Director of Revenue Integrity

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Lifestance Health Values

• Belonging: We cultivate a space where everyone can show up as their authentic self.
• Empathy: We seek out diverse perspectives and listen to learn without judgment.
• Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.
• One Team: We realize our full potential when we work together towards our shared purpose.

Role Overview:

The Director of Revenue Integrity provides strategic and operational leadership to ensure the accuracy, compliance, and optimization of all revenue capture processes within the organization. This role focuses on optimizing reimbursement, improving cash flow, reducing avoidable denials, and enhancing the overall financial health of the organization. The Director of Revenue Integrity is responsible for ensuring This role provides strategic leadership and oversight for payer compliance, denial prevention, and reimbursement optimization across the organization. The Director will partner with clinical, operational, and revenue cycle leaders to create a culture of compliance and continuous improvement that safeguards revenue and reduces risk.

• Compensation: $99,000- $130,000 Annually with potential bonus
• Key Responsibilities:

Revenue Cycle Strategy & Leadership

• Develop and execute a revenue integrity strategy that maximizes reimbursement, supports organizational growth, and minimizes revenue leakage.
• Lead cross-functional initiatives across billing, AR management, denial management, and collections to improve performance and efficiency.
• Partner with Finance, Operations, and Clinical leadership, Payer Engagement and Credentialing team(s) to align revenue cycle goals with enterprise strategy.
• Serve as the primary executive liaison for payer escalations, contract performance reviews, and resolution of systemic claim issues.

Payer Relationship Management

• Manage strategic relationships with payers to improve claims processing accuracy, turnaround times, and contract adherence.
• Lead regular payer performance meetings and escalation processes to address systemic issues.
• Collaborate with Payer Contracting (Payer Engagement) and Credentialing team(s) to align operational workflows with payer agreement terms and reimbursement structures.
• Oversight of payer projects negatively impacting revenue (true payer fault trends)
• Provide feedback to RCM when root causes are identified

Denial Prevention & Resolution

• Oversee enterprise-wide denial management strategy to proactively address root causes.
• Partner with payer relations, operations, and clinical teams to address medical necessity and authorization challenges.
• Analyze denial trends, develop targeted work plans, and hold teams accountable for results.]
• Oversee documentation process of traditional Medicaid policies as they relate to Telehealth
• Provide top denial reasons by DOS, received date, by state, provider or other variables to support reimbursement and gaps in RCM
• Understanding of Supervisory billing and payer billing rules

Analytics & Reporting

• Develop robust analytics to measure payer financial performance and compliance, and operational efficiency.
• Present monthly and quarterly performance dashboards to executive leadership, identifying trends, risks, and opportunities.
• Use predictive analytics to forecast reimbursement trends, staffing needs, and revenue impacts.
• Utilize AMD, Cognizant and other software/resources

Team Leadership & Development

• Direct and mentor a dynamic revenue integrity team, including denial management, and payer relations staff.
• Establish clear performance expectations, conduct regular reviews, and provide professional development opportunities.
• Build a culture of accountability, continuous improvement, and collaboration.

Qualifications:

Education & Certification

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field

Experience

• Minimum 5–7 years of progressive leadership experience in revenue cycle management for a large medical practice, physician enterprise, or health system.
• Demonstrated success in improving AR performance, denial prevention, and payer collaboration.
• Proven track record with automation/technology deployment in revenue cycle operations.
• AMD and other EHR/Practice Management experience (5-7 years)
• Experience with Cognizant is a plus, payer portal experience required
• Reimbursement methodology for BH/MH is a plus (Medicare, Commercial and payers that reimburse a percent of Medicare)
• Payer policy experience (telehealth and onsite)

Skills & Competencies

• Deep knowledge of payer reimbursement methodologies, claims processing, and denial trends.
• Strong negotiation and conflict resolution skills for payer relations.
• Exceptional data analysis, reporting, and forecasting capabilities.
• Leadership presence with ability to influence at the executive and operational levels.
• Ability to strategically communicate with commercial payers

Physical Requirements

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   
• While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.  

LifeStance provides the compensation range and benefits that it in good faith believes it might pay and/or offer for this position. LifeStance reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not related to an applicant’s sex or other status protected by local, state, or federal law.

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LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.

Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.