Top 128 Director of business solutions Jobs in Scranton Pa

Director of Revenue Cycle
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS —Honesdale, PA
- Full-time
- 7 years
- Customer service
- Computer literacy
Quick Apply
Veterinarian (DVM/VMD) – General Practice & ER | Northeast Opportunities
PetVet Care Centers —Plains, PA
- $120,000 - $275,000 a year
- Mid-level
- Surgery
- Ability to lift 50 pounds
- Paid parental leave
- Health insurance
Quick Apply
Direct Support Professional - Lead - Mundy
Beacon Specialized Living —Wilkes-Barre, PA
- $18 - $19 an hour
- Monday to Friday
- Writing skills
- Pass drug screening
- English
Quick Apply
8d
Wireless Sales Consultant
Wireless Nation - Verizon Wireless-Zone Authorized Retailer —Carbondale, PA
- $15 - $45 an hour
- Weekends as needed
- 18 years or older
- 11+ years
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Director of Business Solutions
Fidelity Bank —Scranton, PA
- Mentoring
- Senior level
Quick Apply
9d
Chief Information Officer (Distribution, Logistics, & Digital Transformation)
Benco Dental —Pittston, PA
- Full-time
- Hybrid work
- Travel
- Senior level
- Leadership
- Health insurance
- Dental insurance
Manager Development Program - Operations Manager
Core-Mark —Scranton, PA
- Full-time
- 5 years
- Bachelor of Science
- Analysis skills
- Employee stock purchase plan
- Health insurance
Director, Human Resources
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- Google Workspace
- Master's degree
- Analysis skills
Food Service Director
Aramark —Scranton, PA
- Sales
- Merchandising
- Residential
Territory Rep – BioPharma
Prism Biotech —Wilkes-Barre, PA
- $86,745 - $117,997 a year
- Full-time
- Mid-level
- Analysis skills
- Experience equivalent to degree accepted
Quick Apply
Manager, Inventory Control
Adidas —Wilkes-Barre, PA
- Full-time
- 5 years
- English
- Analysis skills
- Paid parental leave
- Health savings account
Director DC Operations Productivity Planning
Adidas —Wilkes-Barre, PA
- Full-time
- Hybrid work
- 7 years
- English
- Office
- Paid parental leave
- Health savings account
11d
Assistant Director, Fullers Overlook
Penn State University —Lackawanna County, PA
- $65,508 - $94,980 a year
- Online Application
- Background check
- 6 years
- Mid-level
- Paid holidays
- Health insurance
Specialist, GME Analytics & Outcomes
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- Computer Science
- 3 years
- SQL
External Communications Manager I
ModivCare Solutions, LLC —Clarks Summit, PA
- $80,400 - $90,000 a year
- Full-time
- 7 years
- Mid-level
- Office
- Paid parental leave
- AD&D insurance
Quick Apply
14d
Director, Inventory Quality Control
ShipMonk —Pittston, PA
- Management
- SQL
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Manager - EHS&S
The AZEK Company —Scranton, PA
- $120,000 - $130,000 a year
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
ILD Sales Consultant I/II/Sr. - Allentown, PA
BI Pharmaceuticals, Inc. —Scranton, PA
- Weekends as needed
- 18 years or older
- Clean driving record
- Microsoft Outlook
Market Sales Manager of Medical Equipment
Rotech Healthcare Inc. —Dickson City, PA
- $85,000 - $115,000 a year
- Full-time
- Microsoft Word
- Background check
- Clean driving record
Quick Apply
Counsel, Associate
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- OSHA
- Customer service
- HIPAA
1d

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Director of Revenue Cycle

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS -
Honesdale, PA

Quick Apply

Job Details

Full-time

Qualifications

Medicare
Team supervision
Customer service
CMS
CMS regulatory compliance
Supervising experience
Bachelor's degree
Health insurance knowledge
Medicare regulations
Project management experience in healthcare
Managing finance teams
Revenue recognition
Data-driven problem-solving
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Business operations

Full Job Description

Mission: The Director of Revenue Cycle Management is responsible for the strategic and operational oversight of the full revenue cycle for a Federally Qualified Health Center (FQHC) with a high volume of value-based reimbursement arrangements. This role ensures accurate charging, timely billing, optimized cash collections, effective denial management, and strong revenue integrity controls across all service lines.

The Director serves as a key financial leader, partnering closely with Finance, Clinical Operations, Contracting, and Quality teams to align revenue cycle performance with value-based care objectives, regulatory requirements, and organizational financial goals, while directly reporting to the Chief Financial Officer (CFO).

Supervising Billing Manager; manages the Business Office and revenue cycle teams

Lead front-end operations (registration, eligibility) and back-end operations (coding, billing, collections, denials) to maximize reimbursement, ensuring strict compliance with Medicaid, Medicare, PPS, and grant rules while providing strategic leadership, managing staff, improving process, and optimizing patient financial interactions.

