SaVida Health
Director of Billing and Managed Services
SaVida Health, Nashville, Tennessee, United States, 37247
Director of Billing and Managed Services
4 days ago Be among the first 25 applicants
About The Organization SaVida Health, a private equity backed healthcare company, provides outpatient opiate and alcohol addiction treatment services. SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications. SaVida is headquartered in Nashville, TN and currently operates in Tennessee, Massachusetts, Delaware, Vermont, New Hampshire, Maine and Virginia and is developing the capability to expand rapidly to meet the needs of patients suffering from opiate and alcohol addiction.
Summary The Director of Revenue Cycle Operations is responsible for overseeing all functions of the revenue cycle across SaVida Health’s national network of behavioral health clinics. This role manages end‑to‑end revenue cycle processes, including billing, collections, credentialing, provider enrollment, payor data management, and offshore vendor performance. The position is expected to ensure compliance, improve operational efficiency, optimize systems usage, and support organizational growth through integration and standardization initiatives.
Offshore Vendor Management
Serve as the primary point of contact for offshore revenue cycle vendors.
Oversee services including accounts receivable (A/R) follow‑up, payment posting, credentialing support, and maintenance of payor data.
Define and monitor service level agreements (SLAs), key performance indicators (KPIs), and escalation protocols.
Ensure vendors maintain compliance with HIPAA, data security policies, and organizational standards.
Conduct regular vendor performance reviews and implement corrective action as needed.
Revenue Cycle Operations
Oversee internal billing operations, including claims submission, denial management, payment reconciliation, and collections.
Manage the billing team and provide direct supervision to the Billing Manager.
Standardize workflows and procedures across clinic locations to ensure consistency and scalability.
Identify and resolve process inefficiencies impacting claim lifecycle and revenue capture.
Credentialing and Provider Enrollment
Lead credentialing and enrollment processes for all clinical providers and sites.
Manage CAQH profiles, expirables, re‑attestations, and delegated payor rosters.
Oversee CredentialStream (VerityStream) system usage to ensure accurate and timely provider onboarding.
Ensure credentialing and enrollment processes are aligned with organizational timelines, including during new site openings or acquisitions.
Mergers, Acquisitions, and Site Integration
Support RCM integration activities during acquisitions and new site launches.
Coordinate onboarding processes for billing, scheduling, and credentialing systems.
Collaborate with internal departments (legal, HR, IT) to ensure operational readiness.
Develop standardized processes to ensure smooth transitions and continuity of revenue operations.
Analytics and Reporting
Own RCM performance dashboards and deliver regular reporting to executive leadership.
Monitor key financial metrics including net collections, denial rates, DSO, and aging.
Develop and implement tools or workflows to support metric tracking and data analysis.
Utilize data insights to recommend process improvements and support strategic planning.
Systems and Platform Optimization
Lead the adoption and optimization of revenue cycle systems, including Athenahealth, Phreesia, and CredentialStream.
Coordinate with software vendors and internal stakeholders to ensure effective system configuration and utilization.
Identify opportunities for automation and scalability within RCM processes.
Evaluate and recommend new tools and platforms aligned with organizational growth goals.
Other duties as assigned.
Qualifications and Education Requirements
Bachelor’s degree in Business, Healthcare Administration, or a related field.
Minimum of seven (7) years of progressive leadership experience in revenue cycle management within a multi‑site healthcare environment.
Minimum of five (5) years managing offshore RCM vendor relationships.
Demonstrated experience with provider credentialing and CAQH management.
Proven track record in supporting M&A activities, including integration and onboarding.
Strong knowledge of healthcare RCM performance metrics, data analytics, and reporting.
Experience in systems and process optimization across multiple locations and platforms.
Preferred Skills
Experience with Athenahealth, Phreesia, and CredentialStream (VerityStream).
Proficiency in Python, SQL, VBA, or Excel‑based automation tools.
Project management experience, including cross‑functional initiative leadership.
