VP, Revenue Cycle

Vice President, Revenue Cycle - Nemours Children's Health Position OverviewNemours Children’s Health seeks a transformational and results-driven Vice President of Revenue Cycle to lead the enterprise-wide revenue cycle strategy across its multi-state pediatric health system. Reporting to the Chief Financial Officer, this executive will be responsible for optimizing financial performance, enhancing patient and family experience, and driving innovation across all revenue cycle functions.This leader will play a critical role in advancing Nemours’ mission by ensuring sustainable financial performance while supporting equitable access, Medicaid optimization, and value-based care transformation.Key ResponsibilitiesEnterprise Revenue Cycle LeadershipProvide strategic oversight of all revenue cycle functions including:Health Information Management Patient Financial Services (Central Business Office)Revenue IntegrityCoding for Hospital and Physician PracticesLead a multi-state, integrated revenue cycle model across Delaware, Florida, and affiliated sites of careEstablish a high-performing, standardized operating model with clear accountability and KPIsFinancial Performance & OptimizationDrive improvements in key performance metrics:Net patient revenue yieldDays in Accounts Receivable (A/R)Cash collectionsDenial rates and overturn successCost to collectDischarge Not Final BilledLead enterprise-wide initiatives to reduce revenue leakage and improve margin performancePartner with finance leadership on forecasting, budgeting, and long-range financial planningOversight of System Revenue Cycle CommitteeMedicaid & Payer Strategy AlignmentOptimize revenue cycle processes in a high Medicaid payer mix environment (~50%)Partner with payer strategy and managed care teams to:Improve reimbursement accuracyReduce administrative burdenStrengthen payer-provider collaborationEnsure readiness for evolving reimbursement models including value-based care and risk arrangementsDigital Transformation & InnovationLead optimization and continuous improvement of EPIC revenue cycle systemsDrive automation, AI, and analytics capabilities across the revenue cycle:Predictive denials managementIntelligent work queuesReal-time eligibility and authorization toolsAdvance digital patient financial experience:Transparent pricingDigital billing and payment platformsPatient & Family ExperienceEnsure a frictionless, compassionate financial journey for patients and familiesAlign revenue cycle processes with Nemours’ mission of family-centered careReduce financial barriers to care while maintaining strong financial stewardshipCompliance & Risk ManagementEnsure compliance with all federal and state regulations including:CMS billing requirementsMedicaid policiesNo Surprises Act and price transparencyMaintain strong internal controls and audit readinessPartner with compliance and legal teams on risk mitigationTeam Leadership & CultureLead, mentor, and develop a large, diverse revenue cycle workforceBuild a culture of:Accountability and performance excellenceInnovation and continuous improvementCollaboration across clinical and administrative teamsDevelop future leaders within the revenue cycle organizationKey PartnershipsChief Financial OfficerChief Operating OfficerMarket PresidentsMarket CFOsChief Information Officer / Digital & IT teamsPayer Strategy & Managed CareClinical leadership across service linesExternal vendors and revenue cycle partnersQualificationsBachelor’s degree in Finance, Healthcare Administration, or related field (Master’s preferred)10–15+ years of progressive revenue cycle leadership experience in a large, complex health systemDemonstrated success leading enterprise revenue cycle transformationDeep expertise in:Epic revenue cycle modulesPediatric or Medicaid-heavy reimbursement environmentsDenials management and revenue integrityStrong financial acumen and ability to influence executive and board-level decisionsPreferredExperience in a children’s hospital or academic medical centerTrack record of implementing digital/AI-enabled revenue cycle solutionsExperience with value-based care models and risk-based contractsKey CompetenciesStrategic and systems thinkingData-driven decision-makingChange leadership and transformation executionExecutive communication and stakeholder alignmentMission-driven leadership with a focus on health equityNemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.Learn more at Nemours.org.Full timePosting Date: 2026-06-02