide solutions
Drive resolution of all payer-related revenue opportunities by coordinating across internal stakeholders and third-party vendors
Serve as the central point of contact for Revenue Cycle, Finance, and Operations regarding commercial payer issues and outstanding concerns
Manage projects related to revenue optimization and denial mitigation, ensuring timely delivery and adherence to budget constraints
Support Revenue Cycle leadership with strategic planning and prioritization of key commercial reimbursement projects based on financial impact
Represent Revenue Cycle’s interests in contract negotiations; maintain a strong working knowledge of managed care contract language and operational implications
Provide actionable feedback to inform BSWH payer scorecards and performance evaluations
Assist the Managed Care department in preparing for regular payer meetings, including surfacing operational issues and identifying opportunities for improved performance
Develop and maintain process workflows for communicating and implementing contract updates that affect Revenue Cycle functions
Partner with the Revenue Analytics team and Managed Care to assess financial impacts of commercial contract changes and ensure alignment with reimbursement expectations
Co-develop reporting and analytics tools to proactively monitor reimbursement trends, identify underpayments, and uncover additional revenue opportunities—including denial patterns
Leverage automation opportunities and system capabilities to streamline internal practices and optimize revenue
Stay informed on emerging technologies and tools related to revenue optimization, contract compliance, and denial management, present viable opportunities to senior leadership
Utilize a broad range of technology platforms—including Epic and other revenue cycle, analytics, and reporting tools—to support data-driven decision-making
Operate effectively in a matrixed organization, collaborating across teams without direct authority to influence performance and outcomes
Coordinate with stakeholders across departments and systems to standardize workflows and drive systemic improvements in payer performance
Qualification
Required
Bachelor's or 4 years of work experience above the minimum qualification
Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting
Preferred
Bachelor's degree very highly preferred; degree in Business, Finance, Healthcare Administration, or related field preferred
Master's degree (e.g., MBA, MHA) is a plus
Familiarity with Epic EHR (Hospital and Professional Billing modules)
Experience working cross-functionally with Managed Care, Finance, and Revenue Analytics teams
Certification(s) such as CHFP, CRCR, or equivalent preferred but not required
Benefits
Immediate eligibility for health and welfare benefits
401 (k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Company
Baylor Scott & White Health
Baylor Scott & White Health is a non-profit health care system that research about the outpatient, and emergency treatment services.
10001+ employees
H1B Sponsorship
Baylor Scott & White Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (17)
2024 (9)
2023 (6)
2022 (5)
2021 (4)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
J
Jennifer Mitzner
Executive Vice President & CFO
Recent News
2025-12-09
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