Executive Director, Revenue Cycle and Patient Access Transformation

About The Wilshire Group

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

Contract | W2 | 6+ months | $90.00 per hour

Job Title: Executive Director, Revenue Cycle & Patient Access Transformation

Position Overview

The Executive Director of Revenue Cycle & Patient Access Transformation provides strategic and operational leadership for enterprise-wide front-end revenue cycle services, patient access operations, and ambulatory scheduling functions. This role is responsible for driving financial performance, improving access to care, optimizing workflows, and leading large-scale Epic and EMR-enabled transformation initiatives across a health system or multi-site organization.

This leader brings a balance of strategic vision, financial discipline, and hands-on operational expertise to improve efficiency, patient experience, and organizational performance.

Key Responsibilities

Revenue Cycle & Financial Performance

• Lead front-end revenue cycle operations including registration, scheduling, eligibility, and financial clearance functions
• Develop and manage budgets, financial forecasts, and cost analysis models to ensure fiscal accountability
• Monitor and improve key performance indicators including days in accounts receivable, denial rates, and cash projections
• Strengthen internal controls and reporting systems to support revenue integrity and compliance

Patient Access & Call Center Operations

• Oversee access center/call center strategy, structure, and performance across multiple service lines
• Design and implement scheduling models, decision trees, and template optimization to improve access to care
• Establish and maintain service-level KPIs to ensure operational consistency and patient satisfaction
• Lead initiatives to expand centralized scheduling and multi-specialty access models

Operational & Strategic Leadership

• Serve as a key leader in ambulatory and hospital-based operational strategy and execution
• Partner with executive leadership to align operational goals with organizational mission and financial targets
• Lead cross-functional teams focused on health system optimization and workflow redesign
• Drive employee training, coaching, and leadership development programs

Epic & Technology / System Implementation

• Lead or support Epic implementation projects related to Patient Access, Registration, and Revenue Cycle workflows
• Conduct gap analyses, develop mitigation plans, and ensure successful go-live execution
• Partner with IT and operational stakeholders to identify and implement technology solutions that improve efficiency and data accuracy
• Support operational reporting enhancements and system integration initiatives

Process Improvement & Change Management

• Apply Lean and process improvement methodologies to reduce waste and improve efficiency
• Lead organizational change management efforts across clinical and administrative teams
• Identify opportunities for workflow redesign and operational standardization
• Improve patient experience through streamlined access and coordinated care pathways

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field required
• Master’s degree (MBA, MHA, or related discipline) preferred
• 15+ years of progressive healthcare leadership experience in revenue cycle, patient access, or ambulatory operations
• Demonstrated experience managing call centers or access centers in a healthcare environment
• Strong Epic (or similar EMR) implementation and optimization experience required
• Proven track record in budget management, financial oversight, and operational performance improvement
• Experience leading multi-site or enterprise-level healthcare operations strongly preferred

Core Competencies

• Strategic thinking with strong operational execution
• Financial acumen and revenue cycle expertise
• Leadership of large, cross-functional teams
• Data-driven decision making and reporting
• Change management and organizational transformation
• Patient-centered access design and workflow optimization