The Wilshire Group logo
The Wilshire Group

Experience you can trust; results you can count on

Director of Revenue Cycle Strategy – Epic Systems Optimization

DirectorDirectorContractRemoteLeadTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

40 days ago

Salary

$95 - $100 / hour

Seniority

Lead

Bachelor Degree10 yrs expEnglish

Job Description

• Partner with executive leadership to develop and execute revenue cycle strategies that improve margin, cash flow, and operational performance • Serve as subject matter expert and advisor on Epic Revenue Cycle and Access systems • Establish governance models that align clinical operations, finance, and IT • Lead full lifecycle Epic implementations, including Professional Billing, Hospital Billing, Prelude, Cadence, Single Billing Office, and Ambulatory modules • Direct workflow design, system build standards, testing, and upgrade initiatives • Optimize charge capture, charge router, charge review workqueues, and claim edits • Oversee Community Connect deployments and multi-site rollouts • Improve clean claim rates and reduce denials through workflow redesign and system automation • Analyze KPIs, including A/R days, workqueue volumes, charge lag, and denial trends • Implement charge review edits and billing controls to ensure compliance and maximize reimbursement • Develop revenue optimization plans for ambulatory, hospital, and specialty services • Lead and mentor analysts, project managers, and operational teams • Hire, train, and develop revenue cycle and IT staff • Coordinate cross-functional initiatives between clinical departments, finance, and IT • Manage vendor relationships and third-party integrations • Manage complex, multi-site healthcare IT projects with defined timelines and budgets • Develop replicable implementation guides and standardized build practices • Lead change management efforts to increase adoption and operational alignment • Mitigate project risks, issues, and dependencies • Ensure adherence to payer rules, CMS requirements, and billing regulations • Support coding integrity, documentation compliance, and audit readiness • Maintain master file data integrity across facilities and service areas

Job Requirements

  • 10+ years of progressive healthcare revenue cycle leadership
  • Extensive Epic certification and hands-on experience, including:
  • Prelude
  • Resolute Professional Billing
  • Resolute Hospital Billing
  • Single Billing Office
  • EpicCare Ambulatory
  • Proven experience leading enterprise Epic implementations and optimizations
  • Strong knowledge of hospital and professional billing operations
  • Demonstrated success in improving financial outcomes and operational efficiencies
  • Bachelor’s degree in Business Administration or related field
  • Experience with academic medical centers and multi-specialty groups
  • Community Connect implementations
  • Revenue Integrity or Revenue Optimization program leadership
  • Large team management experience

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