Job Description

Director, Business Services

About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution.  AccessHope, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s "Best Hospitals" in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California, Arizona, Illinois and Georgia. 

Job Description:

Directly responsible for managing day to day operations of Business Services/First Connections (comprised of Registration Department, Financial Counselors Department and Stem Cell and outside neurologists’ financial clearance) performed by the department including: an error free verification process during registration, patient friendly upfront collections, and easily accessible financial assistance programs. Provides leadership and immediate supervision of Patient Financial Services Supervisor and the Financial Advocate team and indirect supervision of the Patient Access Representative team.  Makes decisions of acceptance for exception cases, using historic reimbursement details, single case negotiations, re-verification of insurance benefits, and plan summary or policy book review.

Develops/implements strategic plans driving the department’s goals.  Responsible for annual budget preparation/recommendation. Participates and or leads special projects to drive new innovations and strategic initiatives.

Manages and develops current talent bench and actively seeks to acquire new talent when needed. Collaborates and manages relationships with business and clinical stakeholders, vendors, industry peers and leaders. Has a strong working knowledge of hospital operations and priorities, RCM front and back-office operations as they relate to Business Services/First Connections.

In addition to COH Chicago, also indirectly oversees the Professional Corporations and OCCs associated with COH Chicago.

Keeps current on legislative and industry changes that may assist patients or create an avenue of exception that will allow a patient to receive services. Maintains knowledge of all payer contracts, and reimbursement history.


Bachelor’s degree is preferred.

Minimum 5+ years of successful business analysis and project management experience, A/R process experience in a hospital or physician healthcare setting, such as contract management, insurance and self-pay billing/collections, insurance verification, finance or registration functions with a focus on strategic thinking. 

Minimum 5+ years of leadership/management experience is desired.

Excellent verbal and written communication skills

Excellent presentation skills

Strong interpersonal skills with the ability to collaborate and build consensus in a high-pressure environment


Pay Range

$98,166.43 - $161,616.00

Placement within the identified pay range is based on individual and market factors including, but not limited to, experience, education, credentials (including licenses and certifications), geographic location, market competition, skill set (including market availability of required skills), assigned/anticipated job tasks, and level of responsibility.  These factors are considered without regard to an individual’s status as a member of any protect group pursuant to federal, state, and/or local law.

City of Hope’s commitment to Diversity, Equity, and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities.  Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds, and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding.  We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds, and perspectives; this is reflected in our work and represented in our people.

Visit: to begin your journey.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online