Johns Hopkins Medicine · 16 hours ago
Program Director RCM Operations
DC-Baltimore Area
Full-time
Onsite
Director/Executive
$63.85/hr - $111.75/hr
10+ years expJohns Hopkins Medicine is a leading healthcare institution, and they are seeking a Program Director for RCM Operations. This role provides strategic leadership to optimize revenue cycle financial clearance operations across the health system and ensures compliance with organizational and regulatory requirements while driving performance improvements.
Health CareHealth DiagnosticsHospitalMedicalTraining
Responsibilities
Provides strategic leadership and data driven recommendations to optimize revenue cycle financial clearance operations across the health system
Acts as an owner of assigned operational areas, proactively identifying improvement opportunities, advancing best practices, and driving execution of complex revenue cycle and financial clearance initiatives
Serves as a change agent, ensuring billing and patient financial processes comply with organizational, federal, state and third party requirements while maximizing operational performance
Ensures end-to-end continuity of prior authorization and financial clearance workflows by driving standardized processes, technology optimization, and cross-functional execution with strong project management
Leads financial clearance integration for new and expanded service lines, oversees related projects and denials impacting clearance, and partners with clinical and operational leaders to improve workflows, strengthen governance, reduce denials, and drive measurable improvements in reimbursement and revenue cycle performance
Qualification
Required
Bachelor's degree required, preferably in business or healthcare; Master's degree preferred
Minimum of 10 years of experience in healthcare revenue cycle operations or a related field, or 5 years of experience with Epic and or a top tier consulting firm
Minimum of 5 to 7 years of progressive management experience
Expertise in EPIC and related revenue cycle systems
Ability to leverage system functionality to improve outcomes
Strong understanding of hospital revenue cycle workflows, denial drivers, payer behavior, and reimbursement impact
Proven ability to lead complex, multi stakeholder initiatives, manage dependencies, assign accountability, and maintain momentum
Advanced ability to analyze data, interpret performance metrics, and generate actionable insights
Clear and effective verbal and written communication across all organizational levels
Ability to identify issues quickly, develop solutions, and drive resolution
Ability to align operational improvements and denial prevention strategies with organizational goals
Demonstrated experience leading teams, setting expectations, and driving performance
Knowledge of process improvement, workflow optimization, and operational governance
Understanding of change management and organizational behavior
Proficiency with Epic revenue cycle applications, project management tools, Microsoft Office, and related systems
Preferred
Epic reporting expertise preferred
HFMA certification preferred
Company
Johns Hopkins Medicine
Johns Hopkins Medicine specializes in medical education, research, and clinical care.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$200MKey Investors
United States Agency for International Development
2022-08-04Grant· $200M
Leadership Team
Heather Lowe
Executive Speechwriter to the Dean and CEO
Theodore DeWeese
Interim Dean of the Medical Faculty and CEO of Johns Hopkins Medicine
Recent News
2026-01-06
2026-01-03
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