Vice President, Revenue Cycle & Payer Strategy

The Vice President of Revenue Cycle & Payer Strategy is a senior executive responsible for the strategic oversight, optimization, and financial performance of the organization's end-to-end revenue cycle across a multi-state, multi-specialty medical practice. This leader develops and executes enterprise strategies that maximize reimbursement, strengthen payer relationships, improve operational efficiency, ensures regulatory compliance across all markets and service lines.Reporting to the Chief Financial Officer, the Vice President serves as a key strategic partner to Finance, Operations, Clinical Leadership, and Growth teams to ensure sustainable revenue performance and scalable infrastructure that supports the organization's expansion and evolving care delivery models.Key Responsibilities· Lead the enterprise revenue cycle strategy across a multi-state, multi-specialty medical practice, overseeing patient access, coding, billing, accounts receivable, denial management, and collections.· Establish and monitor enterprise KPIs, dashboards, and standardized workflows that drive revenue integrity, operational efficiency, and scalable growth.· Own performance for Net Collection Rate (target ≥95%) and Days Sales Outstanding (target ≤35 days).· Drive initiatives to reduce AR greater than 90 days and accelerate reimbursement cycles.· Partner with the CFO to provide 13-week rolling cash flow visibility and quantify monthly cash recovery opportunities.· Identify and eliminate revenue leakage while improving clean claim rates, reimbursement accuracy, and denial prevention.· Implement enterprise monitoring of contracted versus paid rates across all payers and lead underpayment identification and recovery efforts.· Develop payer performance scorecards and reimbursement analytics to support Medicare Advantage and commercial payer negotiations.· Quantify and communicate the EBITDA impact of reimbursement and payer performance improvements.· Implement operational controls for secondary and tertiary billing, including timely claim submission and coordination-of-benefits processes to eliminate reimbursement leakage.· Ensure accurate charge capture, compliant billing practices, and adherence to federal and state regulatory requirements.· Oversee provider credentialing and payer enrollment lifecycle, implementing pre-start enrollment controls and reducing payer enrollment cycle times.· Establish safeguards to prevent billing under unenrolled NPIs and protect revenue continuity.· Lead centralized and distributed revenue cycle teams and oversee relationships with billing vendors, MSOs, and clearinghouse partners.· Manage the transition to a unified outsourced billing platform and ensure alignment between internal teams and external partners.· Lead EMR and revenue cycle platform integration initiatives, ensuring accurate data reconciliation and effective claims and remittance workflows.· Oversee clearinghouse configuration, remittance processes, and lockbox strategies to improve payment processing and financial controls.· Deliver monthly revenue cycle reporting tied directly to EBITDA and financial performance.· Provide downside, base, and upside revenue sensitivity analysis and translate operational metrics into executive and board-level insights.· Build and lead a high-performing multi-state revenue cycle organization while fostering a culture of accountability, analytics-driven decision-making, and continuous improvement.· Partner closely with finance, operations, clinical leadership, and IT to align revenue cycle performance with enterprise financial goals.What We Provide:· Competitive Compensation (based on experience)· Medical, Dental, Vision, Life Insurance, Short & Long-Term Disability· 401(k) plan with company match· Paid Time Off· Remote Work with limited travelRead on to find out what you will need to succeed in this position, including skills, qualifications, and experience.Requirements:· Bachelor's degree in Healthcare Administration, Business, Finance, or related field. Master's degree (MBA, MHA, MPH) preferred· 10+ years of progressive revenue cycle leadership experience, including executive or enterprise-level roles.· Experience in MSO or physician-owned PC structures· Demonstrated experience leading multi-state or multi-site healthcare revenue cycle operations.· Deep expertise in payer reimbursement, medical billing, coding regulations, and revenue cycle analytics.· Process improvement experience (Lean/Six Sigma) preferredKey Competencies:· Strategic leadership and operational excellence.· Data"‘driven decision-making.· Strong understanding of payer contracts and reimbursement.· Cross"‘functional collaboration. xijylhu · Change management and continuous improvement.Compensation details: 15 Yearly SalaryPI54c3db084a0d-3631

Created: 2026-03-07