Director, Denials Prevention & Performance Improvement

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Director, Denials Prevention & Performance Improvement leads the enterprise-wide strategy for reducing denials, improving upstream workflows, and driving systemic performance improvement across all Revenue Cycle functions. This role oversees denial analytics, cross-functional remediation efforts, clinical and operational partnerships, and digital enablement strategies to strengthen financial outcomes and reduce revenue leakage. The Director aligns facility-specific needs with enterprise priorities and ensures visibility, accountability, and measurable operational improvement across Beth Israel Lahey Health (BILH). Job Description: Essential Duties & Responsibilities including but not limited to: - Lead the development and execution of an enterprise denials prevention strategy across hospital and professional billing environments. - Analyze clinical, technical, and payer-related denial trends to identify root causes and drive upstream corrective actions. - Partner with Clinical Revenue Cycle, Physician Advisors, and clinical departments to address documentation, medic...