Description:
Summary:
We are seeking a strategic and operationally experienced Director, Epic Go Live Integration, a dedicated bridge between Revenue Cycle Management (RCM) operations, Information Technology (IT), and Patient Financial Services (PFS) within a growing hospital system. This newly created Integrator role is purpose-built for a leader who thrives at the intersection of operations, financial services, and technology: someone who can break down long-standing silos, speak the language of PFS, RCM and IT, and establish a disciplined, governance-driven approach to technology enablement that directly improves revenue cycle performance.
As the connective tissue between three critical functions, this person will design and oversee a cross functional governance committee responsible for managing IT optimization requests, Epic build priorities, and system enhancement workflows. This individual serves as the primary translator, converting operational revenue cycle needs into actionable IT priorities and communicates IT capabilities, constraints, and timelines in a way that RCM leaders can act on. Aligned with HFMA’s guidance that intelligent revenue cycle strategies begin with process standardization and governance before layering technology, this role ensures Epic enhancements are prioritized thoughtfully, implemented rigorously, and measured against defined financial outcomes.
The ideal candidate is neither purely an IT professional nor purely an RCM operator or PFS leader, they are an Integrator in the truest sense, bringing deep end-to-end knowledge of Epic workflows, genuine revenue cycle fluency, and the project management discipline to drive cross-functional alignment in a complex health system environment.
**This position requires weekly travel during & post go-live this fall then bi-weekly as needed. **
Duties and Responsibilities:
Governance Committee Leadership (Operations–IT Integration)
- Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders.
- Develop governance charters, meeting rhythms, and escalation protocols to ensure issues are resolved at the appropriate organizational level, with regular reporting to Director, VP, and C-suite audiences.
- Maintain a living prioritization roadmap that balances operational urgency, financial impact, technical complexity, and resource availability across concurrent IT and RCM initiatives.
- Prepare and deliver monthly Steering Committee materials for executive leadership, including governance metrics, initiative status, risk summaries, and prioritization rationale.
- Establish and maintain governance performance dashboards tracking key revenue cycle KPIs (including DNFB, clean claim rate, denial rate, days in AR, and cash collection) ensuring real-time visibility for operational and executive stakeholders and driving data-informed prioritization of IT enhancement requests.
Epic and EHR Workflow Expertise (IT-Side Integration Knowledge)
- Serve as the organization’s primary authority on end-to-end Epic workflow impacts across revenue cycle domains, including patient access, charge capture, HIM/coding, claims, denial management, and patient financial services — with particular depth in Hospital Billing (Resolute HB), Ambulatory/Professional Billing (Resolute PB), and PFS-facing Epic modules such as payment posting,
credit balance, self-pay collections, and statements.
- Evaluate Epic IT tickets and enhancement requests for downstream revenue cycle implications, ensuring that build decisions do not inadvertently create compliance risk, billing delays, or reimbursement leakage.
- Partner with Epic application analysts and IT build teams to review proposed configurations prior to deployment, confirming alignment with RCM workflow requirements.
- Evaluate, govern, and champion the adoption of Epic AI modules, RCM-specific artificial intelligence solutions, and best-in-class automation technologies, including RPA and predictive analytics tools, to streamline key revenue cycle functions such as prior authorization, denial prevention, coding assistance, and claim scrubbing.
- Support clinic integration and acquisition activity by defining Epic build standards and workflow expectations for newly onboarded facilities, bringing systems back to a consistent foundation.
- Stay current on Epic release cycles, upgrade content, and new module capabilities with potential benefit to revenue cycle performance and communicate relevant updates to stakeholders.
Revenue Cycle Alignment and Optimization (Operations-Side Integration Knowledge)
- Collaborate with CDI, coding, patient access, and billing leadership to identify documentation and workflow gaps that have downstream system and reimbursement consequences.
