Revenue Cycle Management, VP

About the role

The organization seeks a visionary and results-driven Vice President of Revenue Cycle Management to define and direct the strategic course of revenue operations for a virtual medical practice. This executive role is accountable for establishing long-term vision, enabling enterprise initiatives, and securing alignment among financial performance, operational scalability, and patient experience. The position operates at the intersection of strategic leadership and operational execution, requiring advanced healthcare expertise, robust business judgment, and consistent influence over executive decision-making. This role demands the development and oversight of a high-performing, scalable revenue organization. The executive in this position will manage the full scope of revenue cycle functions, including patient access, authorization, coding, billing, denials management, collections, and reporting. They will collaborate with executive leadership to frame financial strategy, encompassing revenue forecasting, pricing models, and payer contracting approaches. Transformational initiatives to optimize revenue capture, improve margins, and increase operational efficiency at scale must be identified and driven. Enterprise-level KPIs, benchmarks, and performance frameworks are to be established to measure and elevate revenue cycle effectiveness. Leadership of organizational design and workforce strategy for the revenue cycle team is essential. This includes leadership development, succession planning, and vendor management. The executive will oversee and refine relationships with third-party billing vendors, clearinghouses, and payer partners. They will promote the adoption of technology, automation, and data analytics to modernize revenue cycle infrastructure in support of a high-growth, tech-enabled care model. Cross-functional alignment with clinical, product, engineering, finance, and operations teams must be led to ensure seamless end-to-end revenue workflows. Payer strategy, including contract negotiation support, reimbursement optimization, and dispute resolution, falls within this leadership scope. Enterprise-wide compliance with federal, state, and payer regulations, including HIPAA, CMS, and commercial payer policies, must be ensured. The executive will serve as the primary sponsor for audit readiness, risk management, and regulatory response initiatives. Strategic insights and reporting to the executive team and board should translate complex data into actionable business decisions. A culture of accountability, innovation, and continuous improvement across the revenue cycle organization must be fostered. Anticipation of industry trends, regulatory changes, and reimbursement shifts is required to proactively adapt strategy.

Key facts

What you'll do

• Architect and execute the comprehensive revenue cycle strategy aligned with corporate growth objectives and evolving payer landscapes.
• Provide executive oversight for all revenue cycle operational areas, including patient access, authorization, coding, billing, denials management, collections, and performance reporting.
• Partner with executive leadership to formulate financial strategy, covering revenue forecasting, pricing structures, and payer contracting methodologies.
• Identify and implement transformational projects that optimize revenue capture, enhance margins, and improve operational efficiency at enterprise scale.
• Create and manage enterprise-level KPIs, benchmarks, and performance measurement frameworks to assess and improve revenue cycle effectiveness.
• Direct organizational design and workforce strategy, including leadership development, succession planning, and management of external vendors.
• Manage and strengthen relationships with third-party billing vendors, clearinghouses, and payer organizations.
• Drive the adoption of technology, automation, and data analytics to modernize revenue cycle systems and support a scalable, tech-enabled care delivery model.
• Coordinate cross-functional collaboration with clinical, product, engineering, finance, and operations teams to ensure coherent end-to-end revenue workflows.
• Lead payer strategy activities, such as contract negotiation support, reimbursement optimization, and dispute resolution.
• Maintain strict compliance with federal, state, and payer regulations, including HIPAA, CMS guidelines, and commercial payer policies.
• Act as the executive sponsor for audit readiness, risk management, and regulatory response efforts.
• Deliver strategic insights and reporting to the executive team and board, converting intricate data into clear, actionable recommendations.
• Cultivate a culture of responsibility, innovation, and ongoing improvement across the revenue cycle organization.
• Monitor industry trends, regulatory updates, and reimbursement modifications to adjust strategy proactively.
• Establish governance frameworks to ensure consistent application of revenue cycle policies, procedures, and controls across virtual care sites.
• Evaluate and select technologies that enhance prior authorization, eligibility, and claims processing workflows in a virtual-first environment.
• Analyze revenue cycle performance data to identify bottlenecks, risk exposure, and opportunities for process simplification and margin expansion.
• Serve as a key liaison between clinical and financial teams to align service delivery models with revenue integrity and compliance requirements.
• Mentor senior revenue cycle leaders to build scalable capabilities and a high-performing, accountable team.
• Translate complex regulatory and payer requirements into practical policies and procedures that protect revenue integrity and patient access.

Requirements

• Possess a Bachelor's degree in healthcare administration, business, finance, or a related discipline; a Master's degree is preferred.
• Accumulate 12 or more years of progressive experience in revenue cycle management, including at least 5 years in a director or executive leadership capacity.
• Demonstrate comprehensive knowledge of end-to-end revenue cycle operations within virtual and multi-state environments, including telehealth.
• Show advanced understanding of medical coding standards such as CPT and ICD-10, evaluation and management guidelines, and complex payer frameworks.
• Documented success in scaling revenue operations and leading distributed teams during growth phases.
• Experienced with Electronic Medical Record and Revenue Cycle Management systems, including implementation and optimization of revenue cycle technologies.
• Proven capacity to influence executive stakeholders and guide cross-functional initiatives to completion.
• Strong analytical and financial skills, with experience in forecasting, budgeting, and performance optimization.
• Excellent communication and leadership capabilities, with effectiveness in virtual work settings.
• High-level strategic thinking combined with disciplined execution.
• Commitment to enterprise-wide compliance with federal, state, and payer regulations, including HIPAA, CMS, and commercial payer policies.
• Willingness to serve as the primary executive sponsor for audit readiness, risk management, and regulatory response initiatives.

Practical notes

-

Location: Remote

-

Engagement: Full-time

-

Compensation: $180,000 to $220,000 annually

• Hours: Standard full-time hours expected
• Travel: Not applicable
• Visa: Not applicable

in SOURCE