Quality Improvement Specialist Jobs in Los Angeles, CA

Description

Lead enterprise-wide transformation efforts that improve revenue cycle performance, operational efficiency, and financial outcomes. As the Director of Revenue Cycle Continuous Improvement, you will oversee a portfolio of cross-functional initiatives focused on reducing preventable denials, addressing revenue leakage, improving clean claim performance, and accelerating the adoption of automation and leading practices. You will lead multidisciplinary program management, analytics, training, and change management functions while partnering with leaders across the revenue cycle and the broader organization.

In this role, you will:

• Lead enterprise revenue cycle improvement initiatives across Patient Access, Revenue Integrity, Coding, Clinical Documentation Improvement, charge capture, billing, and collections.
• Identify and address the root causes of preventable denials, revenue leakage, and operational inefficiencies while implementing corrective actions that improve clean claim performance, cash acceleration, cost to collect, and productivity.
• Lead program and portfolio management activities by establishing governance, priorities, execution plans, performance tracking, reporting, and accountability frameworks aligned with organizational goals.
• Evaluate and implement automation, technology, vendor solutions, and innovative practices that improve revenue cycle accuracy, efficiency, and scalability.
• Oversee the development of dashboards, reports, predictive analytics, and actionable insights that support consistent measurement and data-driven decision-making.
• Lead change management and standardized training programs that strengthen workforce capability, technology adoption, operational consistency, and sustained performance improvement.
• Partner with clinical, operational, IT, Finance, Decision Support, and revenue cycle leaders to coordinate system-wide improvements, resolve complex issues, and support regulatory and payer requirements.
• Recruit, develop, and lead a multidisciplinary team that includes program management, training, change management, and data analytics resources while fostering accountability, collaboration, innovation, and continuous learning.

Salary Range:

$116,300 to $264,600 annually

Qualifications Required

• Bachelor’s degree in healthcare administration, business, or a related field.
• 8 or more years of experience in hospital-based revenue cycle operations, performance improvement, or healthcare consulting.
• 3 or more years of experience leading projects that implement automation or technological enhancements within hospital or health system revenue cycle programs.
• Strong knowledge of end-to-end healthcare revenue cycle operations, payer requirements, reimbursement methodologies, policies, and their organizational impact.
• Proven experience leading cross-functional transformation initiatives and complex project portfolios that produce measurable financial or operational improvements.
• Strong project and portfolio management skills, including the ability to establish governance, manage competing priorities, meet deadlines, and delegate assignments effectively.
• Strong knowledge of healthcare metrics, analytics, data synthesis, dashboards, predictive analytics, and key performance indicators.
• Demonstrated knowledge of continuous improvement methodologies, including Lean and Six Sigma principles, and familiarity with electronic health record systems such as Epic.
• Demonstrated leadership, critical-thinking, problem-solving, and communication skills with the ability to build collaborative teams, establish operational and financial targets, and convey complex revenue cycle information clearly.

Preferred

• Master’s degree in healthcare administration, public health, business, or a related field is preferred.
• HFMA certification is preferred.
• Lean Six Sigma or Project Management Professional certification is preferred.
• Epic certification is preferred.