Director, Delivery Revenue Performance

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 450,000 members in California, Arizona, Nevada, Oregon, Washington and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit , , or follow us on LinkedIn; Facebook; and Twitter.The JobThe Director, Delivery Revenue Performance is responsible for enterprise-wide oversight of revenue cycle performance across SCAN’s Care Delivery Affiliates (CDAs), including current and future care delivery entities. This role provides end-to-end accountability for revenue cycle functions, including eligibility, claims submission, denials management, cash posting, payer operations, payment integrity, and related operational controls.The Director partners closely with Finance, CDA Operations, Technology, Compliance, and payer-facing teams to standardize workflows, reduce claims backlog and denial risk, improve visibility into revenue cycle performance, and build a scalable operating model across the CDA portfolio. This role serves as a corporate subject matter expert on revenue performance and is accountable for identifying root-cause issues, driving process improvement, leveraging automation and AI-enabled solutions, and supporting financial forecasting, audit readiness, and revenue integrity.You Will Own end-to-end revenue cycle performance across SCAN’s Care Delivery Affiliates, including eligibility, claims submission, denials management, cash posting, payer operations, and payment integrity.Design, implement, and standardize enterprise revenue cycle workflows, SOPs, controls, and performance standards across current and future CDAs, adapted for local payer mix and EMR platform needs.Establish and maintain an enterprise revenue cycle risk view, including backlog aging, denial trends, payer-specific exposure, cash cycle performance, and operational or technology-related root causes.Develop and deliver recurring revenue cycle dashboards, reporting, and performance insights to Finance, CDA leadership, and SCAN leadership to improve visibility into revenue cycle health.Partner with Finance on cash flow forecasting, reserve estimates, revenue integrity, payment reconciliation, and audit readiness to ensure a reliable and timely view of revenue cycle performance.Partner with Technology teams on EMR, practice management, clearinghouse, and claims platform configuration to address root-cause issues related to edits, coding rules, claim scrubbing, denials, and claims backlog.Own the revenue cycle automation and tooling roadmap, including prioritization of process improvements, AI-enabled solutions, and system enhancements that reduce manual claims touches and denial rates.Lead enterprise payment integrity activities across the CDA portfolio, including pre-payment and post-payment claims accuracy, overpayment identification, recovery coordination, audit support, controls, and reporting.Serve as the enterprise point of contact for major payer partners on revenue cycle operational issues, escalations, reconciliations, joint operating committees, and payer-specific process improvement opportunities.Build the RACI, governance structure, staffing model, and scalable onboarding playbook for revenue cycle functions to support new or expanding CDAs and future enterprise revenue performance needs.We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.Actively support the achievement of SCAN’s Vision and Goals.Other duties as assigned.Your QualificationsBachelor’s Degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field, or equivalent combination of education and experience5-7 years of progressive experience in revenue cycle, claims operations, healthcare operations, finance operations, or related healthcare administrative leadership.Experience leading revenue cycle or claims-related functions across multiple entities, sites, business units, or operating models.Experience working with multiple EMR, practice management, clearinghouse, claims platform, or comparable healthcare technology systems.Demonstrated experience building or standardizing workflows, SOPs, controls, governance models, dashboards, and performance reporting.Experience partnering with Finance on cash flow, revenue integrity, reserve estimates, audit readiness, or financial performance impacts tied to revenue cycle operations.Experience leading cross-functional initiatives with Operations, Technology, Compliance, Finance, Analytics and payer-facing teams.Experience in RCM across multiple entities: CDA, ACO, affiliated medical group, PACE, Medicare Advantage, Medicaid, or comparable care delivery environment.Direct experience with payer relationships, claims escalations, joint operating committees, payer reconciliation, or payment integrity.Experience with Athena or comparable EMR/practice management platforms.Experience standing up or scaling a revenue cycle function for a new entity, affiliate, or care delivery model.5 years of leadership experience.What's in it for you?Base Pay Range: $147,000-$185,000, Salary + Incentive PlanWork Mode: Mostly remote, with travel to operating markets as neededAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer daysExcellent 401(k) Retirement Saving Plan with employer matchRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.#LI-JK1 #LI-HybridEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)SummaryLocation: Long Beach Office 3800Type: Full time