Establish governance frameworks, standards, and controls to support clean revenue, payer compliance, and operational excellence.
Oversee payer change management strategy, including prioritization, risk mitigation, and cross‑functional coordination for payer updates across the client base.
Establish performance expectations, success metrics, and accountability models for RCM operations leadership.
Foster strong cross‑functional relationships to align RCM operations with clinical, finance, IT, compliance, and client engagement strategies.
Support client growth initiatives, including new Ambulatory Infusion Center (AIC) implementations, by ensuring RCM readiness and operational scalability.
Process Optimization & Innovation Drive a continuous improvement mindset across RCM operations, leveraging automation, technology enablement, and data‑driven decision making.
Sponsor and prioritize enterprise initiatives that reduce manual effort, improve cash flow, and enhance the client and patient experience.
Evaluate and influence RCM technology strategy in partnership with IT and product teams.
Ensure enterprise compliance with regulatory, payer, and financial requirements; lead organizational readiness for regulatory or payer changes.
Requirements
Skills & Capabilities Demonstrated ability to set strategy and influence execution across complex, multi‑stakeholder environments Deep expertise in government and commercial payer models, reimbursement structures, and contract interpretation Strong executive communication skills with the ability to translate complexity into clear strategic direction Proven people‑leader with
experience leading managers and senior leaders Ability to operate independently with high judgment, discretion, and confidentiality Strong business acumen with
experience leveraging data to drive organizational decisions Advanced stakeholder management and relationship‑building capabilities Proficiency in modern business and analytics tools; strong comfort influencing technology‑enabled change
Qualifications Bachelor’s degree in Finance, Accounting, Business Administration, or related field desired, High School Diploma or GED required. At least 8 years of progressive
experience in home infusion Revenue Cycle Management, healthcare operations, or financial operations, including leadership at the manager or director level strongly desired. Demonstrated
experience leading large, complex operational functions or multi‑client environments (home infusion
experience strongly preferred) Strong understanding of healthcare billing, reimbursement, regulatory requirements, and financial controls Proven success leading operational transformation, scaling teams, or implementing enterprise initiatives Strategic, analytical mindset with the ability to balance long‑term vision and operational outcomes As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization.
Benefits
This role is accountable for establishing the operational vision, priorities, and strategies that enable scalable, compliant, and high ‑ performing Admissions and RCM functions across the organization.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Contact
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.
Additional details
Position Summary Under the general direction of the Operations Senior Director, the Operations Director, Revenue Cycle Management (RCM) provides strategic leadership for our RCM Operations, supporting both internal and external clients.
This leadership role will serve as a senior liaison and strategic partner to client leadership, third-party billing vendors, and internal stakeholders, ensuring alignment between strategy, payer requirements, operational execution, and financial outcomes.
Responsibilities Enterprise RCM Strategy & Governance Define and lead the enterprise strategy and operating model for payer management, admissions, and revenue cycle support, ensuring consistency, scalability, and financial integrity across all clients.
Payer Strategy & Oversight Set the strategic direction for payer contract management, ensuring contracts are operationalized effectively to support accurate benefit verification, billing, and collections.
Provide executive oversight for payer audits, ensuring timely, compliant, and effective responses while identifying systemic improvement opportunities.
Operational Leadership & Team Enablement Lead and develop RCM operational leaders responsible for admissions, billing, and collections, ensuring the organization has the capability, structure, and talent to execute at scale.
Partner with HR and functional leaders on workforce planning, leadership development, and succession strategies for RCM teams.
Client & Stakeholder Partnership Serve as a trusted advisor to client executives and internal leadership, translating operational performance into strategic insights and recommendations.
Performance Management, Reporting & Compliance Provide executive‑level oversight of RCM performance metrics, including receivables, aging, cash flow, and payer trends.
Translate operational and financial data into strategic insights for senior leadership.