Director of Revenue Management - Santa Clara - UCSF Health

Description

Job Summary

The Director of Revenue Management directs all UCSF Health revenue integrity strategy and initiatives across hospital and professional billing environments. The Director oversees the Revenue Integrity (RI) team and has enterprise responsibility for Charge Description Master (CDM) governance, pricing, accurate and compliant charge capture, documentation alignment, revenue monitoring, and proactive identification and mitigation of denial risk.

Responsibilities include the structure and maintenance of the CDM and professional fee schedules; development, implementation, and oversight of policies and processes related to compliant charging and coding practices; pricing strategy, analysis, and modeling; and proactive monitoring of gross revenue performance and revenue risk.

The Director collaborates extensively with clinical departments, Health Information Management, Patient Financial Services, Compliance, Internal Audit, Health Plan Strategy, Finance, and Information Technology teams to ensure revenue integrity requirements are embedded into operational and technical workflows. This includes partnership with IT and Epic application teams to optimize system design, automation, testing, and validation of charge capture and billing workflows to ensure accuracy, efficiency, and safeguarding of revenue.

The Director interacts with executives, other directors, internal and external auditors, compliance leadership, operational leaders, physicians and their staff, and UC system counterparts. External contacts include state and federal agencies, regulatory bodies, vendors, and external auditors.

The Director contributes to short- and long-range planning for revenue cycle strategies, processes, tools, and systems; establishes departmental goals, budgets, and staffing plans; and develops policies that affect revenue integrity and revenue cycle functions across UCSF Health. Errors in judgment or failure to achieve objectives may result in significant financial loss, compliance risk, or operational disruption.

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $144,200 - $350,000 (Annual Rate).

To learn more about the benefits of working at UCSF, including total compensation, please visit:

Department Description

The Revenue Management Department provides enterprise governance, strategic oversight, and operational leadership for revenue integrity across UCSF Health, encompassing both hospital and professional billing environments. The department is responsible for ensuring compliant, accurate, and defensible revenue practices through oversight of charge capture, documentation alignment, coding integration, pricing governance, and Charge Description Master (CDM) and professional fee schedule management.

The department partners closely with clinical leadership, Finance, Compliance, Health Information Management, Patient Financial Services, and Information Technology to embed revenue integrity requirements into operational and technical workflows. This includes supporting system design, automation, analytics, and controls to safeguard revenue, reduce variability, mitigate compliance risk, and support transparent and sustainable reimbursement practices. The Revenue Management Department serves as a strategic liaison between operational and technical teams and plays a critical role in enterprise revenue performance, regulatory readiness, and system-wide initiatives.

Required Qualifications

• Bachelor's degree in relevant field such as, Business, Management, or Health Administration; or equivalent experience
• Ten (10) years of experience in hospital and professional revenue cycle leadership, charge description master maintenance, clinical charge capture, coding, government/third-party reimbursement, or similar healthcare experience
• Possession of 1 or more of the following certifications:
• CPAM – Certified Professional in Ambulatory Management (MGMA)
• CHRI – Certified Healthcare Revenue Integrity (AAPC)
• CHC – Certified in Healthcare Compliance (HCCA)
• CPC – Certified Professional Coder (AAPC)
• CCS – Certified Coding Specialist (AHIMA)
• Experience in managing and/or developing charge description master, fee schedules, and charge capture processes, policies, and/or procedures
• Practical experience using hospital information systems, Epic preferred, and computer proficiency with PC applications (e.g. Microsoft Office)
• Practical experience and knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and Revenue codes
• In-depth knowledge of overall revenue cycle processes, specifically revenue integrity, including industry trends
• Demonstrated leadership experience in a healthcare setting, preferable within a medical facility or health system
• Knowledge of applicable laws, regulations, requirements, standards and practices pertaining to patient confidentiality and information management
• Demonstrated analytical and decision-making skills
• Demonstrated professional interpersonal and communication skills
• Excellent organizational, time management, and project management skills; ability to manage multiple, competing priorities
• Detail-oriented, good organizational skills, and ability to be self-directed
• Ability to present to and interact with all levels of hospital management and physician leaders
• Ability to plan, document, direct, monitor and coordinate workflows

Preferred Qualifications

• Master's degree in related health care or business area and/or equivalent experience/training

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve – a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Organization

Health

Job Code and Payroll Title

006580 REVENUE CYCLE HC MGR 2

Job Category

Accounting / Finance, Financial, Professional and Managerial, Supervisory / Management

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

%

Location

Emeryville, CA

Campus

Emeryville

Work Style

Flexible

Shift

Days

Shift Length

8 Hours

Additional Shift Details

Monday - Friday, 8 a.m. - 5 p.m.