About the role
About Role:
The Vice President of Revenue Cycle will be responsible for end-to-end ownership of the revenue cycle function, including strategy, execution, and performance optimization. This role is highly operational and requires a leader who can both architect scalable systems and drive day-to-day performance across a complex, multi-entity environment.
Key Responsibilities
Revenue Cycle Leadership
- Own full revenue cycle performance: front-end (intake, eligibility, authorization), mid-cycle (coding, charge capture), and back-end (billing, collections, denials)
- Establish and enforce KPIs across all functions (e.g., days in A/R, clean claim rate, denial rate, cash collections)
- Build scalable processes to support rapid geographic and service line expansion
Operational Execution
- Lead and manage internal RCM teams and third-party vendors
- Standardize workflows across markets and entities
- Implement accountability structures, reporting cadence, and performance management systems
- Identify and eliminate revenue leakage across the lifecycle
Payer & Reimbursement Strategy
- Partner with contracting to optimize reimbursement rates and payer mix
- Develop strategies to improve collections and reduce write-offs
- Oversee denial management and appeals strategy
Systems & Infrastructure
- Optimize and integrate EHR, billing, and RCM platforms
- Drive automation and technology adoption across the revenue cycle
- Ensure data integrity and real-time visibility into performance
Compliance & Risk Management
- Ensure adherence to all federal and state billing regulations
- Maintain audit readiness and minimize compliance risk
- Partner with legal and compliance teams on policy development
Growth & Integration
- Lead revenue cycle integration for acquisitions and new market launches
- Build scalable onboarding processes for new clinics and providers
- Support diligence and integration efforts in partnership with leadership
Qualifications
- 8–12+ years of progressive revenue cycle leadership experience in healthcare
- Deep expertise across the full RCM lifecycle (front, mid, back-end)
- Experience in multi-site, multi-state provider organizations (behavioral health preferred)
- Proven track record improving collections, reducing denials, and scaling operations
- Strong operator mindset—able to execute, not just strategize
- Experience managing both internal teams and outsourced vendors
- Familiarity with EHR/RCM platforms and data-driven decision-making
- Bachelor’s degree required; advanced degree preferred
What Success Looks Like
- Improved cash collections and reduced days in A/R within the first 6 months
- Standardized RCM processes across all markets
- Reduced denial rates and increased clean claim submission rates
- Built scalable infrastructure to support continued expansion
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