Medical Director, Behavioral Health Revenue Optimization

6 days ago


Gisborne, Gisborne, New Zealand Tbwa ChiatDay Inc Full time
Company Overview

Forge Health is a mission-driven outpatient mental health and substance use provider dedicated to delivering high-quality, affordable, and effective care. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes that span all areas of health, Forge Health is leading the charge in driving innovation, improving care delivery, and shaping the future of behavioral healthcare.

Job Description

This role oversees all aspects of revenue cycle management, including billing submissions, operational execution, and continuous optimization of revenue cycle operations. The ideal candidate will have at least ten years of experience in revenue cycle management in healthcare, working with commercial health insurance companies, Medicaid programs, and Medicare programs. Experience in revenue cycle management in behavioral health and value-based care payment arrangements is preferred.

The successful candidate will be responsible for:
  • Directly managing the Revenue Cycle operations team, including the director and their direct reports.
  • Ensuring operational execution on timely, high-quality billing submissions.
  • Driving continuous optimization of all revenue cycle operations by measuring, analyzing, and interpreting revenue cycle and reimbursement data.

Required Skills and Qualifications

To succeed in this role, you will need:
  • A minimum of ten years of experience in revenue cycle management in healthcare.
  • Experience working with commercial health insurance companies, Medicaid programs, and Medicare programs.
  • Demonstrated comprehension of payer contracts and problem-solving skills.
  • Relevant healthcare industry knowledge and market awareness.

Benefits

We offer a comprehensive benefits package, including a competitive salary, comprehensive paid time off, annual time off to volunteer, parental leave, and opportunities for professional development.

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