Vice President of Revenue Cycle & Managed Care
Core
Executive oversight of end-to-end revenue performance, including strategic payer contract negotiation and administration of billing, coding, collections, and denial management for a health system.
Role type
Senior executive (VP) revenue cycle and managed care leader
Builds
Cohesive revenue strategy supporting financial sustainability and value-based transformation
Domain
Healthcare administration / Revenue Cycle Management / Managed Care
Deliverable
Production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Strategic contract negotiation, end-to-end revenue cycle optimization, financial analysis, KPI monitoring, team leadership, regulatory compliance, budget management, payer relationship management
Preferred skills
Master's degree in healthcare administration or business, deep knowledge of ambulatory services reimbursement methodologies
Technologies
Revenue cycle performance data tools, contract financial modeling software, payer contract management systems
Responsibilities
Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services; Oversee billing, coding, collections, and reimbursement processes; Lead and mentor a team of revenue cycle and managed care professionals; Direct the negotiation of all facility, professional, and ancillary contracts with commercial and government payers; Prepare and present regular reports on revenue cycle performance; Develop and manage the department budget
Seniority
Executive, strategic leadership