> Markdown version of [/jobs/ext/459527-director-denials-prevention-performance-improvement](https://www.wearedevelopers.com/jobs/ext/459527-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:** June 5, 2026 - **Apply:** https://dejobs.org/x/x/EE758672DC374F29A0D88342EEC5B17D/job/ ## About the Role * Bachelor's degree required; Master's degree preferred. Experience: * 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. ## Related Videos - [Enterprise Linux as Container Images](https://www.wearedevelopers.com/videos/1610-enterprise-linux-as-container-images) - [Tackling the Risks of AI - With AI](https://www.wearedevelopers.com/videos/1690-tackling-the-risks-of-ai-with-ai) - [Blueprints for Success: Steering a Global Data & AI Architecture](https://www.wearedevelopers.com/videos/1577-blueprints-for-success-steering-a-global-data-ai-architecture) - [Developing the Backend with Stefan Lingler, CTO at Shpock](https://www.wearedevelopers.com/videos/100360-developing-the-backend-with-stefan-lingler-cto-at-shpock) - [Beyond Chat: AI Workflows That Actually Investigate Alerts (So You Don't Have To Know Everything)](https://www.wearedevelopers.com/videos/100308-beyond-chat-ai-workflows-that-actually-investigate-alerts-so-you-don-t-have-to-know-everything) - [Nest.js - TypeScript in the backend can also be clean](https://www.wearedevelopers.com/videos/1033-nest-js-typescript-in-the-backend-can-also-be-clean) ## Related Articles - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [What’s the Difference between a Junior, Mid, and Senior Developer?](https://www.wearedevelopers.com/magazine/238-what-s-the-difference-between-a-junior-mid-and-senior-developer) - [Software Engineer Salary London](https://www.wearedevelopers.com/magazine/252-software-engineer-salary-london) - [Best Paying Jobs in Technology](https://www.wearedevelopers.com/magazine/256-best-paying-jobs-in-technology) - [Data Engineer Salary UK](https://www.wearedevelopers.com/magazine/253-data-engineer-salary-uk) - [Data Analyst Salary in the UK](https://www.wearedevelopers.com/magazine/278-data-analyst-salary-in-the-uk)