Regional Director, Physician Revenue Cycle Integrator

Regional Director for Physician Revenue Cycle Enhancement

UPMC is looking to hire a Regional Director to join our Physician Revenue Cycle Enhancement department to support our community-based hospitals. This position will require travel to UPMC facilities and offices in Pennsylvania and surrounding states.

As the Director, you will oversee a team of clinical integrators responsible for aligning provider workflows with Revenue Cycle Management (RCM) functions across specialties. In this role, you will support efforts to enhance provider communication feedback loops, standardize revenue cycle workflows, improve charge capture, and address coding, billing, and reimbursement gaps through targeted education and documentation support. Develop and maintain standards, escalation pathways, and engagement strategies to ensure consistent, effective collaboration between clinical and operational teams. This role requires strong communication and stakeholder management skills, foundational knowledge of RCM processes, and the ability to lead cross-functional initiatives in a fast-paced healthcare environment.

We're looking for a strategic leader with revenue cycle experience, excellent communication, and the ability to drive cross-functional initiatives in a fast-paced healthcare environment. Apply online today for your chance to join our team!

Responsibilities:

• Lead and manage the integrator team responsible for assigned healthcare specialties, ensuring alignment with organizational goals and provider needs, particularly focusing on Revenue Cycle Management.
• Coordinate and oversee feedback loops between providers, clinical leadership, billing, coding, and operational teams to identify and resolve frustrations, bottlenecks, and education gaps related to RCM processes.
• Develop and implement strategies to address provider feedback promptly, facilitating continuous improvement and curiosity in billing accuracy, coding compliance, and reimbursement workflows.
• Collaborate closely with clinical, operational, finance, and IT teams to ensure integrator efforts support both clinical and financial workflows effectively.
• Monitor and analyze reporting tools across specialties to inform training programs and decision-making centered on revenue cycle optimization.
• Serve as the escalation point for complex provider issues, particularly those impacting billing, coding, and revenue capture, working to facilitate resolution in a timely and effective manner.
• Drive team performance by setting clear goals, providing coaching and development opportunities, and fostering a culture of accountability and collaboration.
• Maintain up-to-date knowledge of specialty-specific clinical workflows, regulatory requirements, healthcare billing and coding standards (CPT, ICD-10), and revenue cycle best practices to support informed decision-making.
• Partner with provider relations, education, and finance departments to co-design and deliver specialty-specific education materials and training sessions focused on revenue cycle management.
• Prepare presentations and report regularly on integrator team metrics, provider satisfaction levels, issue resolution status, and key revenue cycle indicators to senior leadership.
• May interact with third-party vendors engaged in specialty-specific support (e.g., documentation consultants, audit firms), helping to align their efforts with clinical and operational priorities.
• Participate in cross-functional projects aimed at improving clinical integration, provider experience, and revenue cycle performance.
• Support change management initiatives related to system upgrades, process changes, or regulatory updates impacting provider workflows and billing processes.
• Facilitate communication between specialty integrator teams, billing/coding departments, and other internal stakeholders to ensure consistency and alignment.
• Assist in the development and maintenance of documentation and knowledge bases related to specialty integration and revenue cycle efforts.
• Stay current on industry trends and best practices related to clinical integration, provider engagement, and revenue cycle management.

Required Education and Experience:

• Bachelor's degree in finance, accounting or related business field required.
• Minimum of seven years of related work experience required.
• Minimum of two years managerial or supervisory experience required.

Preferred Education and Experience:

• CPA/MBA or equivalent advanced degree preferred.
• Familiarity with community-based hospitals is preferred.

Team and Leadership Skills Needed:

• Proven experience in healthcare revenue cycle management, preferably in multi-specialty or hospital settings.
• Strong knowledge of clinical workflows and healthcare operations.
• Exceptional communication and interpersonal skills with the ability to influence diverse stakeholder groups.
• Demonstrated success in team leadership, coaching, and change management.
• Analytical mindset with experience managing feedback loops and continuous improvement initiatives.
• Familiarity with healthcare IT systems (EHRs, billing systems, clinical decision support tools) and process improvement methodologies (Lean, Six Sigma) a plus.
• Demonstrated ability to manage multiple priorities and projects in a fast-paced environment.
• Commitment to continuous learning and professional development in healthcare integration and revenue cycle management.

Licensure, Certifications, and Clearances:

• Lean Six Sigma is preferred.
• Act 34.

UPMC is an Equal Opportunity Employer/Disability/Veteran