Hackensack Meridian Health · 1 week ago
Director of Revenue Cycle Integration
Hackensack, NJ
Full-time
Onsite
Director/Executive
7+ years expHackensack Meridian Health is committed to transforming healthcare and serving as a leader of positive change. The Director of Revenue Cycle Integration provides strategic leadership and operational oversight for functions that support and optimize the health network's revenue cycle, ensuring alignment with financial goals and operational efficiency.
Assisted LivingHealth CareHealth DiagnosticsHospitalMedical
Responsibilities
Develop and execute a comprehensive, long-term strategy for revenue integration, aligning departmental goals with the organization's financial objectives
Provide direct leadership, mentorship, and professional development to managers and team members within Project Management, Informatics, Contract Analytics, and Credit Balance teams
Establish, monitor, and report on Key Performance Indicators (KPIs) for all areas of responsibility, driving a culture of accountability and continuous improvement
Manage departmental budgets, resource allocation, and vendor relationships to ensure efficient and effective operations
Oversee the entire portfolio of revenue cycle projects, including EPIC system implementations, optimizations, and upgrades, ensuring they are delivered on time, within budget, and meet strategic objectives
Direct the Revenue Cycle Project Management team, providing guidance on project prioritization, risk mitigation, and stakeholder communication
Guide the Informatics team to develop and maintain robust reporting, dashboards, and analytics that provide actionable insights into revenue cycle performance
Ensure that system design, build, and workflows (Prelude, Cadence, Hospital Billing, Professional Billing, etc.) are optimized to support efficient operations and maximize reimbursement
Lead the cross-functional Revenue Protection Task Force to proactively identify, quantify, and mitigate risks of revenue leakage across the patient access and billing continuum
Champion end-to-end process improvement initiatives, utilizing methodologies like Lean or Six Sigma to analyze workflows, eliminate waste, and enhance productivity
Collaborate with operational leaders to implement standardized best-practice workflows and policies that protect and enhance revenue streams
Direct the Contract Variance and Analytics team to perform systematic analysis of payer reimbursement versus contracted rates, identifying and pursuing underpayments and denial trends
Direct the Contract Variance and Analytics team to perform systematic analysis of payer reimbursement versus contracted rates, identifying and pursuing underpayments and denial trends
Translate complex data into clear, concise presentations and recommendations for senior leadership to inform payer strategy and negotiations
Provide strategic oversight for the Insurance Credit Balance team, ensuring the timely, accurate, and compliant resolution of all outstanding credit balances
Develop and enforce policies and procedures to minimize the creation of credit balances and ensure adherence to all state and federal regulations (e.g., escheatment)
Serve as the primary liaison between Revenue Cycle leadership and key partners, including DTS, Finance, Compliance, Payor Strategy, and clinical department leaders
Effectively communicate project status, performance metrics, and strategic initiatives to executive leadership and other stakeholders
Foster a collaborative environment to ensure seamless integration of new business lines, technologies, and physician practices into the existing revenue cycle infrastructure
Other duties and/or projects as assigned
Adheres to HMH Organizational competencies and standards of behavior
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field
Minimum of 7-10 years of progressive experience in healthcare revenue cycle management, with a deep understanding of both hospital and professional billing
Minimum of 3-5 years in a leadership or management role, with demonstrated success in leading teams and managing complex projects
Expert-level knowledge of end-to-end revenue cycle processes, including patient access, charge capture, coding, claims submission, payment posting, denial management, and contract variance
Proven experience with major EMR/EHR systems, with a strong preference for extensive EPIC experience (Resolute HB/PB, Cadence, Prelude)
Strong strategic thinking, problem-solving, and analytical skills with the ability to interpret complex data and formulate data-driven business strategies
Exceptional communication, presentation, and interpersonal skills, with the ability to influence and collaborate effectively with senior executives, physicians, and staff at all levels
Demonstrated success in leading large-scale change management and process improvement initiatives
Excellent written and verbal communication skills
Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms
Preferred
Master's Degree in Business Administration (MBA) or Healthcare Administration (MHA)
Advanced EPIC Revenue Cycle certifications (e.g., Resolute Hospital Billing, Resolute Professional Billing, Prelude, Cadence)
Certification from the Healthcare Financial Management Association (HFMA), such as Certified Healthcare Financial Professional (CHFP) or Fellow of the Healthcare Financial Management Association (FHFMA)
Experience with data visualization tools (e.g., Tableau, Power BI)
EPIC Resolute Hospital Billing/Professional Billing, Prelude/Cadence, or other relevant Epic Revenue Cycle certifications
Benefits
Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits
Company
Hackensack Meridian Health
Hackensack Meridian Health is a health care organization that offers research and medical services.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$36.3MKey Investors
Baldrick's FoundationNational Institutes of Health
2023-11-21Grant
2023-02-24Grant· $3M
2019-05-10Grant· $33.3M
Leadership Team
Robert C. Garrett
Chief Executive Officer
Michael Allen
President, Financial Services Division and CFO
Recent News
bloomberglaw.com
2026-01-20
2025-12-15
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