VP, RCM Operations

Role Description

The Vice President, Revenue Cycle Management (RCM) is a strategic executive responsible for leading the organization's revenue cycle operations, driving financial performance, and overseeing technology-enabled transformation. This leader will develop and execute the operational strategy for RCM, aligning systems, processes, and digital capabilities with organizational goals to improve operational efficiency, scalability, and client outcomes.

• Provide executive oversight across Revenue Cycle Management functions.
• Lead large-scale transformation and automation initiatives.
• Foster a culture of innovation, continuous improvement, and operational excellence.
• Ensure successful delivery of contractual obligations, client Service Level Agreements (SLAs), regulatory compliance, and key business performance metrics.
• Develop and maintain effective relationships with offshore vendor leaders and other internal leaders.
• Lead strategic and operational initiatives to drive accountability based on data-driven analysis and market intelligence.
• Oversee offshore partners/vendors and stateside resources to ensure accountability for contracted deliverables.
• Direct and coordinate a wide variety of program activities and oversee all phases and implementation of programs and initiatives.
• Develop, prioritize, implement, and execute a wide variety of business processes to support continuous improvement initiatives.
• Review reports and records of activities to ensure progress toward specified program objectives.
• Identify continuous improvement opportunities and collaborate with functional leaders and cross-functional teams to implement solutions.
• Supervise management team to ensure compliance with applicable laws, regulations, policies, and procedures.
• Manage technical and operational training program deliverables for assigned staff.
• Ensure onboarding and ongoing training programs meet employee needs and drive effective results.
• Partner with company-wide Staff Development team for seamless integration of services.
• Manage SLAs, performance, and quality of service for outsourced partners.
• Oversee the development and analysis of statistical data, metrics, and specifications.
• Partner with the organization’s Senior Management team and peers to drive efficient and cost-effective service levels.
• Champion and drive continuous improvement, compliance, and training initiatives.
• Perform other duties that support the overall objective of the position.

Qualifications

• Bachelor’s degree in Business or related discipline.
• Any combination of education and experience which would provide the required qualifications for the position.

Requirements

• 12+ years of experience in Revenue Cycle Management, Healthcare, or similar experience.
• 8+ years of experience working with multiple levels of leadership within a healthcare environment.
• Any combination of education and experience which would provide the required equivalent qualifications for the position.

Knowledge, Skills & Abilities

• Knowledge of Revenue Cycle Management best practices.
• Knowledge and understanding of business processes and drivers for large providers.
• Knowledge and understanding of contract negotiations.
• Skill in leadership, executive level communication and presentation skills, negotiation, strategic and analytical.
• Ability to leverage best practices to identify and ensure customer needs and opportunities to improve internal practices and efficiencies.
• Ability to manage and establish credibility within an organization.
• Ability to demonstrate supportive cross-functional relationships with peers, clients, partners, and management.
• Ability to oversee and balance multiple competing priorities.
• Ability to manage multiple high-level projects and teams through delegation and empowerment of new and upcoming leaders.
• Ability to cultivate relationships and develop/coach team members to further their leadership and managerial skills.
• Ability to execute large, cross-functional processes and initiatives.
• Ability to establish a productive team-based work environment and collaborate effectively across multiple functional areas.
• Ability to influence others to perform their jobs effectively and to be responsible for making decisions.