Sr Director, Revenue Cycle

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At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others.

Position Overview

The Sr Director, Revenue Cycle is responsible for the strategic leadership, operational performance, and financial stewardship of the enterprise revenue cycle function supporting the company’s $3BN diagnostic clinical laboratory portfolio and is accountable for optimizing cash realization, mitigating reimbursement risk, accelerating revenue conversion, and ensuring sustainable revenue growth through effective revenue cycle strategy and execution. The Sr Director is responsible for collaboration with key revenue process stakeholders, including Clinical, Financial, Regulatory, and other corporate leaders, to ensure alignment of the revenue cycle management strategy and process.

This role provides leadership across a global workforce of approximately 600 employees and vendor partners through a multi-level leadership structure, including approximately 200 onshore and 400 offshore team members responsible for revenue cycle operations, analytics, process excellence, and technology optimization.
This role requires regular travel to Madison, WI as part of ongoing business needs.

Essential Duties

• Enterprise Revenue Cycle Transformation: Establishes and executes the long-term enterprise revenue cycle vision and operating model, leading transformational initiatives that improve scalability, automation, digital enablement, reimbursement performance, operational efficiency and customer experience.

• Enterprise-wide revenue cycle leadership: Responsible for strategy, execution, and continuous improvement of revenue cycle operations from order capture through final cash resolution. Collaborates with multiple departments to support clinical, commercial, regulatory, and financial goals.
• Comprehensive revenue cycle scope: Oversees order management, data validation, eligibility verification, coding, billing, claim submission, denial management, cash posting, analytics, and Epic system optimization.
• Strategic and operational leadership: Develops enterprise revenue cycle strategy aligned with financial objectives and compliance. Serves as the strategic advisor to division senior leadership on revenue cycle performance, reimbursement trends, payer dynamics, revenue integrity, regulatory risk, and enterprise financial optimization opportunities.
• Order capture and data quality: Ensures accurate, complete, and validated order data to support clinical processing and billing readiness.
• Coding, charge capture, and claim production: Oversees accurate coding and billing practices, compliant with payer policies and regulations. Manages charge generation and claim editing to minimize denials and rework.
• Revenue integrity and reimbursement optimization: Accountable for enterprise revenue integrity programs, ensuring accurate reimbursement, charge capture, coding compliance, contract adherence, reimbursement optimization and mitigation of revenue leakage across the enterprise.
• Billing, collections, and AR management: Directs payer and patient billing, follow-up, collections, and accounts receivable performance. Develops strategies to improve cash realization and reduce write-offs. Accountable for enterprise performance across key revenue cycle metrics including net collection rate, denial rates, cash realization, accounts receivable aging, clean claim rates, reimbursement yield, revenue leakage and operating efficiency.
• Denial management and continuous improvement: Leads denial prevention and root cause analysis efforts. Establishes governance models and dashboards to monitor denial trends and drives quality improvement initiatives.
• Epic system ownership and optimization: Serves as senior business owner for revenue cycle technologies, including Epic and related platforms, establishing technology strategy, investment priorities, automation roadmaps, data governance standards, and system optimization initiatives that support enterprise growth and operational scalability.  Partners with IT and operational teams to develop, test, and optimize workflows supporting laboratory billing and compliance.
• Organizational leadership and compliance: Builds a high-performing team with clear accountability and development paths. Accountable for enterprise revenue cycle compliance, reimbursement governance, audit readiness, internal controls, and risk mitigation activities associated with federal and state healthcare regulations, payer requirements, laboratory billing practices, and financial reporting standards.

Minimum Requirements

• Bachelor's degree in healthcare, finance, or another field relating to revenue cycle management. 
• 15+ years of experience working in a revenue cycle capacity.
• 5+ years of progressive revenue cycle leadership experience with proven financial, billing, and reimbursement operations and third-party payer knowledge. 
• Demonstrated success leading large, complex revenue cycle organizations with accountability for substantial revenue portfolios, multi-site operations, offshore resources, and large employee populations.
• Demonstrated ability to influence executive leaders, boards, and cross-functional stakeholders on strategic, operational, financial, and regulatory matters.
• Demonstrated understanding of revenue cycle management principles; including an advanced understanding of medical billing, coding, collections, managed care products, regulatory compliance, payer enrollment/credentialing, financial reporting, and medical terminology (CPT, HCPCS, ICD9 and ICD10).
• Demonstrated knowledge of Federal, State, and Local healthcare laws and regulations, particularly CMS and other federally funded program regulations and standards and their application to professional and hospital coding, billing, and reimbursement.
• Demonstrated strategic mindset and strong business acumen, including strong analytical capabilities with confidence presenting data and proposing recommendations effectively to a variety of audiences.
• Demonstrated ability to drive the revenue cycle management strategic agenda using knowledge of the organization and its employees with the ability to lead and deploy enterprise-wide initiatives.
• Demonstrated ability to actively participate as a mentor/leader, who builds organizational capabilities, reduces complexity, and partners at all levels to maximize team performance.
• Demonstrated ability to continually assessing the efficiency, value, and effectiveness of all programs, practices, and initiatives against the business needs and companies in relevant, comparable industries, and markets.
• Demonstrated ability to perform the Essential Duties of the position with or without accommodation.

• Authorization to work in the United States without sponsorship.

Preferred Qualifications

• Healthcare Financial Management Association (HFMA) or Medical Group Management Association (MGMA) certification.
• Certification in Health Care Compliance (CHC) through the Healthcare Compliance Association (HCCA).
• Diagnostics/Biotech experience.
• MBA/MHA or related advanced degree.

Salary Range:

Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits.

Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here.

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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law.

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