UNCOMMON.

What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position End-to-End Revenue Cycle Leadership Lead end-to-end revenue cycle performance across Patient Access, Coding/CDI, Revenue Integrity, and PFS within the TRC CBO.\nIdentify upstream and downstream drivers of revenue leakage, denials, payment delays, and patient financial friction and drive cross-functional improvement.\nEstablish standardized workflows, controls, service levels, escalation pathways, and performance accountability across participating hospitals.\nServe as the accountable CBO operational leader while developing functional Managers as owners of domain performance and execution.\nServe as an executive-facing leader, translating complex revenue cycle performance into clear, compelling narratives, insights, and recommendations for Monthly Operating Reviews, Hospital Boards, C-Suite executives, and other internal and external executive stakeholders. Critical Access Hospital & Reimbursement Leadership Apply strong knowledge of CAH reimbursement, including cost-based reimbursement and requirements across inpatient, swing bed, outpatient, emergency, observation, and other in-scope services.\nAnticipate payer, regulatory, reimbursement, and operational changes affecting rural hospitals and translate impacts into effective operational response. Front End -- Patient Access Provide leadership and oversight for in-scope Patient Access functions, including registration, eligibility and benefits verification, prior authorization, medical necessity, financial clearance, patient estimates, financial counseling, and point-of-service collections.\nDrive front-end accuracy and timely financial clearance to support clean claims, reduce avoidable denials, accelerate cash, and improve the patient financial experience.\nEstablish performance standards and root-cause processes for authorization, eligibility, registration accuracy, medical necessity, and point-of-service collection performance.\nPartner with hospital-retained and clinical teams when upstream workflows affect CBO outcomes. Middle Revenue Cycle -- Coding, CDI & Revenue Integrity Lead Coding and CDI across participating CAHs, including inpatient, swing bed, outpatient, emergency, observation, clinic, and professional coding as applicable to scope.\nEnsure timely, accurate, and compliant coding and documentation through effective quality, productivity, audit, education, provider query, and CDI practices.\nDrive coding- and documentation-related DNFB reduction, claim edit resolution, denial prevention, and root-cause improvement in partnership with providers, clinical leadership, Case Management, and hospital-retained HIM.\nOversee revenue integrity, including charge capture and reconciliation, charging controls, revenue-related edits, and identification and prevention of revenue leakage.\nPartner across Patient Access, Coding/CDI, PFS, clinical departments, Finance, and hospital leadership to identify systemic issues and implement sustainable corrective action. Back End -- Patient Financial Services & Payer Performance Lead billing, insurance follow-up, AR, denials and appeals, underpayments, payment posting, credit balances, refunds, and self-pay operations.\nDrive payer-specific account resolution and escalation strategies to improve cash, reduce aging and avoidable write-offs, and maximize appropriate reimbursement.\nMonitor denial trends, payment variances, payer behavior, and reimbursement changes to identify risk and drive corrective action.\nTranslate payer and account-resolution insights into upstream improvements across Patient Access, Coding/CDI, Revenue Integrity, and other hospital stakeholders. Operational Performance & Executive Reporting Establish and manage CBO performance through clear KPIs, productivity, quality, service levels, and financial targets.\nUse data and operational insights to identify performance gaps, quantify impact, prioritize action, and measure improvement.\nLead operational reviews, clearly communicating performance, risks, corrective actions, and decisions needed while holding leaders accountable for results.\nMORs presentation skills Technology, Analytics & Operational Optimization Partner with Strategic Operations, Product, and technology teams to identify and implement solutions that improve revenue cycle performance.\nLeverage data, dashboards, and operational intelligence to manage performance, prioritize action, and identify operational risk.\nChampion adoption of technology, automation, and AI-enabled solutions within CBO operations and ensure effective integration into frontline workflows.\nProvide operational feedback and performance insights to support ongoing optimization and value realization. Vendor, Service Level & Partner Management Oversee performance of third-party revenue cycle vendors and outsourced services within scope, including clear expectations, service levels, quality standards, escalation processes, and performance reviews.\nEnsure vendor performance is transparent, measurable, and aligned with TRC financial, operational, compliance, and patient experience objectives.\nIdentify vendor-related risks, gaps, duplication, or opportunities for consolidation and improvement.\nCoordinate with internal and hospital stakeholders to resolve issues that cross organizational or contractual boundaries. Compliance & Operational Controls Ensure CBO operations adhere to regulatory, payer, billing, coding, organizational, and internal control requirements.\nPartner with Compliance, Finance, and hospital leadership to address risks, corrective actions, and audit readiness.\nMaintain effective operational controls and promptly escalate material compliance, reimbursement, financial, or operational risks. People Leadership & Workforce Optimization Lead, coach, and develop functional Managers, establishing clear accountability, decision rights, and performance expectations.\nBuild leadership capability in operational management, problem solving, data-driven decision-making, and associate development.\nOptimize workforce capacity, staffing, productivity, skill mix, and succession to meet operational needs.\nFoster a culture of accountability, collaboration, continuous improvement, service, and operational excellence. Hospital & Stakeholder Partnership Serve as the senior operational liaison between the CBO and participating CAHs, building trusted relationships with hospital executives and key stakeholders.\nCommunicate revenue cycle performance, risks, opportunities, and action plans clearly and proactively.\nPartner with hospital-retained functions to resolve issues, manage dependencies, and improve end-to-end revenue cycle performance.\nEstablish transparent service expectations, responsibilities, escalation pathways, and shared accountability for outcomes.

