Director, Revenue Operations - Health Insurance Contracts
Job Overview
Compensation
Salary
Range $116,000.00 - $1.00
Benefits
Health Insurance
Dental Insurance
Paid Time Off
Retirement Plan
Professional Development
flexible schedule
Employee assistance program
Job Description
Easterseals Southern California is a renowned nonprofit organization dedicated to transforming the lives of people with disabilities for over a century. With a mission deeply rooted in championing inclusion and independence, Easterseals Southern California delivers a wide array of essential services to empower individuals and families across the region. These services include early childhood programs, autism services, employment support, and independent living assistance that serve more than 29,000 people annually. The organization is committed to breaking down barriers through advocacy, education, and innovative programs designed to create opportunities for one in four Americans with disabilities. Easterseals Southern California maintains a strong focus on person-centered care, ensuring that every service is tailored to meet the unique needs of its diverse client base, fostering an environment of respect, dignity, and empowerment.
The role of Director of Revenue Operations at Easterseals Southern California is a vital leadership position focused on maximizing revenue generation for Autism Services. This role offers a starting salary of $116,000 and above annually, reflecting the responsibility and complexity of the position. The Director of Revenue Operations will be responsible for designing and executing comprehensive strategies that promote financial growth and sustain long-term stability. This leader develops and maintains a robust operational infrastructure while implementing efficient processes and communication channels to support current clinical services and future business expansions. The position acts as a strategic partner to clinical, operational, and network teams, ensuring the scalability, profitability, and compliance of all services.
Key responsibilities include continuous improvement of operational strategy plans, workflow optimization, and establishing controls that ensure consistent, accurate, and timely reimbursement across autism services. The Director will also monitor revenue integrity, conduct pre-audit oversight, track outcomes, analyze trends, and support reliable forecasting. Managing denial processes and escalating complex issues are critical, as is maintaining a feedback loop to enhance operational practices and staff education. This leadership position requires coordination among multiple departments to promote shared accountability and seamless communication. Experience with payer organizations and contract negotiations will be essential to optimize reimbursement, support funding opportunities, and assess the financial viability of new service development. The Director must provide leadership and mentorship to revenue operations employees, encouraging collaboration and continuous improvement aligned with Easterseals Southern California's mission and values.
This role demands a leader well-versed in healthcare finance and revenue cycle management, preferably with professional certifications, and a minimum of 12 years of experience, including at least eight years in progressively responsible healthcare leadership roles. The ideal candidate will have demonstrated success in managing complex, cross-functional projects within healthcare or behavioral health settings. This includes strong analytical skills, excellent communication abilities, and the capacity to lead diverse teams. Additionally, the Director must maintain compliance with regulatory standards and possess the flexibility to travel throughout Southern California. The position also includes physical requirements in alignment with the Americans with Disabilities Act (ADA) and entails occasional lifting, standing, and walking, with desk-based work facilitating most daily activities.
The role of Director of Revenue Operations at Easterseals Southern California is a vital leadership position focused on maximizing revenue generation for Autism Services. This role offers a starting salary of $116,000 and above annually, reflecting the responsibility and complexity of the position. The Director of Revenue Operations will be responsible for designing and executing comprehensive strategies that promote financial growth and sustain long-term stability. This leader develops and maintains a robust operational infrastructure while implementing efficient processes and communication channels to support current clinical services and future business expansions. The position acts as a strategic partner to clinical, operational, and network teams, ensuring the scalability, profitability, and compliance of all services.
Key responsibilities include continuous improvement of operational strategy plans, workflow optimization, and establishing controls that ensure consistent, accurate, and timely reimbursement across autism services. The Director will also monitor revenue integrity, conduct pre-audit oversight, track outcomes, analyze trends, and support reliable forecasting. Managing denial processes and escalating complex issues are critical, as is maintaining a feedback loop to enhance operational practices and staff education. This leadership position requires coordination among multiple departments to promote shared accountability and seamless communication. Experience with payer organizations and contract negotiations will be essential to optimize reimbursement, support funding opportunities, and assess the financial viability of new service development. The Director must provide leadership and mentorship to revenue operations employees, encouraging collaboration and continuous improvement aligned with Easterseals Southern California's mission and values.
