What are the responsibilities and job description for the Director – Revenue Cycle Management (RCM) Platform Consulting position at CornerStone Staffing?
Director – Revenue Cycle Management (RCM) Platform Consulting
Location: Dallas, TX with occasional travel (up to 30%)
Employment Type: Full-Time
- Candidates should reside within a reasonable commuting distance of Irving, TX if applying
- Candidates must be legally authorized to work in the United States on a permanent basis; this role does not offer sponsorship now or in the future
Position Summary
We are seeking a senior leader to oversee Revenue Cycle Management (RCM) consulting initiatives focused on regulatory compliance, dispute resolution, and financial performance optimization. This role will work at the intersection of healthcare operations and technology, helping organizations navigate requirements related to the No Surprises Act (NSA) while improving reimbursement outcomes.
This individual will guide clients through the implementation and optimization of technology solutions that support IDR processes, reconciliation workflows, and revenue recovery strategies, while also partnering internally to enhance product capabilities.
Key Responsibilities
Client Advisory & Strategy
- Act as a senior advisor to healthcare organizations on RCM strategy, compliance, and operational efficiency
- Lead consulting engagements focused on NSA compliance, IDR strategy, and revenue optimization
- Identify gaps in current processes and recommend scalable solutions to improve performance
Platform Implementation & Optimization
- Oversee implementation of technology solutions supporting IDR workflows, reconciliation processes, and claims management
- Translate regulatory and operational requirements into system configurations and process improvements
- Partner with internal teams to enhance platform capabilities based on client needs
Revenue Recovery & Performance
- Develop strategies to identify and recover underpayments, particularly in out-of-network scenarios
- Improve reimbursement outcomes through optimized IDR processes and dispute resolution strategies
- Analyze payer trends and revenue leakage to drive financial improvements
Reconciliation & Data Accuracy
- Establish processes to ensure alignment between billed charges, reimbursements, and regulatory guidelines
- Design reporting frameworks and dashboards to track performance and discrepancies
- Drive automation and efficiency in reconciliation and financial workflows
Compliance & Regulatory Oversight
- Ensure adherence to No Surprises Act (NSA) requirements and related regulations
- Support audit readiness and risk mitigation initiatives
- Monitor regulatory updates and translate them into operational and system changes
Team Leadership & Growth
- Lead and mentor a team of consultants and analysts
- Develop methodologies, best practices, and reusable frameworks for engagements
- Support business development efforts through solution design and client presentations
Qualifications
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (advanced degree preferred)
- 10 years of experience in Revenue Cycle Management (RCM), with leadership experience
- Strong understanding of NSA regulations, IDR processes, and payer reimbursement models
- Experience working with healthcare organizations on financial or operational improvement initiatives
- Background in consulting, SaaS platforms, or technology-enabled services
Preferred Experience
- Familiarity with healthcare regulatory frameworks and compliance requirements
- Experience with analytics, reporting tools, or workflow automation platforms
- Industry certifications related to RCM or healthcare operations
Core Competencies
- Executive-level communication and stakeholder management
- Strong analytical and financial acumen
- Ability to lead complex, cross-functional initiatives
- Strategic mindset with hands-on execution capability
- Experience driving change in dynamic environments
What Success Looks Like
- Improved revenue capture and reduced leakage through optimized RCM processes
- Increased effectiveness and efficiency of IDR workflows
- Strong client adoption of technology solutions
- Reduced compliance risk related to NSA requirements
- Growth and scalability of consulting engagements
Additional Requirements
- Candidates should reside within a reasonable commuting distance of Dallas, TX if applying for the local/hybrid option
- Candidates must be legally authorized to work in the United States on a permanent basis; this role does not offer sponsorship now or in the future
Additional Information
- Travel required on an as-needed basis for client engagements
- Flexible work environment with remote or hybrid options