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Sr Director, Revenue Cycle

External
Exact Sciences logoExact Sciences · Us, WI
ContractOn-siteToday
Accounts ReceivableComplianceEpicLeadership
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Health insuranceVision insurance

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Help us change lives At Exact Sciences, we're helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you're working to help others. Position Overview The Sr Director, Revenue Cycle is responsible for the strategic leadership, operational performance, and financial stewardship of the enterprise revenue cycle function supporting the company's $3BN diagnostic clinical laboratory portfolio and is accountable for optimizing cash realization, mitigating reimbursement risk, accelerating revenue conversion, and ensuring sustainable revenue growth through effective revenue cycle strategy and execution. The Sr Director is responsible for collaboration with key revenue process stakeholders, including Clinical, Financial, Regulatory, and other corporate leaders, to ensure alignment of the revenue cycle management strategy and process. This role provides leadership across a global workforce of approximately 600 employees and vendor partners through a multi-level leadership structure, including approximately 200 onshore and 400 offshore team members responsible for revenue cycle operations, analytics, process excellence, and technology optimization. This role requires regular travel to Madison, WI as part of ongoing business needs. Essential Duties Enterprise Revenue Cycle Transformation: Establishes and executes the long-term enterprise revenue cycle vision and operating model, leading transformational initiatives that improve scalability, automation, digital enablement, reimbursement performance, operational efficiency and customer experience. Enterprise-wide revenue cycle leadership: Responsible for strategy, execution, and continuous improvement of revenue cycle operations from order capture through final cash resolution. Collaborates with multiple departments to support clinical, commercial, regulatory, and financial goals. Comprehensive revenue cycle scope: Oversees order management, data validation, eligibility verification, coding, billing, claim submission, denial management, cash posting, analytics, and Epic system optimization. Strategic and operational leadership: Develops enterprise revenue cycle strategy aligned with financial objectives and compliance. Serves as the strategic advisor to division senior leadership on revenue cycle performance, reimbursement trends, payer dynamics, revenue integrity, regulatory risk, and enterprise financial optimization opportunities. Order capture and data quality: Ensures accurate, complete, and validated order data to support clinical processing and billing readiness. Coding, charge capture, and claim production: Oversees accurate coding and billing practices, compliant with payer policies and regulations. Manages charge generation and claim editing to minimize denials and rework. Revenue integrity and reimbursement optimization: Accountable for enterprise revenue integrity programs, ensuring accurate reimbursement, charge capture, coding compliance, contract adherence, reimbursement optimization and mitigation of revenue leakage across the enterprise. Billing, collections, and AR management: Directs payer and patient billing, follow-up, collections, and accounts receivable performance. Develops strategies to improve cash realization and reduce write-offs. Accountable for enterprise performance across key revenue cycle metrics including net collection rate, denial rates, cash realization, accounts receivable aging, clean claim rates, reimbursement yield, revenue leakage and operating efficiency. Denial management and continuous improvement: Leads denial prevention and root cause analysis efforts. Establishes governance models and dashboards to monitor denial trends and drives quality improvement initiatives. Epic system ownership and optimization: Serves as senior business owner for revenue cycle technologies, including Epic and related platforms, establishing technology strategy, investment priorities, automation roadmaps, data governance standards, and system optimization initiatives that support enterprise growth and operational scalability. Partners with IT and operational teams to develop, test, and optimize workflows supporting laboratory billing and compliance. Organizational leadership and compliance: Builds a high-performing team with clear accountability and development paths. Accountable for enterprise revenue cycle compliance, reimbursement governance, audit readiness, internal controls, and risk mitigation activities associated with federal and state healthcare regulations, payer requirements, laboratory billing practices, and financial reporting standards. Minimum Requirements Bachelor's degree in healthcare, finance, or another field relating to revenue cycle management. 15+ years of experience working in a revenu


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