VP, Revenue Cycle

Vice President, Revenue Cycle - Nemours Children's Health

Nemours 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 Responsibilities

Enterprise Revenue Cycle Leadership

• Provide strategic oversight of all revenue cycle functions including:
• Health Information Management
• Patient Financial Services (Central Business Office)
• Revenue Integrity
• Coding for Hospital and Physician Practices
• Lead a multi-state, integrated revenue cycle model across Delaware, Florida, and affiliated sites of care
• Establish a high-performing, standardized operating model with clear accountability and KPIs

Financial Performance & Optimization

• Drive improvements in key performance metrics:
• Net patient revenue yield
• Days in Accounts Receivable (A/R)
• Cash collections
• Denial rates and overturn success
• Cost to collect
• Discharge Not Final Billed
• Lead enterprise-wide initiatives to reduce revenue leakage and improve margin performance
• Partner with finance leadership on forecasting, budgeting, and long-range financial planning
• Oversight of System Revenue Cycle Committee

Medicaid & Payer Strategy Alignment

• Optimize revenue cycle processes in a high Medicaid payer mix environment (~50%)
• Partner with payer strategy and managed care teams to:
• Improve reimbursement accuracy
• Reduce administrative burden
• Strengthen payer-provider collaboration
• Ensure readiness for evolving reimbursement models including value-based care and risk arrangements

Digital Transformation & Innovation

• Lead optimization and continuous improvement of EPIC revenue cycle systems
• Predictive denials management
• Intelligent work queues
• Real-time eligibility and authorization tools
• Advance digital patient financial experience:
• Transparent pricing
• Digital billing and payment platforms

Patient & Family Experience

• Ensure a frictionless, compassionate financial journey for patients and families
• Align revenue cycle processes with Nemours' mission of family-centered care
• Reduce financial barriers to care while maintaining strong financial stewardship

Compliance & Risk Management

• Ensure compliance with all federal and state regulations including:
• CMS billing requirements
• Medicaid policies
• No Surprises Act and price transparency
• Maintain strong internal controls and audit readiness
• Partner with compliance and legal teams on risk mitigation

Team Leadership & Culture

• Lead, mentor, and develop a large, diverse revenue cycle workforce
• Accountability and performance excellence
• Innovation and continuous improvement
• Collaboration across clinical and administrative teams
• Develop future leaders within the revenue cycle organization

Key Partnerships

• Chief Financial Officer
• Chief Operating Officer
• Market Presidents
• Market CFOs
• Chief Information Officer / Digital & IT teams
• Payer Strategy & Managed Care
• Clinical leadership across service lines
• External vendors and revenue cycle partners

Qualifications

• Bachelor'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 system
• Demonstrated success leading enterprise revenue cycle transformation
• Deep expertise in:
• Epic revenue cycle modules
• Pediatric or Medicaid-heavy reimbursement environments
• Denials management and revenue integrity
• Strong financial acumen and ability to influence executive and board-level decisions

Preferred

• Experience in a children's hospital or academic medical center
• Track record of implementing digital/AI-enabled revenue cycle solutions
• Experience with value-based care models and risk-based contracts

Key Competencies

• Strategic and systems thinking
• Data-driven decision-making
• Change leadership and transformation execution
• Executive communication and stakeholder alignment
• Mission-driven leadership with a focus on health equity