Director, Out of State Medicaid (REMOTE)
Core
Lead the Out-of-State Medicaid function to drive performance, operational execution, and client outcomes for healthcare organizations.
Role type
Director, Revenue Cycle Management (Out-of-State Medicaid)
Builds
Revenue recovery and collections solutions for hospitals, health systems, and ASCs
Domain
Healthcare / Revenue Cycle Management / Insurance Claims
Deliverable
client delivery
Required skills
team leadership, performance management, process optimization, audit management, strategic planning, resource allocation, compliance oversight, stakeholder management, data analysis
Preferred skills
healthcare administration, finance/collections, managed care industry experience, MS Office proficiency
Technologies
Enforcer (collections systems), MS Office (Word, Excel, Outlook)
Responsibilities
Set strategic direction and revenue targets for the Out-of-State Medicaid team; oversee hiring, onboarding, and performance management of Managers and Supervisors; monitor KPIs and deliver performance reporting with corrective action plans; conduct audits and client reviews to ensure requirement satisfaction; coordinate cross-functional resources to resolve operational challenges; ensure compliance with HIPAA and regulatory requirements; coach leaders to build a pipeline of future leaders.
Seniority
Director, strategic leadership & team management