HFMA certification or Lean/Six Sigma training.
Equal Employment Opportunity We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
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About The Organization SaVida Health, a private equity backed healthcare company, provides outpatient opiate and alcohol addiction treatment services. SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications. SaVida is headquartered in Nashville, TN and currently operates in Tennessee, Massachusetts, Delaware, Vermont, New Hampshire, Maine and Virginia and is developing the capability to expand rapidly to meet the needs of patients suffering from opiate and alcohol addiction.
Summary The Director of Revenue Cycle Operations is responsible for overseeing all functions of the revenue cycle across SaVida Health’s national network of behavioral health clinics. This role manages end‑to‑end revenue cycle processes, including billing, collections, credentialing, provider enrollment, payor data management, and offshore vendor performance. The position is expected to ensure compliance, improve operational efficiency, optimize systems usage, and support organizational growth through integration and standardization initiatives.
Offshore Vendor Management
Serve as the primary point of contact for offshore revenue cycle vendors.
Oversee services including accounts receivable (A/R) follow‑up, payment posting, credentialing support, and maintenance of payor data.
Define and monitor service level agreements (SLAs), key performance indicators (KPIs), and escalation protocols.
Ensure vendors maintain compliance with HIPAA, data security policies, and organizational standards.
Conduct regular vendor performance reviews and implement corrective action as needed.
Revenue Cycle Operations
Oversee internal billing operations, including claims submission, denial management, payment reconciliation, and collections.
Manage the billing team and provide direct supervision to the Billing Manager.
Standardize workflows and procedures across clinic locations to ensure consistency and scalability.
Identify and resolve process inefficiencies impacting claim lifecycle and revenue capture.
Credentialing and Provider Enrollment
Lead credentialing and enrollment processes for all clinical providers and sites.
Manage CAQH profiles, expirables, re‑attestations, and delegated payor rosters.
Oversee CredentialStream (VerityStream) system usage to ensure accurate and timely provider onboarding.
Ensure credentialing and enrollment processes are aligned with organizational timelines, including during new site openings or acquisitions.
Mergers, Acquisitions, and Site Integration
Support RCM integration activities during acquisitions and new site launches.
Coordinate onboarding processes for billing, scheduling, and credentialing systems.
Collaborate with internal departments (legal, HR, IT) to ensure operational readiness.
Develop standardized processes to ensure smooth transitions and continuity of revenue operations.
Analytics and Reporting
Own RCM performance dashboards and deliver regular reporting to executive leadership.
Monitor key financial metrics including net collections, denial rates, DSO, and aging.
Develop and implement tools or workflows to support metric tracking and data analysis.
Utilize data insights to recommend process improvements and support strategic planning.
Systems and Platform Optimization
Lead the adoption and optimization of revenue cycle systems, including Athenahealth, Phreesia, and CredentialStream.
Coordinate with software vendors and internal stakeholders to ensure effective system configuration and utilization.
Identify opportunities for automation and scalability within RCM processes.
Evaluate and recommend new tools and platforms aligned with organizational growth goals.
Other duties as assigned.
Qualifications and Education Requirements
Bachelor’s degree in Business, Healthcare Administration, or a related field.
Minimum of seven (7) years of progressive leadership experience in revenue cycle management within a multi‑site healthcare environment.
Minimum of five (5) years managing offshore RCM vendor relationships.
Demonstrated experience with provider credentialing and CAQH management.
Proven track record in supporting M&A activities, including integration and onboarding.
Strong knowledge of healthcare RCM performance metrics, data analytics, and reporting.
Experience in systems and process optimization across multiple locations and platforms.
Preferred Skills
Experience with Athenahealth, Phreesia, and CredentialStream (VerityStream).
Proficiency in Python, SQL, VBA, or Excel‑based automation tools.
Project management experience, including cross‑functional initiative leadership.
HFMA certification or Lean/Six Sigma training.
Equal Employment Opportunity We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
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