
Senior Director, Revenue Cycle Self Pay and Cash Mgmt
Rochester, MN · HybridFull-time$204–306K/yrSeen 2w agoSeen in employer's feed 5 days ago
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
The Senior Director of Self-Pay and Cash Management provides strategic and operational leadership for Mayo Clinic revenue cycle functions, overseeing cash management and the self-pay portfolio. The role develops strategies to improve patient engagement, financial access, service, and account resolution, while ensuring compliance. It collaborates with finance, compliance, and operational leaders, leads enterprise initiatives, manages personnel and budgets, and advances revenue cycle performance and organizational priorities.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
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Medical: Multiple plan options.
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Dental: Delta Dental or reimbursement account for flexible coverage.
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Vision: Affordable plan with national network.
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Pre-Tax Savings: HSA and FSAs for eligible expenses.
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Retirement: Competitive retirement package to secure your future.
Responsibilities
This is a hybrid position and must be located within 100 miles of a Mayo Clinic campus for occasional on-site expectations based on business needs.
The Senior Director of Self-Pay and Cash Management provides strategic and operational leadership for key Revenue Cycle functions that support the financial health of the organization and optimize the patient financial experience. This leader is responsible for the oversight of Cash Management operations, including payment posting, remittance processing, reconciliation activities, credit balance management, and regulatory compliance related to patient and payer payments.
In addition, the Senior Director oversees the Self-Pay portfolio, including Patient Account Services, Financial Assistance, self-pay collections, and agency and vendor partnerships. This role is responsible for developing and executing strategies that improve patient engagement, financial access, customer service, and account resolution while ensuring compliance with organizational policies and regulatory requirements. The position provides leadership for back-end customer service operations, ensuring patients receive accurate, timely, and compassionate support throughout their financial journey.
The Senior Director collaborates closely with Revenue Cycle, Finance, Compliance, and Operational leaders to drive performance, implement process improvements, leverage technology solutions, and achieve organizational goals related to cash performance, patient satisfaction, financial assistance programs, bad debt mitigation, and revenue cycle excellence. Through effective leadership and strategic planning, this role fosters a high-performing culture focused on operational efficiency, service excellence, and continuous improvement.
Contributes significantly to the Revenue Cycle initiatives of Mayo Clinic and Mayo Clinic Health System. Develops and participates in short-term tactics and long-range planning that result in optimal Revenue Cycle operations and performance. Takes an active Enterprise and site-based leadership role with physician and executive leadership on proactive revenue cycle strategies and addressing daily Revenue Cycle operations including customer relationship management, process and project management. Functions as a mentor and facilitator of professional development opportunities in order to keep the team optimally refined and aligned with the changing healthcare landscape. Manages institutional and system-wide initiatives and responsibilities associated with the revenue cycle, including personnel. Serves as the primary interface on all revenue cycle related issues including: department oversight, CPR Liaison, technical and governmental issues, billing and collection remediation. Interface with other finance departments including FAS, CPR and Treasury. Responsible for actively advancing strategies and implementation of strategic priorities, standardization/value analysis process, servicing key stakeholders and providing customer service and appropriate staffing support. Responsible for an operating budget associated with area of accountability, its management and adherence to operating expense targets and plans. Understands and contributes to the adherence to the overall Revenue Cycle budget targets and plans. Maintains appropriate compliance for Federal, State, local regulatory agencies and oversight bodies.
Qualifications
Bachelor's degree in business or a related field and a minimum of 10 years of related experience in a hospital or health-care related environment, which includes at least 8 years' experience in major healthcare system or healthcare consulting firm required. Preference will be given to individuals with prior experience as a Director, Revenue Cycle. A Master's degree is strongly preferred. Advanced certification in healthcare is desirable.
Broad expertise in healthcare management, healthcare operations, change management and systems preferred. Experience on non-clinical operational efficiency improvements, care process/procedural standardization improvements, and/or improved patient outcome activities are preferred. Well-disciplined in quality improvement methodology. Demonstrated ability to relate to, gain support of, and drive consensus with clinicians and administrators for the purpose of operational efficiency improvements related to patient experience, financial results and care process improvement. Must have significant facilitation skills and persistence in gaining physician leadership and clinical/technical support for the implementation of organizational strategies. Demonstrated knowledge of revenue cycle accounting processes, cost/benefit analysis and strategic planning. Must be capable of independent work, with little to no guidance provided exercising good judgment, creating an environment in which people communicate with each other respectfully, solving problems, and growing personally and professionally. Must be an advocate of change management, effectively communicating and implementing change and managing it proactively in order to minimize disruption to the Practice, patients and revenue cycle operations. Must be an individual of high integrity, comfortable working in a team environment, possessing vision, solving problems through effective planning and management. Experience in making and implementing decisions in a complex, consensus-oriented environment required. Must have excellent negotiation skills with external and internal constituencies and a thorough knowledge of industry best practices to continually enhance and improve revenue cycle processes. Promotes teamwork and seeks to maximize the potential of all employees. Demonstrated oral and written communication, interpersonal and customer service skills are essential. Able to effectively communicate Revenue Cycle strategies and initiatives to internal management groups and business partners, including MC executive leadership and industry and Fortune 100 company leaders. Must be proficient with software programs (Excel, Word, etc.). Healthcare Financial Management Association (HFMA) Certification Preferred.
Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future (for example, be a U.S. Citizen, national, or permanent resident, refugee, or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.
During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status
Exempt
Compensation Detail
$204,256 - $306,384 / year
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
40
Schedule Details
Monday - Friday; 8:00 AM-5:00 PM CT. This is a hybrid position and must be located within 100 miles of a Mayo Clinic campus for occasional on-site expectations based on business needs.
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (https://jobs.mayoclinic.org/alllocations)
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (https://www.eeoc.gov/poster) . Mayo Clinic participates in E-Verify (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf) and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Miranda Grabner
Equal opportunity
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
How this job compares
Set against the 1,053 open Healthcare Operations jobs on Olive Jobs, counted November 4, 2026.
- Pay
- This posting$204–306K/yr
- US median$95–155K/yr584 salary ranges
This range's midpoint, $255K, is 100% above the US median midpoint ($128K) — in the top quarter of Healthcare Operations salary ranges across the US.
- Openings
- Olive Jobs lists 19 open Healthcare Operations jobs in Minnesota and 1,053 across the US. 8% of them nationwide are listed as remote or flexible.
- Hiring the most across the US
- Compass Group, North America77 open
- Maximus51 open
- CenterWell46 open
- Experience
- This posting asks for at least 10 years of experience — more than three in four Healthcare Operations postings that state a minimum ask for (median 4 years, across 891 postings).
- Education
- This posting asks for a bachelor's degree; 329 of the 1,053 open Healthcare Operations jobs (31%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on November 4, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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