Vice President, Ambulatory Revenue Cycle & Managed Care

Adventist HealthCare•Gaithersburg, MD

50d•$249,145 - $373,717

About The Position

Adventist HealthCare seeks to hire an experienced Vice President of Ambulatory Revenue Cycle and Managed Care who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. Reporting to the Senior Vice President and Chief Financial Officer for Adventist HealthCare, the Vice President of Ambulatory Revenue Cycle and Managed Care plays an essential role in ensuring the success and financial stability of the Health System. The Vice President of Ambulatory Revenue Cycle and Managed Care is responsible for overseeing and optimizing the entire revenue cycle for ambulatory services and managing care contracts across the system. This role involves strategic planning, execution, and continuous improvement of revenue cycle processes to maximize financial performance. The VP will work in partnership with entity CFOs, the VP of Hospital Revenue Cycle and various departments to ensure efficient billing, coding, collections, and reimbursement processes while maintaining compliance with regulatory standards.

Requirements

Bachelor's degree in healthcare administration, business administration, or a related field. Master's degree preferred.
Extensive experience (10 years) in healthcare revenue cycle covering multiple functions within revenue cycle.
Extensive knowledge of ambulatory services and managed care contracting.
5 years of leadership role overseeing revenue cycle functions.

Responsibilities

Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services.
Oversee billing, coding, collections, and reimbursement processes to ensure accuracy and efficiency
Monitor key performance indicators (KPIs) and implement improvements to enhance financial performance
Collaborate with clinical and administrative staff to streamline workflows and reduce denials and write-offs
Negotiate and manage contracts with managed care organizations (MCOs), insurance companies, and other payers
Analyze contract performance and ensure compliance with contract terms and conditions.
Develop strategies to maximize reimbursement rates and minimize payment delays.
Maintain relationships with payers and resolve any contract-related issues or disputes.
Lead and mentor a team of revenue cycle and managed care professionals.
Foster a culture of continuous improvement, accountability, and collaboration.
Provide regular training and development opportunities for team members.
Ensure compliance with all federal, state, and local regulations related to revenue cycle and managed care.
Develop and implement policies and procedures to mitigate risk and ensure ethical billing practices.
Stay current with industry trends, regulations, and best practices.
Prepare and present regular reports on revenue cycle performance and managed care contract outcomes.
Conduct financial analysis to identify trends, opportunities, and areas for improvement.
Develop and manage the department budget, ensuring alignment with organizational goals.

Benefits

Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support