VP, Revenue Cycle
GENERAL SUMMARY
The Vice President, Revenue Cycle optimizes revenue operations, enhances financial sustainability, and supports the health system’s mission to deliver patient care. The role provides strategic leadership across all aspects of the revenue cycle, driving performance for a diverse portfolio of inpatient, outpatient, and ambulatory services. Reports to department leadership.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Strategic Leadership
- Develops innovative payment models, leveraging partnerships with payers and vendors to enhance reimbursement and promote value-based care initiatives.
- Serves as a key advisor to the executive leadership team, aligning revenue cycle strategy with organizational goals to support system-wide growth..
- Provides strategic oversight for the entire health system’s revenue cycle operations, including registration, financial counseling, charge capture, health information management clinical documentation integrity, billing, collections and reimbursement.
Operational Excellence
Ensures leading practice results, process improvement and optimization to achieve best practices within the revenue cycle governance structure. Establishes and monitors key performance indicators (KPIs), reporting performance to the leadership team while ensuring alignment with industry benchmarks.Drives system-wide standardization of workflows, policies, and technologies to ensure scalability, efficiency, and compliance.Evaluates and implement cutting-edge solutions, including artificial intelligence (AI), robotic process automation (RPA), and predictive analytics, to enhance cash collections, reduce denials, and improve the patient financial journey.Team Leadership and Development
Builds and mentor a high-performing, collaborative revenue cycle team, emphasizing succession planning and cross-functional development to ensure reliance and adaptability.Fosters a culture of innovation, inclusion, and continuous improvement across revenue cycle operations.Evaluates and advises on revenue enhancement opportunities, long range planning, new clinical programs / strategies and regulatory actions; works with FP&A to develop and present monthly operating reports for executive leadershipMotivates and leads a high-performance team; attracts, recruits, and retains required members of the team; provides mentoring and development opportunities that are commensurate with an “employer of choice”.Leads, manages, coaches, and trains a team or department, provides guidance, support, and mentors to ensure optimal performance and productivity.Oversees the recruitment, hiring, team / department orientation, performance appraisals and disciplinary actions including up to termination processes for a team or department.Patient-Centered Approach
Champions a compassionate financial experience, developing strategies to minimize patient financial stress through transparency, counseling services, and streamlined payment processes.Lead initiatives to improve access to care, incorporating charitable programs and financial assistance policies to meet community need.Operational Excellence
Ensures leading practice results, process improvement and optimization to achieve best practices within the revenue cycle governance structure. Establishes and monitors key performance indicators (KPIs), reporting performance to the leadership team while ensuring alignment with industry benchmarks.Drives system-wide standardization of workflows, policies, and technologies to ensure scalability, efficiency, and compliance.Evaluates and implement cutting-edge solutions, including artificial intelligence (AI), robotic process automation (RPA), and predictive analytics, to enhance cash collections, reduce denials, and improve the patient financial journey.LICENSES AND / OR CERTIFICATIONS
Required Licenses and / or Certifications
N / APreferred Licenses and / or Certifications
Certified Public Accountant (CPA)Fellow of Healthcare Financial Management Association (FHFMA)Executive of Revenue Cycle (EHRC)MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
Required Education and Experience
Bachelor’s degree in Business, Finance, Accounting, Healthcare Administration or other related field.10+ years of progressive leadership experience in revenue cycle management or healthcare finance.Preferred Education and Experience
Master’s degree (MBA, MHA) with emphasis on healthcare finance.15+ years of progressive experience in finance leadership rolesProven track record in leading multi-entity revenue cycle operations in large, integrated health systems (pediatrics a plus).Required Knowledge, Skills and Abilities
Expertise in revenue cycle strategy, payer contracting, and healthcare financial operations.Proficiency in benchmarking performance metrics against national standards and leveraging data analytics for decision-making.Advanced knowledge of regulatory compliance, payer negotiations, and health system reimbursement structures.Demonstrated ability to implement enterprise-wide process improvements and foster cross-departmental collaboration.Preferred Knowledge, Skills and Abilities
Proficiency in leading complex system implementations (i.e. Epic, Cerner)Advanced technical skills, including data visualization tools (Tableau, Power BI) and ERP systems.Certification as a Fellow of HFMA (FHFMA) or a Certified Healthcare Financial Professional (CHFP) preferred.Experience with value-based payment models, shared savings programs, and alternative payment methodologies.WORKING CONDITIONS
Normal office environment with little exposure to excessive noise, dust, temperature and the like.
PHYSICAL REQUIREMENTS
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