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Director of Revenue Management

UCSF
San Francisco, CA, United States
On-site

About this role

Job title: Director of Revenue Management

About the Role The Director of Revenue Management directs all UCSF Health revenue integrity strategy and initiatives across hospital and professional billing environments. They oversee the Revenue Integrity (RI) team and hold enterprise responsibility for CDM governance, pricing, charge capture, documentation alignment, revenue monitoring and denial risk mitigation. 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, including partnership with IT and Epic applications.

What You'll Do

  • Direct and maintain the CDM and professional fee schedules to support compliant charging and accurate revenue capture.
  • Develop, implement, and oversee policies and processes related to charging, coding, and documentation alignment.
  • Lead pricing strategy, analysis, and modeling; monitor gross revenue performance and identify revenue risk.
  • Collaborate cross-functionally with clinical departments, HIM, PFS, Compliance, Internal Audit, Health Plan Strategy, Finance, and IT to embed revenue integrity requirements into workflows and Epic applications.

What We're Looking For

  • Experience directing revenue integrity or revenue management in a healthcare setting with enterprise scope.
  • Deep knowledge of CDM governance, pricing, charge capture, documentation alignment, and denial risk mitigation.
  • Strong collaboration across Clinical, HIM, PFS, Compliance, Internal Audit, Finance, Health Plan Strategy, IT, and Epic/EHR environments.
  • Analytical, strategic mindset with ability to partner with IT/Epic to embed revenue integrity in systems and workflows.

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