> Markdown version of [/jobs/ext/3933544-director-denials-prevention-performance-improvement](https://www.wearedevelopers.com/jobs/ext/3933544-director-denials-prevention-performance-improvement). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md).

---

# Director, Denials Prevention & Performance Improvement

- **Company:** Beth Israel Lahey Health
- **Location:** Boston, MA, United States
- **Experience:** Expert
- **Salary:** $165,000.0 - $180,000.0
- **Contract:** Permanent contract
- **Skills:** Computer Literacy, System Configuration, Backend, Front End Software Development
- **Published:** October 26, 2026
- **Apply:** https://www.businessworkforce.com/job.asp?id=3468072254&tx=IT8881TTV&pt=1&aff=0B19D771-A501-4A5E-8338-2A822B784D54&utm_source=Job%20Feed&utm_medium=textkernel&utm_campaign=DE&utm_term=0B19D771-A501-4A5E-8338-2A822B784D54

## About the Role

* Bachelor's degree required; Master's degree preferred., * 5-8 years' demonstrated experience leading Revenue Cycle performance improvement initiatives in a complex health system.

Skills, Knowledge & Abilities:

 * Deep knowledge of hospital and professional billing workflows and denial prevention best practices.
 * Strong analytical abilities with capacity to synthesize complex data into actionable strategies.
 * Ability to influence physicians, clinical leaders, and operational stakeholders without direct authority.
 * Executive presence and strong communication skills for presenting complex issues to senior leadership.
 * Strong understanding of clinical, technical, and payer-related denial drivers and upstream workflow dependencies.

Preferred Qualifications & Skills:

 * Working knowledge of Epic Revenue Cycle applications and reporting infrastructure preferred.

## Description

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)., * 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, medical necessity, and coding-related denial drivers.
 * Collaborate with Access & Experience to mitigate front-end authorization and eligibility denials.
 * Coordinate with Patient Financial Services to understand denial patterns, payer-specific issues, and system-level trends.
 * Establish enterprise standards for denial categorization, tracking, reporting, and root cause identification.
 * Lead structured performance improvement initiatives using disciplined problem-solving methodologies.
 * Oversee Revenue Cycle digital and automation strategy to enhance work queues, workflows, and system configuration.
 * Deploy technology-enabled solutions (automation, reporting enhancements, workflow redesign) to strengthen productivity and reduce manual effort.
 * Monitor initiative ROI and ensure measurable improvements in denial rate, net revenue yield, and AR performance.
 * Partner with Revenue Cycle Business Partners and PFS Denial Recovery lead to prioritize facility-specific interventions based on performance trends.
 * Collaborate with Enabling Services (Reporting & Analytics) to enhance dashboards and KPI visibility for operational and clinical leaders.
 * Maintain current knowledge of regulatory requirements, payer rules, industry trends, and emerging technologies to inform strategic planning.
 * Elevate systemic risks and opportunities to Revenue Cycle and Executive Financial Leadership., * Enabling Services Lead - Align on enterprise priorities and improvement roadmap.
 * Revenue Cycle Business Partners - Collaborate on facility-specific denial trends and targeted interventions.
 * Physician Advisors & Clinical Leaders - Improve documentation integrity and medical necessity compliance.
 * Revenue Cycle Leaders - Partner to coordinate front-end, clinical, and back-end denial prevention.

Physical Requirements & Environment:

 * Standard office environment; extensive computer use; travel between sites as needed.