Director, Revenue Operations - Health Insurance Contracts

Easterseals Southern California transforms lives every day. For over a century, Easterseals has championed inclusion and independence—delivering essential services like early childhood programs, autism services, employment and independent living support to more than 29,000 people each year. Through advocacy and education, we break barriers and create opportunities for the one-in-four Americans with disabilities. 

Starting salary: $116k+/yr

*Experience with Health Insurance Contracts Preferred

OVERVIEW OF POSITION:

The Director of Revenue Operations is responsible for developing and executing strategies to maximize revenue generation for Autism Services, ensuring long-term financial growth and stability. This leader builds and maintains a robust operational infrastrucutre, implementing efficient proceseses, and effective communciation channels to support current clinical services and future lines of businesses. Serves as a strategic partner to clinical, operations, and network teams to ensure all services are scalable, profitable and compliant. In all responsibilities, the position demonstrates a strong commitment to ESSC’s mission and values by supporting a high-quality, person-centered service environment.

ESSENTIAL FUNCTIONS:

• Designs and continuously improves revenue-supporting operational strategy plans, workflows and controls to promote consistent, accurate, and timely reimbursement across services.
• Establishes revenue integrity and performance monitoring practices, integrating pre-audit oversight, outcome tracking, and trend analysis to support accurate billing, early issue identification, and reliable revenue forecasting.
• Leads structured approaches to denial management, ensuring complex or high-impact denials are escalated appropriately, resolved efficiently, and used to strengthen future operational performance.
• Creates and maintains feedback loops between revenue outcomes and operational practice, translating insights into process enhancements, education, and preventive improvements.
• Ensures alignment and coordination across revenue-impacting functions, supporting shared accountability, clear communication, and seamless handoffs among clinical, operational, and administrative teams.
• Leverages revenue data, reporting, and systems to enhance visibility, inform decision-making, and support scalable operations as services and volumes expand
• Partners with payer organizations and internal leaders to support contract performance and reimbursement optimization, including collaboration related to fee schedules, referral pathways, and payer requirements.
• Provides revenue and operational input into payer relationships, new contracts, and funding opportunities, supporting sustainable rates, service viability, and long-term growth.
• Partners with organizational leaders to support new service development, pilot programs, and funding initiatives, providing revenue and operational insight to assess feasibility, sustainability, and reimbursement readiness.
• Supports revenue readiness for new programs and service lines, ensuring processes, systems, and expectations are established to enable successful launch and long-term financial performance.
• Provides leadership and development for revenue operations staff and leaders, fostering accountability, collaboration, and continuous improvement in support of organizational goals.
• Maintains deep awareness of industry standards and emerging best practices in healthcare administration, translating external insights into practical application to support Easterseals’ future needs.
• Performs other duties as assigned.

EDUCATION:

• Bachelor’s degree in healthcare administration, business administration, or closely related field.
• Professional certifications in healthcare finance, revenue operations, or revenue cycle management preferred.

EXPERIENCE:

• Minimum of 12 years including (8) years of progressive experience in healthcare operations, revenue operations, or related healthcare leadership roles.
• Demonstrated experience leading complex, cross-functional initiatives within a healthcare or behavioral health setting, including partnership with clinical, operational, financial, and administrative leaders.
• Proven leadership experience, including direct supervision of staff and/or managers, with responsibility for setting performance expectations, driving improvement, and supporting team development.
• Experience working with payer organizations required, including collaboration related to reimbursement structures, fee schedules, referral pathways, contract performance, or payer requirements.
• Experience supporting organizational growth