Interim Director, Central Business Office

The Interim Director, Central Business Office (CBO) is a fixed-term leadership role (18-to-24 months) responsible for providing strategic and operational oversight of key patient accounting functions during a period of organizational transition and major EHR implementation. This position ensures the continued effectiveness of billing, accounts receivable follow-up, denials management, cash posting, customer service, and related revenue cycle operations, while supporting organizational financial performance, regulatory compliance, and service continuity.

The role monitors operational performance, addresses barriers to reimbursement and cash flow, and partners with leaders across the organization to sustain stable and effective patient financial services throughout the interim assignment. This position requires deep expertise in hospital revenue cycle operations, strong leadership capability, and the ability to balance immediate operational demands with broader institutional priorities.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations.

We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Primary Duties and Responsibilities Provides interim leadership and operational oversight for Patient Financial Services, ensuring continuity, stability, and performance across core patient accounting functions during a fixed-term transition period.

Directs and supports functional areas including billing, accounts receivable follow-up, denials management and appeals, cash posting and payment application, customer service, self-pay workflows, bad debt transition points, escalation management, and payer issue resolution. Monitors and manages operational performance using key revenue cycle metrics such as clean claim rate, denial trends, accounts receivable days, cash collections, payment posting timeliness, work queue productivity, and patient service levels; identifies performance gaps and implements corrective actions as needed.

Leads managers and operational teams to promote accountability, quality, consistency, and productivity; provides day-to-day guidance, mentorship, and support to strengthen execution and team effectiveness. Partners with Revenue Cycle, Finance, Managed Care, Information Technology, clinical departments, and other stakeholders to resolve operational barriers, address recurring edits and denials, improve reimbursement outcomes, and ensure compliant and timely billing practices.

Supports issue triage, workflow decisions, and operational readiness related to EHR implementation impacts on patient accounting; assesses processes and recommends improvements that reduce rework, improve staff and patient experience, and strengthen departmental controls. Prepares and presents operational updates, risks, trends, and recommendations to executive and departmental leadership; ensures departmental procedures, controls, and practices align with organizational expectations, payer requirements, and regulatory standards.

Supervises staff. Hires, develops, and manages staff to achieve organizational goals. Sets clear expectations, delivers feedback, and monitors performance for quality, efficiency, and compliance with policies and procedures. Mentors staff, fosters career growth, and cultivates a positive and productive work environment. Knowledge, Skills and Abilities Comprehensive knowledge of hospital revenue cycle operations, patient accounting