Director, Revenue Cycle
Marathon Health Inc
This job is no longer accepting applications
See open jobs at Marathon Health Inc.See open jobs similar to "Director, Revenue Cycle" Oak HC/FT.Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.
ABOUT THE JOB
The Director of Revenue Cycle is a strategic leader responsible for overseeing the full spectrum of revenue cycle operations across Marathon Health’s national footprint. This role drives enterprise-wide financial performance, regulatory compliance, and operational excellence in billing, coding, claims management, collections, and payer relations. The Director will lead cross-functional initiatives to optimize revenue cycle workflows, enhance data transparency, and support scalable growth aligned with Marathon’s evolving business models.
Reporting to senior leadership, the Director will serve as a key advisor on reimbursement strategy, payer contracting, coding practices, and financial forecasting. This role will also represent Marathon Health externally with clients, partners, and payers, and internally as a mentor and leader of high-performing teams.
ESSENTIAL DUTIES & RESPONSIBILITIES
Operational Oversight
- Oversee all aspects of billing, coding, claims submission, denial management, collections, and payment posting.
- Ensure compliance with federal, state, and payer-specific regulations.
- Monitor and improve KPIs such as denial rates, write-off’s, charge lag, time to cash and collection efficiency.
- Lead enterprise-wide initiatives to modernize claims management, coding practices, and payer engagement.
- Manage vendor(s) supporting revenue cycle operations, including EHR platforms and related services (e.g., support tickets, initiatives, updates, and performance tracking).
Cross-Functional Collaboration
- Partner with Finance, Clinical Operations, Sales, Implementation, and Client Success to align revenue cycle processes with business needs.
- Lead integration efforts for new clients and health plan models, including payer credentialing and claims setup.
- Collaborate with IT and EMR teams to optimize system configurations and reporting capabilities.
Team Leadership & Development
- Lead and mentor a team of managers, analysts, billing/coding specialists, and credentialing staff.
- Foster a culture of accountability, continuous improvement, and professional development.
Client & Payer Engagement
- Act as the primary revenue cycle contact for strategic clients and payer partners.
- Support contract negotiations and reimbursement modeling for new business opportunities.
- Lead client-facing discussions on claims performance, issue resolution, and optimization strategies.
Analytics & Reporting
- Oversee development of dashboards and reporting tools to track performance and identify trends.
- Present insights to operations leadership and support client relationships.
- Drive data-informed decision-making across the organization.
QUALIFICATIONS
Bachelor’s degree required in Business, Healthcare Administration, or related field; Master’s degree preferred, and a minimum of 10 years progressive experience in healthcare revenue cycle management, including 5+ years in leadership roles, or equivalent combination of education and experience. Proven success in leading enterprise-wide RCM initiatives and managing large, geographically dispersed teams. Deep understanding of payer policies, coding standards (CPT, ICD-10), and regulatory compliance. Experience with value-based care models, capitated arrangements, and telehealth billing.
DESIRED ATTRIBUTES
- Strong financial acumen and ability to interpret complex data sets.
- Extensive experience with Electronic Health Record (EHR) systems is required; familiarity with Athena is strongly preferred.
- Exceptional communication, negotiation, and stakeholder management skills.
- Understands the importance of client and patient satisfaction and proactively addresses concerns related to billing, claims, and reimbursement.
- Invests in team development, coaching, and succession planning to build a high-performing and engaged workforce.
- Committed to continuous improvement, standardization, and best practices across all revenue cycle functions.
- Uses analytics and performance metrics to guide decisions, identify opportunities, and measure success.
- Able to translate organizational goals into actionable revenue cycle strategies that drive growth and efficiency.
Pay Range: $120,000 - $160,000/yr
The actual offer may vary dependent upon geographic location and the candidate’s years of experience and/or skill level. This position is also eligible for an annual incentive.
We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page.
This job is no longer accepting applications
See open jobs at Marathon Health Inc.See open jobs similar to "Director, Revenue Cycle" Oak HC/FT.