Senior Director, Revenue Cycle Management

About the Job:

The Senior Director, Revenue Cycle Management leads enterprise revenue-cycle strategy, operations, technology, and performance across Foundation Medicine’s precision oncology portfolio. Working across Finance, Reimbursement, Product, Commercial, Operations, Technology, Customer Service, and the Patient Access Team, this leader improves reimbursement, reduces billing friction, strengthens revenue integrity, and builds scalable capabilities that adapt to changing payer, customer, and portfolio needs.

Mandate

- Own the RCM strategy, operating model, performance system, technology roadmap, and partner ecosystem from claim readiness through account resolution, with upstream handoffs managed in collaboration with the Patient Access Team.

- Move RCM from reactive claims work to proactive revenue integrity and denial prevention through payer intelligence, workflow redesign, automation, analytics, and responsible AI.

- Translate portfolio, coverage, contracting, regulatory, and payer changes into operational readiness and measurable financial outcomes.

Key Responsibilities:

- Strategy, operating model, and performance

Set the multi-year RCM strategy, operating model, governance, capacity, service levels, budget, and investment priorities

- Maintain expert knowledge of the U.S. reimbursement landscape, including Medicare, Medicaid, commercial payers, managed care, evolving payment models, and diagnostics reimbursement pathways

- Establish actionable performance visibility, operating cadences, root-cause management, and accountability across products, payers, channels, denials, aging, and workflows

- Revenue integrity and payer enablement

Improve claim-input quality, documentation, adherence to approved coding standards, medical-necessity alignment, and claim defensibility

- This role identifies coding issues and provides insights but does not own coding strategy or policy

- Use claim, denial, appeal, payment, and payer-policy data to remove systemic barriers and inform reimbursement, contracting, evidence, commercial, and product decisions

- Ensure launch and change readiness, partnering with the Patient Access Team when upstream access, coverage, authorization, or financial-assistance processes are affected

- Technology, automation, and experience

Own the RCM technology and data roadmap; simplify and standardize work before applying automation and responsible AI

- Prioritize digital solutions that measurably improve claim quality, routing, follow-up, appeals, reconciliation, and billing communications, with appropriate oversight, privacy, security, and auditability

- Improve billing and account resolution for patients and customers in collaboration with Customer Service, field teams, and the Patient Access Team

- Controls, partners, and leadership

Maintain effective billing, privacy, security, quality, financial, vendor, audit, testing, and change controls

- Partner with Finance on forecasting, reserves, cash, leakage, and translation of operating drivers into financial outcomes

- Build and develop a high-performing organization, lead transformation, strengthen succession and capabilities, and foster integrity, patient focus, learning, and continuous improvement

- Comply with FMI's attendance policies

Qualifications:

Basic Qualifications:

- Bachelor’s Degree and 12+ years of experience in revenue cycle management or a related healthcare operations or strategic function

- 5+ years of people leadership experience, including leading leaders and/or complex teams

Preferred Qualifications:

- Master’s Degree and experience leading RCM in healthcare, ideally within a diagnostic laboratory or payer-facing environment

- Proven success scaling teams, operating models, vendors, technology, and transformation in a matrixed organization

- Strong command of RCM performance, financial planning, analytics, service levels, controls, and continuous improvement

- Knowledge of CAP/CLIA environments and healthcare privacy, security, quality, and compliance requirements

- Executive-level communication, influence, prioritization, and cross-functional leadership skills

- Understanding of HIPAA and the importance of patient data privacy

- Commitment to reflect FMI’s values: Integrity, Courage, and Passion

The expected salary range for this position based on the primary location of Boston, MA is $222,800 - $278,500 per year. The salary range is commensurate with Foundation Medicine’s compensation practice and considers factors including, but not limited to, education, training, experience, external market conditions, criticality of role, and internal equity. A discretionary annual bonus may be available based on individual and Company performance. This position also qualifies for Foundation Medicine's benefits.

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