Leadership Competencies:

End-to-End Revenue Cycle Leadership:

Connects front-, middle-, and back-end operations to drive financial, operational, and patient outcomes.\n

CAH & Payer Acumen:

Understands rural/CAH operations, reimbursement, payer dynamics, denials, and revenue risk.\n

Performance & Transformation:

Uses data, root-cause analysis, standardization, and change leadership to drive measurable and sustainable improvement.\n

People & Partnership Leadership:

Builds accountable teams and trusted partnerships across CBO, hospital, clinical, and executive stakeholders.\n

Technology & AI-Enabled Optimization:

Leverages systems, analytics, automation, and AI to improve performance, workforce effectiveness, and decision-making.

Minimum Requirements:

Bachelor's degree in healthcare administration, business, finance, or related field required; equivalent directly relevant experience may be considered. CRCR, CHFP, or other relevant revenue cycle certification preferred.\n7--10+ years of progressive hospital revenue cycle experience, including 5+ years leading multi-functional, centralized, shared-services, or multi-hospital operations preferred.\nDemonstrated end-to-end knowledge across Patient Access, Coding/CDI, Revenue Integrity, and PFS, with experience managing cash, AR, denials, DNFB, coding performance, productivity, quality, and revenue improvement.\nRural hospital/CAH experience strongly preferred, including working knowledge of CAH cost-based reimbursement and applicable rural reimbursement requirements.\nExperience with payer/denial and underpayment strategy, compliance, operational transformation, workflow standardization, performance improvement initiatives and change leadership.\nExperience managing vendors/service levels and leveraging major EHR platforms (EPIC, Oracle, Meditech etc), analytics, automation, and AI-enabled technologies preferred;\nExperience managing third-party vendors, outsourced revenue cycle services, and service-level performance preferred.\n

Required Travel:

25-40% of time\n

Time Zone:

Must be flexible to work PST zone hours. About Us You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission. About the Benefits When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives. Health Insurance\nFully Paid Life Insurance\nFully Paid Short- & Long-Term Disability\nPaid Vacation\nPaid Sick Leave\nPaid Holidays\nProfessional Development and Tuition Assistance Program\n401(k) Program with Employer Match Security Requirements U.S. Citizenship or naturalized citizenship is required for this position.\nAll work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii. 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