Talent.com
Director, RCMS US Operations

Director, RCMS US Operations

QualifactsNashville, TN, US
6 days ago
Job type
  • Full-time
Job description

Director, RCMS US Operations

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts' comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers. Qualifacts has a loyal customer base, with more than 2,500 customers representing 75,000 providers serving more than 6 million patients. Qualifacts was recognized in the 2022 and 2023 Best in KLAS : Software and Services report as having the top ranked Behavioral Health EHR solutions.

If you want to work inside an atmosphere where innovation has purpose, and your ambition works to support our customers and those they serve, please apply today!

Summary of the Director, RCMS US Operations

The Director of RCMS US Operations is responsible for managing the day-to-day operations of the RCMS Relationship Management team. This role oversees client service delivery, ensures accurate and timely billing configurations, and leads a team that supports the full revenue cycle process for customers. The Director serves as the primary point of contact for escalating client issues and is accountable for ensuring that services are delivered in line with contract terms and customer expectations.

This position includes oversight of team performance, client onboarding, contract fulfillment, and process execution related to revenue cycle management. The Director works closely with internal departments to resolve issues and support operational goals, while also ensuring compliance with billing, payer, and regulatory requirements.

This position may be remote or based in a U.S. office location.

Responsibilities for the Director, RCMS US Operations

Team & Operations Management

  • Manage and support a team of Relationship Managers, Configuration Analysts, and / or other customer onboarding staff
  • Ensure staff meet performance expectations and service-level goals
  • Oversee workload distribution, day-to-day operations, and coordination of tasks
  • Conduct regular team meetings, performance reviews, and provide coaching and support

Client Engagement & Service Delivery

  • Function as the main point of contact for clients during issue escalation or complex situations
  • Ensure clients are receiving timely responses, accurate billing services, and consistent support
  • Monitor customer KPIs, performance metrics, and revenue cycle processing to ensure operational targets are achieved
  • Address client concerns promptly and follow-up on open items to ensure resolution
  • Billing Configuration & Revenue Cycle Oversight

  • Oversee billing setup, fee schedule updates, and maintenance of revenue cycle settings in the EHR system
  • Validate successful configuration with clearinghouses and monitor ongoing revenue cycle settings
  • Coordinate with internal teams to complete customer onboarding and configuration accurately and on time
  • Ensure contract terms and billing requirements are properly implemented and maintained
  • Process Compliance & Risk Management

  • Support compliance with payer rules, state and federal regulations, and internal company policies
  • Research and share relevant billing, payer, and insurance updates with the team and clients
  • Identify operational issues or risks and collaborate with teams to develop practical solutions
  • Provide oversight into month-end billing, invoice review, and payment validation processes
  • Collaboration & Communication

  • Collaborate with internal departments (e.g., Product, Customer Success, Customer Support, Finance) to support client needs and resolve issues
  • Coordinate with team members to ensure all client deliverables are completed and contracts are adhered to
  • Support cross-functional projects that improve client outcomes and internal workflows
  • Maintain clear documentation and communication for all client-related activities and team performance
  • Qualifications of the Director, RCMS US Operations

  • Bachelor's degree required. Master's degree preferred but not required.
  • 10+ years of experience in client success, healthcare billing, or revenue cycle operations
  • At least 5 years of experience in managerial or leadership role
  • Experience working with Electronic Health Records (EHRs), clearinghouses, or medical billing platforms
  • Knowledge of behavioral healthcare billing is a plus
  • Knowledge, Skills, and Abilities of the Director, RCMS US Operations

  • Strong leadership skills with experience supervising staff and managing performance
  • Familiarity with revenue cycle workflows, billing processes, and payer rules
  • Ability to manage multiple priorities, meet deadlines, and maintain accuracy under pressure
  • Excellent verbal and written communication skills
  • Comfortable reviewing reports and identifying issues or trends in data
  • Skilled in resolving client concerns and improving service delivery
  • Proficient in Microsoft Office and CRM or project management tools
  • Knowledge of contract management and billing compliance requirements
  • Occasional travel may be required for team meetings, training, or client visits (up to 20%)
  • Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

    Create a job alert for this search

    Director Operation • Nashville, TN, US

    Related jobs
    • Promoted
    Crew Leader / Driver

    Crew Leader / Driver

    Stand Up Guys Moving and Junk RemovalFranklin, TN, US
    Full-time
    Stand Up Guys, America’s most beloved junk removal company, is a fun, low stress company to earn great money and more importantly grow in your position and income. One of our core values is &l...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Supply Chain Manager, SSD-Direct, OE

    Senior Supply Chain Manager, SSD-Direct, OE

    AmazonNashville, TN, US
    Full-time
    The candidate will be working as a member of the Sub-Same Day (SSD-Direct) delivery team as we work to provide faster than same day delivery across North America. We are looking for an experienced S...Show moreLast updated: 30+ days ago
    • Promoted
    Supply Chain Manager, NACF AF Carrier Strategy

    Supply Chain Manager, NACF AF Carrier Strategy

    AmazonNashville, TN, US
    Full-time
    We are looking for a Supply Chain Manager to lead our 3P Carrier Strategy.This team is responsible for the planning and implementation of NA Direct Fulfillment's carrier capacity for 3P carriers, i...Show moreLast updated: 13 days ago
    • Promoted
    Transportation(DOT) Program Manager / Client Manager