Location: Honesdale, PA (In-Office)

Duties/Responsibilities:

Revenue Cycle Leadership & Strategy

Provide strategic leadership for all revenue cycle functions, including charge capture, billing, accounts receivable, cash posting, denial management, and revenue integrity.
Develop and execute revenue cycle strategies that support value-based contracts, alternative payment models, and FQHC-specific reimbursement methodologies.
Serve as the primary revenue cycle liaison to the CFO, providing regular reporting on performance, risks, trends, and improvement opportunities.

Value-Based Care & Contract Performance

Partner with Finance and Contracting teams to ensure accurate revenue recognition and performance tracking for value-based, capitated, and incentive-based contracts.
Collaborate with Quality and Clinical Leadership to align revenue cycle processes with quality metrics, risk adjustment, and performance measures.
Monitor payer performance and reimbursement trends to identify opportunities for optimization and financial sustainability.

Charging, Billing & Accounts Receivable

Oversee charge capture processes to ensure completeness, accuracy, and compliance with FQHC billing rules and payer requirements.
Ensure timely and accurate claims submission across all payers, including Medicaid, Medicare, managed care, and commercial payers.
Manage accounts receivable performance, including aging, follow-up workflows, and resolution of complex balances.

Denial Management & Cash Collections

Establish and oversee a comprehensive denial management program focused on prevention, root-cause analysis, and recovery.
Monitor cash collections, payment posting accuracy, and reconciliation processes to maximize net revenue and cash flow.
Implement performance benchmarks and accountability measures to drive continuous improvement in cash performance.

Revenue Integrity & Compliance

Lead revenue integrity initiatives to ensure compliant charging, coding alignment, and documentation support.
Collaborate with Compliance and Audit teams to address regulatory requirements, audit findings, and payer inquiries.
Ensure adherence to FQHC, CMS, state Medicaid, and payer-specific billing regulations.

Team Leadership & Development

Directly manage the Business Office and revenue cycle teams, providing coaching, performance management, and professional development.
Foster a culture of accountability, collaboration, and continuous improvement within the revenue cycle function.
Evaluate staffing models, workflows, and technology to ensure scalability and efficiency

Payer Relations

Oversee payer contracts and relationships, including enrollment for new providers.

Process Improvement:

Analyze current procedures, identify inefficiencies, and implement changes to optimize workflow and collections.

Technology & Systems:

Utilize and manage billing software, EMR/EHR systems, and RCM tools.

Competencies:

Operational Excellence: Consistently improves processes, quality, and efficiency to meet organizational goals.

People Management: Recruits, develops, and holds staff accountable for performance and professional growth

Problem-Solving & Strategy: Ability to troubleshoot complex billing issues, identify revenue leakage, and develop strategic solutions for optimization.

Collaboration: Works effectively across departments to achieve shared objectives

Accountability: Takes ownership of results and follows through on commitments

Financial & Analytical Skills: Ability to analyze RCM metrics, interpret financial reports, manage budgets, understand payer contracts, and drive process improvements.

Leadership & Communication: Proven ability to lead teams, foster collaboration, communicate complex data to diverse stakeholders (staff, providers, leadership), and manage change.

Payer Knowledge: Comprehensive understanding of various payers (Medicare, Medicaid, Managed Care, Tricare, Workers Comp) and their unique rules.

Required Minimum Qualifications:

Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field.
Minimum of 7 years of progressive experience in healthcare revenue cycle management.
Demonstrated experience supporting FQHC operations and reimbursement, including Medicaid and Medicare.
Strong understanding of value-based payment models, alternative payment arrangements, and revenue recognition.
Proven leadership experience managing business office and revenue cycle teams.

Added-Value Qualifications and Experience:

Certified Revenue Cycle Professional (CRCP
Strategic and analytical thinking
Strong financial and operational acumen
Collaborative leadership and communication
Regulatory and compliance awareness
Change management and process improvement

Required Skills/Abilities:

Knowledge of all applicable Federal, State and Local laws
Keep current with trends and developments related to essential job competencies
Commitment to and demonstration of excellent internal and external customer service
Attention to detail, ability to lead and follow processes and procedures from beginning to end
Able to demonstrate interpersonal and relationship-building and project management skills
Strong organizational skills; ability to balance priorities and contribute as a team player within the organization
Ability to utilize data and promptly inform others in decision-making process
Entrepreneurial spirit, intellectual curiosity, high energy, positive attitude and diplomatic
Has computer skills and ability to learn/operate software programs
Maintains professional appearance and demonstrates professional attitude at all times

Quick Apply

Refine Your Search

director of business solutions jobs in scranton pa

Director of Revenue Cycle

Veterinarian (DVM/VMD) – General Practice & ER | Northeast Opportunities

Direct Support Professional - Lead - Mundy

Wireless Sales Consultant

Director of Business Solutions

Chief Information Officer (Distribution, Logistics, & Digital Transformation)

Manager Development Program - Operations Manager

Director, Human Resources

Food Service Director

Territory Rep – BioPharma

Manager, Inventory Control

Director DC Operations Productivity Planning

Assistant Director, Fullers Overlook

Specialist, GME Analytics & Outcomes

External Communications Manager I

Director, Inventory Quality Control

Manager - EHS&S

ILD Sales Consultant I/II/Sr. - Allentown, PA

Market Sales Manager of Medical Equipment

Counsel, Associate

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