Planned Parenthood of Western Pennsylvania

Director

• Direct, evaluate and optimize all billing and revenue cycle activities for PPWP, including management of staff, and oversight of revenue cycle activities.
• Develop and maintain reporting and dashboards to monitor key revenue cycle metrics including AR days, denial rates, clean claim rates, collections performance, and payer-specific trends.
• Prepare and present revenue cycle performance reviews to executive leadership.
• Develop and deliver clinical billing and training content for providers and clinical front-end users; coordinate with Medical Services leadership to ensure consistent coding and documentation practices across the organization.
• Act as the primary liaison between the billing department and internal departments ensuring clear communication, updates to billing processes and procedures, identification of trends, issue resolution, and continuous workflow improvement.
• Ensure all billing activities comply with federal and state regulations, HIPAA privacy and security requirements, payer contract terms, and Planned Parenthood’s organizational standards and mission.
• Collaboratively review the coding audits with operations and IT analysts to identify training and system enhancements to improve compliant billing and coding.
• Support billing and documentation requirements for the Title X Family Planning Program, including sliding fee scale compliance, service coding, and federal reporting obligations.
• Direct third-party payer contract negotiations, management, and payer relations, including MCO contracts, fee schedule reviews, and dispute resolution.
• Actively participate in strategic discussions and planning activities in collaboration with the Chief Financial Officer and Chief Executive Officer.
• Manage Revenue Cycle Work Plan and actively execute various projects and initiatives identified in prior Revenue Cycle assessments, approved work plan and identified priorities.
• Manage the risk assessment and quality management process and activities of the Revenue Cycle.
• Recruit, onboard, develop, and retain a small revenue cycle team; set clear performance expectations and conduct regular performance evaluations.
• Foster a culture of accountability, continuous improvement, and mission alignment within the revenue cycle function.
• Perform other duties as assigned by the Chief Financial Officer.

Director of Revenue Cycle

Manager

• Develop and implement strategies to increase foundation, corporate, and government funding. With quantifiable objectives Research, identify, and manage a pipeline of prospective institutional funders.
• Write and submit grant proposals, letters of inquiry, concept papers, and reports.
• Manage grant timelines, compliance requirements, budgets, and reporting processes.
• Collaborate with program and finance teams to gather outcomes, data, and financial information.
• Develop meaningful communications and impact reports for institutional and governmental partners.
• Coordinate funder meetings, site visits, presentations, and engagement opportunities.
• Maintain accurate prospect, proposal, gift, and stewardship records in the donor database.
• Track fundraising activity, pipeline progress, and revenue outcomes.
• Partner with Finance, Communications and Program teams to gather information for grant applications and reports.
• Stay informed on trends in philanthropy, corporate social responsibility, and nonprofit fundraising; collaborate with VP of Development to identify appropriate funding opportunities in alignment with organizational priorities.
• Represent the organization at funder meetings, networking events, and community activities as assigned.

Director of Revenue Cycle

Manager – Institutional Giving