    Transportation(DOT) Program Manager / Client Manager

    HDRNashville, TN, US
    Full-time
    Transportation(DOT) Program Manager / Client Manager.At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone...Show moreLast updated: 30+ days ago
    • Promoted
    PRODUCE / DEPT MANAGER ON DECK

    PRODUCE / DEPT MANAGER ON DECK

    KrogerBrentwood, TN, US
    Full-time
    Complete a 4-12 week program (internal 4-6, external 8-12) in preparation of being assigned a department manager position. Travel within the division to train and provide relief.Create an outstandin...Show moreLast updated: 30+ days ago
    • Promoted
    Marine Superintendent

    Marine Superintendent

    Garney ConstructionNashville, TN, US
    Full-time
    A Marine Superintendent position in Nashville, TN is available at Garney Construction.To be considered for this position you must have previous progressive experience. Drive job site safety and esta...Show moreLast updated: 30+ days ago
    • Promoted
    Dock Solutions Manager

    Dock Solutions Manager

    BAILEYNashville, TN, US
    Full-time
    The Dock & Door Program Manager is responsible for developing, program building, and project managing the Dock & Door division at Bailey. They will manage assigned direct reports and collabo...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Private Fleet

    Director, Private Fleet

    Dollar GeneralGoodlettsville, TN, US
    Full-time
    Dollar General Corporation has been delivering value to shoppers for more than 80 years.Dollar General helps shoppers Save time. General Summary : The Director of Private Fleet is responsible for the...Show moreLast updated: 30+ days ago
    • Promoted
    Private Fleet Operations Sr. Analyst

    Private Fleet Operations Sr. Analyst

    Dollar GeneralGoodlettsville, TN, US
    Full-time
    Private Fleet Operations Senior Analyst.The Private Fleet Operations Senior Analyst is responsible for creating and maintaining reporting tools, managing system integrations, and ensuring the effic...Show moreLast updated: 8 days ago
    Rail Terminal Supervisor of Operations

    Rail Terminal Supervisor of Operations

    Rail Management ServicesNashville, Tennessee, United States
    Full-time
    Quick Apply
    Join Our Team in Nashville, TN! PRS Auto is Hiring Immediately!.Rail Terminal Supervisor of Operations for immediate hire. In this role, you will be responsible for overseeing the unloading (driving...Show moreLast updated: 30+ days ago
    • Promoted
    Supervisor, Freight Operations

    Supervisor, Freight Operations

    XPOMadison, TN, US
    Full-time
    What you need to succeed as a Freight Operations Supervisor at XPO .Knowledge of the Less-than-Truckload (LTL) industry, hazardous materials regulations and DOT rules and regulations.Available to w...Show moreLast updated: 6 days ago
    • Promoted
    Senior Project Manager - Transit

    Senior Project Manager - Transit

    Kimley-HornNashville, TN, US
    Full-time
    Senior Project Manager Transit Practice.Kimley-Horn has an opportunity for a motivated Senior Project Manager to expand our Transit practice in Nashville, Tennessee!. Leadership Opportunity in Trans...Show moreLast updated: 30+ days ago
    • Promoted
    Specialist, OC Drop Ship Prog

    Specialist, OC Drop Ship Prog

    Tractor SupplyNashville, TN, US
    Full-time
    The Omni Channel Drop Ship Program Specialist is responsible for the monitoring and improvement of Tractor Supply Company's Drop Ship Vendor (DSV) activities and partnerships.Essential Duties and R...Show moreLast updated: 3 days ago
    • Promoted
    Ground Ramp Supervisor

    Ground Ramp Supervisor

    AgiNashville, TN, US
    Full-time
    Ramp Supervisors are responsible for leading flights for the smooth and safe operation of airport ground handling services, ensuring that flights depart and arrive on schedule, and that passengers ...Show moreLast updated: 30+ days ago
    • Promoted
    DRUG-GEN MDSE / DEPT MANAGER ON DECK

    DRUG-GEN MDSE / DEPT MANAGER ON DECK

    KrogerNashville, TN, US
    Full-time
    Complete a 4-12 week program (internal 4-6, external 8-12) in preparation of being assigned a department manager position. Travel within the division to train and provide relief.Create an outstandin...Show moreLast updated: 30+ days ago
    Hauling Operations Manager

    Hauling Operations Manager

    GpacTennessee, Tennessee, United States
    Full-time
    Quick Apply
    As a Hauling Operations Manager, you will be responsible for overseeing the daily functions of our hauling division, ensuring that activities run with efficiency, safety, and consistency.This role ...Show moreLast updated: 19 days ago
    • Promoted
    GROCERY / DEPT MANAGER ON DECK

    GROCERY / DEPT MANAGER ON DECK

    KrogerNashville, TN, US
    Full-time
    Complete a 4-12 week program (internal 4-6, external 8-12) in preparation of being assigned a department manager position. Travel within the division to train and provide relief.Create an outstandin...Show moreLast updated: 30+ days ago
    Supervisor of Rail Terminal Operations

    Supervisor of Rail Terminal Operations

    Rail Management ServicesNashville, Tennessee, United States
    Full-time
    Quick Apply
    Join Our Team in Nashville, TN.PRS Auto is Hiring a Rail Terminal Supervisor of Operations.We’re looking for a motivated individual to join our team at the CSX rail terminal in Nashville.In this ro...Show moreLast updated: 30+ days ago