Director of Revenue Optimization - BMCAP

The Director of Revenue Optimization will lead efforts to maximize revenue capture and financial performance within the Community Physician Organization at Boston Medical Center Health System (BMCHS). This role is responsible for identifying, analyzing, and implementing strategies to enhance revenue realization and ensure that financial performance aligns with the organization’s goals.
The ideal candidate will have deep expertise in professional billing, reimbursement dynamics, financial analytics, and operational process improvements that drive revenue growth. This individual will work closely with clinicians, operational leaders, revenue cycle and financial teams to uncover opportunities that translate into meaningful financial results—ensuring that services provided are accurately captured, appropriately reimbursed, and optimized for long-term sustainability. The Director supervises a team of Financial Analysts/ Revenue Operations Analysts at varying levels.
This is a high-impact leadership role within

ESSENTIAL RESPONSIBILITIES / DUTIES:

Revenue Capture & Optimization

• Identify gaps in charge capture, documentation, and coding practices that impact financial performance and work with clinical teams to improve accuracy and completeness.

• Develop and implement strategies to ensure that all billable services are appropriately captured and reimbursed according to payer policies and contractual agreements.

• Collaborate with clinical operations and finance teams to improve workflow efficiencies related to revenue realization, including physician documentation, coding compliance, and billing processes.

• Provide data-driven insights into missed revenue opportunities, including underpayment trends, service denials, and payer reimbursement variations.

• Bring forward new revenue generating initiatives for leadership’s consideration and prioritization.

Financial Analytics & Performance Improvement

• Provide leadership with actionable insights based on data analysis to support strategic decision-making.

• Utilize financial modeling to assess the impact of operational changes on net revenue and profitability.

• Drive improvements in revenue forecasting and financial reporting for professional services.

Collaboration with Clinical, Operational and Revenue Cycle Teams

• Act as a bridge between finance, clinical leadership, and operations to ensure that revenue capture strategies align with care delivery models and organizational billing and compliance policies.

• Educate clinicians and administrative staff on best practices in documentation, charge capture, and coding accuracy to improve financial outcomes.

• Work closely with department leaders to optimize workflows that impact charge accuracy and reimbursement.

• Partner with Revenue Cycle teams when improvements to front end processes are warranted to reduce denials and secure optimal collections.

Leadership

• Directly supervise and mentor a team of Financial Analysts or Revenue Operations Analysts at varying levels.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

• Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field required.

• MBA preferred

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• None

EXPERIENCE:

• Minimum of 7 years of experience in professional billing revenue cycle management, healthcare finance, or revenue optimization required.

• Experience analyzing revenue trends and implementing solutions to enhance financial outcomes.

• Experience working with Athena, Meditech and Epic (EHR) and billing systems.

• Experience working in an academic medical center, hospital-affiliated physician organization, or large medical group practice

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

• Strong expertise in revenue cycle operations, including charge capture, coding, reimbursement, and denial management.

• Strong analytical and problem-solving skills with a data-driven approach.

• Excellent communication and interpersonal skills to engage with clinicians, administrators, and finance teams.

• Ability to drive change and implement process improvements in a complex healthcare environment.

• Detail-oriented with the ability to manage multiple projects simultaneously.

• Ability to communicate financial insights to non-financial stakeholders, including clinicians and operational leaders.

Equal Opportunity Employer/Disabled/Veterans