• Lead and manage up to 100 FTEs delivering modular RCM services across both professional billing (PB) and hospital/facility billing (HB) environments • Own performance, quality, and outcomes for an assigned portion of AR, ensuring alignment with client goals and internal SLAs • Make real-time staffing and capacity decisions in response to fluctuating inventory, payer mix, and workflow demands • Maintain strong client-facing presence, representing the organization in operational discussions related to assigned scope without reliance on VP escalation • Partner cross-functionally with peer Directors and operational leaders to ensure seamless coordination across revenue cycle workflows • Monitor productivity, quality, compliance, and financial performance using operational data and work queue reporting • Maintain compliance with payer, regulatory, and client-specific requirements across all managed workflows • Lead, coach, and develop front-line leaders and managers in a fully remote, distributed environment • Operate with a hands-on leadership approach, engaging directly with data, workflows, and queues rather than managing solely through reports