VP, RCM Operations

Role Description

The Vice President of Revenue Cycle is responsible for day-to-day client operations and the planning, development, and implementation of policies, objectives, and initiatives for respective clients. This position reviews and implements systematic approaches to maximize revenue and cash flow, ensuring results are consistently delivered. It also assists in providing leadership, management, and development of the onsite operations team, communicating organizational values and positive leadership to all associates.

Duties and Responsibilities:

• Enterprise Revenue Cycle Oversight: Lead all back-end revenue cycle functions including billing, collections, denials, and revenue integrity across the hospital.
• Technology Modernization: Drive modernization of billing platforms and front-end digital tools. Lead optimization of EHR and RCM systems to enhance accuracy, automation, and reporting.
• Data-Driven Performance Management: Implement dashboards and performance tracking systems to monitor KPIs such as A/R days, denial rates, net revenue realization, Medicaid eligibility conversion, and patient collections. Proactively manage financial risk in a challenging payer mix.
• Transformation & Centralization: Lead the centralization of revenue cycle functions into a high-performing, scalable CBO model. Streamline workflows and resource allocation across geographically dispersed, multi-service facilities.
• Strategic Financial Collaboration: Serve as a key partner to the CFO and executive team in aligning revenue cycle strategy with system-wide financial goals. Support payer contracting strategy with the client managed care team.
• Workforce & Leadership Development: Build and lead a strong revenue cycle leadership team. Recruit and retain top talent in rural markets while fostering a culture of accountability, innovation, and mission alignment.

Qualifications

• Demonstrated success leading enterprise-wide revenue cycle transformation, workforce centralization, and technology modernization.
• Excellent communicator and team builder with the ability to drive alignment and cultural buy-in across clinical, financial, and operational teams.
• Proficient with healthcare IT and RCM systems relevant to this hospital (e.g., Athena, MedHost, Epic, Cerner, CPSI).
• Ability to lead upgrades, integrations, and optimization projects.

Requirements

• Bachelor’s degree in healthcare administration, Business, or Finance required; Master’s degree (MHA, MBA, MPH) strongly preferred.
• Minimum 10 years of progressive revenue cycle leadership experience.
• This position requires some travel, up to 10%.
• Must be able to sit, stand, or walk for extended periods while traveling or attending meetings, conferences, or site visits.
• Must be comfortable working in various environments, including airports, client sites, and remote or field-based locations.
• Flexibility to work outside of normal business hours as travel or time zone differences may require.
• Must possess a valid driver’s license.
• Ability to work independently while traveling, maintaining productivity and meeting deadlines with limited supervision.
• Reliable high-speed internet connection is required for all remote/hybrid positions.
• Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities.
• A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations.