Director, Revenue Cycle
Marathon Health Inc
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.