Director, Revenue Cycle Innovation

Summary

Alameda Health System offers outstanding benefits that include:

• 100% employer health plan for employees and their eligible dependents
• Unique benefit offerings that are partially or 100% employer paid
• Rich and varied retirement plans and the ability to participate in multiple plans.
• Generous paid time off plans
  
  

Role Overview

Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to optimize hospital and ambulatory revenue cycle operations. This role collaborates closely with internal teams and external teams to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging automation technologies, the Director will work to improve operational performance by reducing rework, improve cash flow, enhance the patient experience using self-service technology and overall revenue cycle performance. This role collaborates with external clients to align and support community standards.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

• Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems.
• Work with operations and IT to develop automation strategies that align with business objectives.
• Work directly with clients to assess workflow challenges and develop customized automation scenarios.
• Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance.
• Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement.
• Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently.
• Work with operations, clients, and payers to streamline data exchange and denial resolution through automated appeals, adjustments, and follow-ups.
• Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI.
• Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy.
• Provides guidance and training to clients on automation tools, workflows, and best practices.
• Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines).
• Act as a liaison between departments, clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support.
• Other duties as assigned.
• Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
  
  

Minimum Qualifications

• Education: Bachelor’s degree (BA) from a four-year college/university; or equivalent combination of education and related experience preferred.
• Minimum Experience: 5+ years of experience in hospital revenue cycle management, with a focus on report writing.
• Preferred Experience: 3+ years of experience with behavioral health services.