This role demands a leader well-versed in healthcare finance and revenue cycle management, preferably with professional certifications, and a minimum of 12 years of experience, including at least eight years in progressively responsible healthcare leadership roles. The ideal candidate will have demonstrated success in managing complex, cross-functional projects within healthcare or behavioral health settings. This includes strong analytical skills, excellent communication abilities, and the capacity to lead diverse teams. Additionally, the Director must maintain compliance with regulatory standards and possess the flexibility to travel throughout Southern California. The position also includes physical requirements in alignment with the Americans with Disabilities Act (ADA) and entails occasional lifting, standing, and walking, with desk-based work facilitating most daily activities.
Job Requirements
- Bachelor’s degree in healthcare administration, business administration, or closely related field
- Minimum of 12 years including 8 years of progressive experience in healthcare operations, revenue operations, or related healthcare leadership roles
- Experience working with payer organizations
- Proven leadership experience including supervision of staff or managers
- Ability to obtain and maintain a criminal record/fingerprint clearance from Department of Justice and Federal Bureau of Investigation
- Ability to travel throughout Southern California with reliable transportation and maintain valid driver’s license and insurance
- Ability to pass post-offer medical examination
- Must pass all drug testing required by Easterseals Southern California
- Demonstrated computer proficiency including Microsoft Office applications
- Strong interpersonal skills and commitment to working in multicultural environments
- Ability to manage multiple priorities and meet deadlines
- Ability to maintain confidentiality and exercise discretion
Job Qualifications
- Bachelor’s degree in healthcare administration, business administration, or closely related field
- Professional certifications in healthcare finance, revenue operations, or revenue cycle management preferred
- Minimum of 12 years including 8 years of progressive experience in healthcare operations, revenue operations, or related healthcare leadership roles
- Demonstrated experience leading complex, cross-functional initiatives within a healthcare or behavioral health setting, including partnership with clinical, operational, financial, and administrative leaders
- Proven leadership experience, including direct supervision of staff and/or managers, with responsibility for setting performance expectations, driving improvement, and supporting team development
- Experience working with payer organizations including collaboration related to reimbursement structures, fee schedules, referral pathways, contract performance, or payer requirements
- Experience supporting organizational growth initiatives such as new service development, program launches, alternative funding models, or expansion into new service lines preferred
- Experience operating in multi-site, growing, or complex healthcare environments preferred
- Strong analytical and problem-solving skills with ability to evaluate information, identify trends or risks, and apply sound judgment to develop sustainable operational solutions
- Excellent written and verbal communication skills including the ability to convey information to diverse audiences, conduct presentations, and advocate effectively
Job Duties
- Designs and continuously improves revenue-supporting operational strategy plans, workflows and controls to promote consistent, accurate, and timely reimbursement across services
- Establishes revenue integrity and performance monitoring practices, integrating pre-audit oversight, outcome tracking, and trend analysis to support accurate billing, early issue identification, and reliable revenue forecasting
- Leads structured approaches to denial management, ensuring complex or high-impact denials are escalated appropriately, resolved efficiently, and used to strengthen future operational performance
- Creates and maintains feedback loops between revenue outcomes and operational practice, translating insights into process enhancements, education, and preventive improvements
- Ensures alignment and coordination across revenue-impacting functions, supporting shared accountability, clear communication, and seamless handoffs among clinical, operational, and administrative teams
- Leverages revenue data, reporting, and systems to enhance visibility, inform decision-making, and support scalable operations as services and volumes expand
- Partners with payer organizations and internal leaders to support contract performance and reimbursement optimization, including collaboration related to fee schedules, referral pathways, and payer requirements
Job Criteria
Experience
Expert Level (7+ years)
Job Location
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