Vice President, Revenue Cycle Operations

Under general direction of the SVP - Finance, CFO CUC, the Vice President, Revenue Cycle Operations is the health system executive accountable for revenue cycle strategy, operating performance, financial outcomes, regulatory compliance, and organizational capability across Central Health and CommUnityCare. The Vice President establishes enterprise priorities and decision frameworks for patient access, charge capture, coding, billing, claims, accounts receivable, denials, payment posting, patient financial services, revenue integrity, provider documentation support, credentialing and payer enrollment coordination, and revenue cycle informatics.This position holds overall responsibility for translating health system strategy into scalable revenue cycle operations that support specialty care, ambulatory services, safety-net programs, service-line expansion, and evolving reimbursement models. The Vice President leads multiple departments and complex system initiatives; sets objectives, budgets, performance standards, and resource priorities; resolves material operational and reimbursement barriers; and makes or recommends decisions with health system-wide financial, operational, patient, and compliance impact.The Vice President serves as a member of the senior leadership team and strategic advisor to executive, clinical, operational, financial, information technology, compliance, legal, contracting, and analytics leaders. The role represents the health system with payers, vendors, consultants, affiliated entities, and other external partners and is accountable for building a high-performing, integrated revenue cycle department that advances financial sustainability, access, and patient experience.

• Executive leadership and management capability with demonstrated success directing large-scale, complex operations and transformation across multiple departments or entities. 
• Advanced knowledge of end-to-end healthcare revenue cycle operations, reimbursement, payer administration, revenue integrity, coding and billing compliance, and patient financial services. 
• Demonstrated ability to establish strategy, governance, decision rights, operating plans, budgets, performance measures, and accountability systems that produce sustainable outcomes. 
• Ability to evaluate enterprise risks, competing priorities, capital and operating investments, and operational tradeoffs and to make timely decisions within delegated authority. 
• Advanced financial and operational acumen, including budgeting, forecasting, variance analysis, productivity management, reimbursement analysis, business cases, and return-on-investment evaluation. 
• Ability to lead through influence across clinical, operational, financial, technical, legal, compliance, and executive stakeholders, including teams without direct reporting relationships. H
• Advanced capability in performance management, process redesign, change leadership, vendor management, contract implementation, and operational readiness for new services. 
• Knowledge of Medicare, Medicaid, FQHC, commercial payer, coding, billing, documentation, privacy, and other applicable revenue cycle requirements. 
• Ability to use enterprise data, benchmarking, dashboards, and predictive analysis to identify risk, establish priorities, and drive decisions and measurable improvement. 
• Executive communication and presence, including the ability to synthesize complex information into concise recommendations and presentations for senior leadership, governing bodies, and external partners. 
• Ability to establish credibility, manage conflict, negotiate solutions, and maintain effective relationships with payers, vendors, affiliated entities, community partners, and internal stakeholders. 
• Strong judgment, integrity, initiative, adaptability, and accountability in managing sensitive.
• impact, and time-critical matters.

• Bachelor's Degree (higher degree accepted) in business, healthcare administration, finance, accounting, or a related field.

• 10+ years Progressive healthcare revenue cycle experience in a complex healthcare delivery environment.
• 5 years of management experience in healthcare revenue cycle operations. 
• Demonstrated experience leading revenue cycle functions and teams in a complex healthcare environment.
• Experience with governmental and commercial payers, fee-for-service reimbursement, specialty or multi specialty billing, and alternative payment models.

• HFMA CRCR, CHFP, AAHAM CRCE, or comparable revenue cycle credentia.