Director Revenue Cycle Operational Integrity

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary: Responsible for overseeing all aspects of Revenue Cycle Organization (RCO) employee training and quality assurance, including but not limited to designing and implementing training programs, monitoring performance against quality standards, partnering with operational leaders in identifying areas for improvement, and ensuring compliance with relevant regulations as identified by the Revenue Cycle Regulatory team, all while driving a culture of continuous learning and quality excellence across the RCO. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Develops, implements and maintains a robust feedback system between quality assurance, training, and revenue cycle operations to ensure continuous learning and process enhancement. Oversees the design, development, implementation and management of comprehensive revenue cycle training programs for new hires and existing staff. Ensures training content aligns with regulatory requirements, organizational goals and industry best practices. Directs the monitoring and analysis of training effectiveness, partnering with revenue cycle operations to make data-driven decisions to refine programs and improve staff performance. Oversees revenue cycle quality audit process, ensuring accuracy for front and back revenue cycle. Identifies root causes of revenue cycle errors and responsible for communication and collaboration with operational leaders to implement corrections as needed. Recruits, engages, develops, leads, and manages assigned staff. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent years of experience and education EXPERIENCE Five years' experience, with three years in leadership Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare Named One of the Diversity Leaders 2024 – Modern Healthcare Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek Named One of America's Greatest Workplaces for Women 2024 – Newsweek Named One of America’s Greatest Workplaces for Job Starters 2024 – Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s 40,000 team members and more than 13,900 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve. ​​​​​​​ With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. This position IS remote work eligible. SSM Health currently offers remote work within the states of MO, WI, IL, OK, AL, FL, GA, IA, IN, KS, KY, LA, MI, NC, SC, TN, TX, UT, VA, WV. To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact: Angela Jones Executive Talent Partner LI-Remote Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8700050033 QA and Training Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

Created: 2025-10-11