Sutter Health

Director, Revenue Division

Emeryville Full time

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Bay

Position Overview:

*The Director supports locations throughout the Sutter Health California footprint.
*Eligible to work from home with 50% travel within our California network.

Sutter Health is seeking a highly skilled revenue cycle leader to serve as a primary enterprise contact for revenue and revenue cycle performance matters. This role functions as a strategic connector across Revenue Cycle Operations, Healthcare Finance, Managed Care Contracting, and Executive Leadership, ensuring alignment between financial targets and revenue cycle execution. The successful candidate will demonstrate the ability to clearly connect finance metrics to underlying revenue cycle drivers and translate strategy into operational performance.

We are seeking candidates with extensive experience serving as trusted advisors to executive leadership, with a proven ability to translate complex revenue cycle and financial data into clear, actionable insights. This role requires exceptional executive-level communication skills, including the ability to analyze data to identify opportunities, develop compelling content, and present findings clearly, concisely, and with confidence to senior leaders. The ideal candidate will bring extensive experience across both Hospital Billing (HB) and Professional Billing (PB), with deep operational expertise across all major revenue cycle pillars and demonstrated subject matter expertise in two or more functional domains. Those with a strong background in enterprise revenue cycle performance optimization are strongly preferred. Success in this role requires advanced experience in performance improvement, including the application of Lean principles and demonstrated use of Coaching Kata methodology to drive continuous improvement, capability building, and sustained operational discipline. We are seeking leaders with well-established expertise in scoping and executing high-impact, enterprise-wide initiatives that materially improve revenue integrity, cash performance, and budget outcomes. These initiatives will leverage data-driven root cause analysis and focus on high-impact performance areas such as front-end operations, CDI, coding, denials, underpayments, aged receivables, net revenue optimization, month-end close performance, leadership development, and other critical revenue cycle KPIs. Candidates must also demonstrate deep operational experience in providing education, guidance, and operational support to clinical care setting leaders, finance, and revenue cycle teams on system processes and performance improvement strategies. This position requires highly skilled leaders with experience operating across all organizational levels, supporting both strategic initiatives and day-to-day operations. Responsibilities include oversight of corrective action plans, accountability structures, deliverables, and timelines across corporate, facility, and third-party vendor environments. We are seeking candidates with a history of success in revenue cycle vendor management, including establishing new contracts, implementing governance structures, conducting performance reviews, and driving vendor accountability through corrective action planning. The successful candidate will demonstrate the ability to collaborate effectively with key departments and leaders to ensure transparency, alignment, and consistent communication across the enterprise. This role is accountable for collaborating to ensure optimization of accounts receivable performance, reduction of avoidable denials and write-offs, payment variance review, and consistent implementation of best practices across all facilities. Candidates should also have experience leading enterprise committees and task forces and partnering with local leadership teams and patient-facing operators to implement sustainable operational improvements at the facility level. Those with comprehensive experience leveraging revenue cycle analytics platforms, including Kodiak Revenue Cycle Intelligence (RCI/RCA) or comparable tools, to support performance monitoring, root-cause analysis, and continuous improvement initiatives are strongly preferred.

Job Description:

EDUCATION:

Equivalent experience will be accepted in lieu of the required degree or diploma

  • Bachelor’s degree in business administration or related healthcare.

TYPICAL EXPERIENCE:

  • 8 years recent relevant experience

SKILLS AND KNOWLEDGE:

  • Able to effectively communicate in both writing and verbally with all levels of staff.
  • Able to make autonomous decisions involved in implementing coding and billing policies effecting revenue and operations.
  • In depth knowledge of third-party billing rules for Medicare, Medi-Cal, Government Managed Care, Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Worker's Compensation.
  • In depth knowledge of third-party reimbursement contract terms and adjudication, state and federal billing and collections regulations, compliance, claims processing methods, Current Procedure Terminology (CPT) coding, and patient accounting management practices.
  • Proficiency in knowledge and use of the electronic health systems (specifically Epic).
  • Proficiency in various PC software programs such as spreadsheets and word processors, and other statistical tools. Able to effectively utilize the Microsoft Office suite of products.
  • Organizational skills, problem analysis skills, time management skills, and effective verbal and written communication skills.
  • Skilled in interpreting billing regulations and reimbursement formulas.
  • Demonstrated leadership and training skills.
  • Must remain flexible and be able to be involved in and prioritize multiple projects in a rapidly changing environment.
  • Must have a positive attitude and be willing to learn new things; ability to maintain a high level of energy and work independently.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $88.29 to $141.27 / hour. San Francisco Bay Area Pay Range is $88.29 to $141.27 / hour. Sacramento Valley Area Pay Range is $77.70 to $124.32 / hour.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.