Revenue Development Manager
Pay Range: $44.99 - $58.48/hr. | $93,574 - $121,646 annual compensation
Job Posting Closing on:Thursday, February 26, 2026
Workdays & Hours: Monday – Friday 8am – 5pm; Some evening/weekend work required
Benefits for this position include: 11 Paid Holidays, Medical, Dental, Vision, Paid Time Off, Pension Plan, Professional Development Opportunities. Find Out More!
The City of Fort Worth is one of the fastest growing large cities in the U.S. Our employees serve the needs of over 1,000,000 residents, promoting our values of exceptional customer experience, mutual respect, embracing our diversity, continuous improvement, ethical behavior, and accountability. 🌆
The City of Fort Worth is seeking a Revenue Development Management (RDM) to lead revenue growth for its newly established, fire-based Emergency Medical Services (EMS) system. This senior-level role is responsible for developing and executing strategies that generate sustainable, diversified revenue in support of emergency response, clinical services, and community-based care.
The RDM is a highly collaborative, externally facing leader who combines EMS and clinical system expertise with business development, contract negotiation, marketing, and revenue-cycle management. The position plays a critical role in strengthening existing reimbursement streams and creating new earned-revenue opportunities.
The RDM reports directly to the City Manager’s Office, ensuring revenue strategy aligns with City priorities, public health objectives, and long-term financial sustainability.
Minimum Qualifications:
- Bachelor’s degree from an accredited college or university with major coursework in public administration, business administration, economics, accounting, or a closely related field
- Five (5) years responsible experience in fiscal services or a closely related field
- Four (4) years of administrative and supervisory experience
Preferred Qualifications:
- Education: Bachelor’s degree required — typically in Business Administration, Healthcare Administration, Public Administration, Finance, Accounting, Marketing, or related field. Post-graduate coursework (MPA, MBA, MHA) strongly preferred
- Experience: Minimum 5 years’ progressive experience in EMS, ambulance operations, or healthcare revenue development with demonstrable success developing contracts, growing revenue lines, or leading business development initiatives
- Direct experience with ambulance billing/revenue cycle, Medicare/Medicaid reimbursement rules, and third-party payer negotiation
- Proven track record in marketing/outreach, negotiating contracts, and building partnerships with hospitals and health systems
- Current or prior EMS certifications (EMT-Paramedic) or operational EMS leadership experience
- Experience working in or with fire-based EMS systems and municipal government structures
- Demonstrated success launching community paramedicine/mobile integrated health programs or alternative transport programs
- Strong financial modeling skills (Excel, financial software) and experience with BI/dashboard tools
- Familiarity with electronic patient care reporting (ePCR) systems and integration with billing platforms
The Revenue Development Manager job responsibilities include:
- Lead development and execution of a multi-year revenue strategy for fire-based EMS, including identification and implementation of new service offerings and business models
- Identify, negotiate, and manage contracts and memoranda of understanding with hospitals, clinics, nursing homes, payers, municipalities, and private entities (including interfacility transport and dedicated ambulance/hospital contract work)
- Oversee or coordinate with billing/revenue cycle teams, including any RCM contractors the city may hire, to ensure optimal payer capture, coding compliance, denial management, and Medicare/Medicaid regulatory alignment
- Serve as the public face for EMS revenue development: lead outreach/marketing to referral sources, present ROI/business cases, and cultivate executive relationships at regional healthcare systems
- Develop business cases and financial models (cost-benefit, break-even, projected net revenue) for new programs (e.g., community paramedicine, scheduled transport, mobile integrated health)
- Serve as the City’s primary point of contact for Medicare, Medicaid, managed care organizations, and commercial insurers related to EMS reimbursement
- Lead negotiations, discussions, and issue resolutions with payers regarding EMS rates, claims disputes, and reimbursement methodologies
- Monitor payer policy changes and proactively assess financial and operational impacts to the City
- Stay current on national EMS reimbursement trends, CMS rulemaking, and emerging best practices
- Coordinate cross-departmentally (Finance, Legal, Fire, Public Health) to ensure contracts, policies, billing practices, and new programs meet municipal rules and compliance requirements.
- Other duties as assigned.
Working Conditions and Physical Demand
Depending on assignment, positions in this class typically require touching, talking, hearing, seeing, grasping, standing, walking and repetitive motions.
Sedentary Work – Depending on assignment, positions in this class typically exert up to 10 pounds of force occasionally, a negligible amount of force frequently, and/or or constantly having to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Apply Now! Come be part of something special in Fort Worth. 🌟
Conditions of Employment
The City of Fort Worth is proud to be an Equal Employment Opportunity employer. It is the policy and practice of the City to recruit, hire, train and promote a diverse workforce without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, parental status, military service, or another non-merit factor.
The City of Fort Worth is committed to full compliance with the Americans with Disabilities Act. Reasonable accommodations may be made to enable qualified individuals with disabilities to participate in the job application or interview process and to perform essential job functions.
Candidates who do not meet the Education requirement, may be considered if they have more relevant work experience than the position requires. Those selected for employment will be required to pass Pre-Employment checks depending on the position requirements. Those could include, but are not limited to: criminal background check, drug screen, education verification, etc. criminal convictions will be considered on a case-by-case basis. Employees are paid by direct deposit only.