Vice President of Revenue Cycle & Managed Care

Adventist HealthCare seeks to hire an experienced Vice President of Revenue Cycle & Managed Care who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. The Vice President of Revenue Cycle & Managed Care provides executive oversight of all functions governing the health system’s end-to-end revenue performance. This leader is responsible for the strategic development, negotiation, and administration of payer contracts while simultaneously directing the operational functions of patient access, coding, billing, collections, and denial management. The VP ensures that what is negotiated at the contracting table is effectively realized at the billing and collections level, creating a cohesive revenue strategy that supports the organization’s financial sustainability, operational efficiency, and value-based transformation goals. Responsibilities Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services. Oversee billing, coding, collections, and reimbursement processes to ensure accuracy and efficiency Monitor key performance indicators (KPIs) and implement improvements to enhance financial performance Collaborate with clinical and administrative staff to streamline workflows and reduce denials and write-offs Lead and mentor a team of revenue cycle and managed care professionals. Foster a culture of continuous improvement, accountability, and collaboration. Provide regular training and development opportunities for team members. Ensure compliance with all federal, state, and local regulations related to revenue cycle and managed care. Develop and implement policies and procedures to mitigate risk and ensure ethical billing practices. Prepare and present regular reports on revenue cycle performance. Conduct financial analysis to identify trends, opportunities, and areas for improvement. Develop and manage the department budget, ensuring alignment with organizational Lead the development and execution of the health system’s managed care strategy across all payer segments, including commercial, Medicare Advantage, Medicaid managed care, and self-insured employers. Direct the negotiation of all facility, professional, and ancillary contracts with commercial and government payers, ensuring competitive rates and operationally executable terms. Develop and maintain robust contract financial models to evaluate the revenue impact of proposed rate structures, reimbursement methodologies, and risk-sharing arrangements. Leverage revenue cycle performance data - including denial rates, underpayments, and claims adjudication patterns - to directly inform and strengthen contract negotiation positions. Maintain a comprehensive payer contract calendar and ensure timely renewals, amendments, renegotiations, and termination notices across all payer agreements. Serve as the senior executive liaison with payer network directors, medical directors, and government program administrators. Monitor market benchmarking data, competitor rate intelligence, and payer financial performance to sharpen negotiation strategy and identify new contracting opportunities. Stay current with industry trends, regulations, and best practices. Qualifications Excellent communication and negotiation skills, both written and verbal Strong knowledge of revenue cycle best practices. In-depth knowledge of reimbursement methodologies, insurance regulations, and industry trends Strong financial acumen and ability to analyze complex financial data and make data-driven decisions Strong organization skills with the ability to prioritize and manage multiple projects simultaneously Customer and relationship-focused, and results-oriented Bachelor's degree in healthcare administration, business administration, or a related field. Master's degree preferred. Extensive experience (10 years) in healthcare revenue cycle covering multiple functions within the revenue cycle. Extensive knowledge of ambulatory services. 5 years of leadership role overseeing revenue cycle functions. Work Schedule: Executive Position Pay Range: $249,144.83 - $373,717.24 If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process. Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Exempt) Benefits Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement Employee Assistance Program (EAP) support Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference. COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco and Drug Statement Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result. Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs. Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office. Our Mission We extend God's care through the ministry of physical, mental and spiritual healing. Adventist HealthCare, based in Gaithersburg, MD., is a faith-based, not-for-profit organization of dedicated professionals who work together each day to improve the health and well-being of people and communities through a ministry of physical, mental and spiritual healing. Our comprehensive approach to caring for our community includes three acute-care hospitals – Shady Grove Medical Center, White Oak Medical Center and Fort Washington Medical Center – as well as two Physical Rehabilitation hospitals, Outpatient centers, Imaging Centers, Urgent Cares, Home Care Services, Employer Health Programs and Physician Networks. We are nationally recognized and honored especially for our Cardiac, OB, Cancer, Stroke, Orthopedic, Rehabilitation and Mental Health services. #J-18808-Ljbffr Adventist HealthCare