Director of Revenue Cycle Strategy and Epic Systems Optimization

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.

Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.

This is a contracted position for 6+ months.  This position offers $95-$100.00 per hour. Travel 10-15%.

Job Summary

Strategic healthcare revenue cycle and information technology leader with deep expertise in Epic systems design, implementation, and optimization. Responsible for driving enterprise-wide revenue integrity, improving financial performance, leading full lifecycle Epic implementations, and aligning clinical, operational, and billing workflows to ensure clean claims, reduced denials, and sustainable operational efficiency. Serves as a trusted advisor to executive leadership, overseeing cross-functional teams, governance structures, and large-scale transformation initiatives across hospitals, physician groups, and ambulatory networks

Key Responsibilities

Strategic Leadership

• Partner with executive leadership to develop and execute revenue cycle strategies that improve margin, cash flow, and operational performance
• Serve as subject matter expert and advisor on Epic Revenue Cycle and Access systems
• Establish governance models that align clinical operations, finance, and IT

Epic Implementation & Optimization

• Lead full lifecycle Epic implementations, including Professional Billing, Hospital Billing, Prelude, Cadence, Single Billing Office, and Ambulatory modules
• Direct workflow design, system build standards, testing, and upgrade initiatives
• Optimize charge capture, charge router, charge review workqueues, and claim edits
• Oversee Community Connect deployments and multi-site rollouts

Revenue Integrity & Financial Performance

• Improve clean claim rates and reduce denials through workflow redesign and system automation
• Analyze KPIs, including A/R days, workqueue volumes, charge lag, and denial trends
• Implement charge review edits and billing controls to ensure compliance and maximize reimbursement
• Develop revenue optimization plans for ambulatory, hospital, and specialty services

Operations & Team Management

• Lead and mentor analysts, project managers, and operational teams
• Hire, train, and develop revenue cycle and IT staff
• Coordinate cross-functional initiatives between clinical departments, finance, and IT
• Manage vendor relationships and third-party integrations

Project & Change Management

• Manage complex, multi-site healthcare IT projects with defined timelines and budgets
• Develop replicable implementation guides and standardized build practices
• Lead change management efforts to increase adoption and operational alignment
• Mitigate project risks, issues, and dependencies

Compliance & Regulatory

• Ensure adherence to payer rules, CMS requirements, and billing regulations
• Support coding integrity, documentation compliance, and audit readiness
• Maintain master file data integrity across facilities and service areas

Qualifications

Required

• 10+ years of progressive healthcare revenue cycle leadership 
• Extensive Epic certification and hands-on experience, including:
• Prelude
• Resolute Professional Billing
• Resolute Hospital Billing
• Single Billing Office
• EpicCare Ambulatory
• Proven experience leading enterprise Epic implementations and optimizations
• Strong knowledge of hospital and professional billing operations
• Demonstrated success in improving financial outcomes and operational efficiencies
• Bachelor’s degree in Business Administration or related field

Preferred

• Experience with academic medical centers and multi-specialty groups
• Community Connect implementations
• Revenue Integrity or Revenue Optimization program leadership
• Large team management experience

Core Competencies

• Revenue Cycle Transformation
• Epic Systems Strategy
• Financial Performance Improvement
• Process Redesign & Automation
• Executive Communication
• Change Management
• Cross-Functional Leadership
• Data & KPI Analysis

Impact of the Role

This role directly influences:

• Reduced denials and manual rework
• Faster reimbursement cycles
• Increased net revenue
• Standardized workflows across facilities
• Successful Epic adoption and optimization
• Stronger collaboration between clinical and financial operations