Director of Revenue Cycle Management

Job Description

Job Description

Director of Revenue Cycle Management — Skilled Nursing & Substance Use Disorder

Provident Healthcare Consulting | Chicago, IL | Full-Time | On-Site (Corporate Office)

Build and Lead a Best-in-Class Revenue Cycle Operation

Provident Healthcare Consulting is hiring a  Director of Revenue Cycle Management to own the end-to-end revenue cycle across our Skilled Nursing and Substance Use Disorder service lines. This is a high-impact leadership seat for an operator who loves solving complex RCM problems, standardizing chaos into clean process, and building teams that consistently deliver results.

You'll own everything from intake and insurance verification through utilization review, authorizations, coding, billing, collections, and denial management — reporting to the President and partnering closely with the CEO, CFO, and clinical leadership. If you want your work to directly shape cash flow, compliance, clinical outcomes, and the future bench of leaders inside a growing multi-facility healthcare organization, this is that role.

What You'll Own

Strategic Leadership

• Develop and execute the enterprise revenue cycle strategy across all SNF and SUD service lines
• Partner with executive leadership on financial performance, growth plans, and M&A activity
• Lead revenue cycle due diligence on acquisitions and integrate acquired facilities into standardized operations
• Forecast revenue, collections, and AR trends for board-level reporting

Full-Cycle Operations

• Oversee intake, insurance verification, and pre-authorization — especially critical for SUD admissions
• Lead utilization review, concurrent reviews, and continued-stay authorizations across SUD levels of care (residential, PHP, IOP) and SNF
• Drive charge capture, coding accuracy (ICD-10, CPT, HCPCS, PDPM/MDS), and documentation integrity
• Oversee claims submission, AR management, denial prevention, appeals, and cash posting across all payer classes

People Leadership & Talent Development

• Lead billers, coders, AR specialists, collectors, UR staff, intake verification, and cash posting
• Build a culture of engagement, accountability, and continuous learning where people want to stay and grow
• Develop the next generation of RCM leaders — identify high-potential talent, build individual development plans, and create clear career paths from front-line to supervisor to director
• Champion Provident's Leadership Mastery philosophy: coach supervisors into leaders, leaders into operators, and operators into the executives who will run our next wave of growth
• Establish SOPs, training programs, succession plans, and cross-training to eliminate key-person risk
• Drive employee engagement through clear expectations, meaningful feedback, recognition, and career pathing — engagement is a performance metric here, not a soft goal

Compliance & Technology

• Ensure compliance with CMS, state Medicaid, HIPAA, 42 CFR Part 2 (SUD confidentiality), and commercial payer requirements
• Oversee response to RAC, MAC, ZPIC, UPIC, and commercial payer audits
• Champion RCM technology and automation: AI-assisted coding, auto-authorization, RPA, and analytics dashboards
• Partner with IT on system implementations and integrations across acquired facilities

Required

• Bachelor's degree in Healthcare Administration, Business, Finance, Accounting, or related field
• 10+ years of progressive revenue cycle leadership in healthcare
• 5+ years in a senior director or executive role overseeing multi-facility or multi-state RCM operations
• Direct, hands-on experience managing revenue cycle for Skilled Nursing Facilities (PDPM, MDS, Medicare/Medicaid)
• Direct experience managing revenue cycle for Substance Use Disorder or behavioral health (commercial payers, UR, ASAM criteria, multi-level-of-care billing)
• Demonstrated experience leading teams of 25+ across billing, AR, UR, and intake

Preferred

• Master's degree (MBA, MHA, or MPH)
• Certifications such as CRCR, CHFP, CPC, CCS, or HFMA credentials
• Experience with healthcare M&A and post-close RCM integration
• Experience deploying RCM technology, clearinghouses, or RPA/AI automation
• Formal leadership development training or coaching certifications (a plus — we invest in this for our leaders regardless)

Technical Skills

• Strong working knowledge of EHR billing platforms and clearinghouses (Waystar, Availity, Change Healthcare)
• Advanced Excel, financial modeling, and BI tools (Power BI, Tableau, or similar)
• Working knowledge of workflow and automation tools (Monday.com, Asana, Zapier, RPA platforms)

Leadership Competencies We Look For

The right candidate isn't just technically strong — they lead in a way that makes the whole organization better. Specifically:

• Coaching Mindset — You develop people as a core part of the job, not as an afterthought. You give real feedback, you build successors, and you take pride in watching your people get promoted.
• Operator's Discipline — You go deep on the data and the workflow. You don't delegate the details until you understand them yourself.
• Change Leadership — You standardize process across sites without breaking what works. You bring people along rather than bulldozing them.
• Executive Presence — You communicate clearly to the board, the front line, and everyone in between. You can translate numbers into narrative.
• Engagement-First Management — You understand that engaged teams hit their numbers, and disengaged teams don't. You build culture on purpose.
• Bias for Action — You'd rather ship a strong decision today than a perfect decision next quarter. You iterate in public.
• Humble Confidence — You've been right enough times to trust your judgment and wrong enough times to stay coachable.

Role Details

• Reports To: President (dotted line to CEO)
• Work Location: Corporate office with occasional hybrid flexibility
• Travel: ~5%, with periodic increases during acquisition integrations
• Schedule: Standard business hours, with flexibility for month-end close, audits, and urgent operational priorities

Why Provident

Provident Healthcare Consulting is a growing, operator-led healthcare organization focused on Skilled Nursing and Substance Use Disorder services. We believe in disciplined execution, smart technology, and building systems that scale.

We also believe that leadership is the multiplier behind every operational result we deliver. That's why we invest deliberately in leadership development — from front-line supervisors learning their first management skills, to directors learning how to think like executives, to executives refining the craft of leading at scale. 

Provident Healthcare Consulting is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for all employment; free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preferences, status as a qualified individual with a disability, or status as a protected veteran.

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