VP of Revenue Cycle Management

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

• 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