- Lead or advise on Patient Financial Services strategy, including self-pay and insured follow-up workflows, bad debt segmentation, early-out and collections vendor governance, and payment plan configuration in Epic — ensuring both Hospital and Ambulatory billing functions operate from a consistent, optimized system foundation. Treat data integrity as a financial control (not merely an IT project) ensuring underlying data quality supports accurate analytics, automation, and compliant reimbursement.
Project Management and Cross-Functional Execution (Integrator in Action)
- Develop and maintain project documentation including charters, status dashboards, risk registers, and issue logs, ensuring visibility to all stakeholder levels.
- Identify, escalate, and mitigate implementation risks proactively, particularly during periods of acquisition-driven integration activity and clinic onboarding.
- Maintain project documentation including status updates, issue tracking, and mitigation strategies.
- Travel to client or organizational sites as required to support on-the-ground governance facilitation and stakeholder alignment.
- Performs other duties as assigned.
Requirements:
Required:
- Minimum 7 years of progressive experience spanning both healthcare IT and revenue cycle operations, including demonstrated leadership or senior contributor experience in Patient Financial Services, Hospital billing/follow-up, and Ambulatory/Professional billing; candidates with deep expertise in only one domain will not be considered — this role explicitly requires the ability to work fluently across all areas and serve as a credible peer to RCM, PFS, and IT leaders alike.
- Deep, end-to-end knowledge of Epic workflows across both Resolute Hospital Billing (HB) and Resolute Professional Billing (PB), including follow-up, denial management, and patient collections workflows must be able to evaluate IT tickets and build decisions for downstream RCM impact without necessarily functioning as a hands-on Epic builder.
- Demonstrated experience designing or managing a governance structure, steering committee, or cross-functional IT prioritization process in a healthcare setting, including stakeholder facilitation at VP and C-suite levels.
- Strong project management skills with the ability to manage a portfolio of concurrent initiatives, maintain formal documentation, and drive accountability across teams without direct authority.
- Proficiency in revenue cycle KPIs and HFMA-standard performance benchmarks, with the ability to translate operational metrics into system-level priorities and communicate them in financial terms.
- Demonstrated knowledge of Patient Financial Services operations, including self-pay segmentation and collections strategy, bad debt and charity care workflows, early-out vendor management, and the intersection of PFS policy decisions with Epic system configuration. Familiarity with IT service management frameworks (ITIL or equivalent) and structured request/change management processes, including SLA management and ticket governance.
- Exceptional communication and facilitation skills; capable of presenting to and influencing C-suite, VP, and Director-level audiences across both clinical and IT functions.
- Experience supporting health system acquisition activity, clinic integrations, or EHR standardization initiatives.
- Ability to interpret operational and system data and translate findings into actionable, prioritized recommendations.
- Strong written and verbal communication skills with ability to produce executive-level summaries, governance dashboards, and project status reports.
- Willingness and ability to travel to client sites as needed to support on-site engagement; minimum quarterly travel required.
- Completion of regulatory/mandatory certifications as required.
Preferred:
- Epic certification in one or more revenue cycle modules (e.g., Hospital Billing, HIM, Resolute PB, Prelude/Cadence); certification is recommended and valued but not required.
- HFMA Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP), or HFMA Fellowship (FHFMA).
- PMP (Project Management Professional) certification or equivalent formal project management training.
- Lean Six Sigma Green Belt or Black Belt with experience applying process improvement methodologies to revenue cycle or IT workflow design.
- Familiarity with ITSM tools such as ServiceNow or Jira as applied to healthcare IT governance and change management.
- Knowledge of AI-assisted revenue cycle applications, RPA tools, and Epic’s emerging analytics and automation capabilities with the ability to evaluate their governance and ROI implications.
- Familiarity with No Surprises Act, price transparency requirements, and other recent regulatory developments affecting hospital and physician billing.
- Master’s degree (MHA, MBA, or equivalent); Bachelor’s degree in Health Information Management, Healthcare Administration, Business, or Information Systems required.
