
Executive Director, Revenue Cycle and Patient Access Transformation
thewilshiregroup • Remote
Posted: May 1, 2026
Job Description

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
Additional Content

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