Vice President, Patient Access & Financial Clearance

RevSpring • Nashville, TN

20h

About The Position

We are hiring a leader to own two linked initiatives at the center of the patient financial experience: Provider Cost Clarity and Eligibility & Benefit Verification. Provider Cost Clarity involves a single, API-accessible service that calculates a patient's expected out-of-pocket cost for a procedure or episode of care, powering price-transparency and estimate use cases. Eligibility & Benefit Verification is an insurance eligibility service that verifies coverage, retrieves relevant benefit information, and delivers value-add services that make cost estimates accurate. The Vice President will lead RevSpring’s efforts in these two product areas, set direction, and be accountable for outcomes. This role requires collaboration across the company with product, engineering, data science, sales, client success, and compliance, as well as externally with clearinghouses, partners, and provider clients.

Requirements

• Extensive experience in healthcare revenue cycle management in a leadership capacity, including experience leading multi-team organizations.
• Deep, hands-on understanding of insurance eligibility and patient benefits, real-time eligibility transactions, benefit structures, and network/plan design.
• Working knowledge of patient cost estimation and price transparency, claims adjudication, allowed amounts, contract rates, reimbursement methodologies, and the federal price-transparency and No Surprises Act requirements (Good Faith Estimate, Advanced EOB).
• Demonstrated ability to work with teams that include product managers, engineers, and data/analytics staff.
• Data and analytics literacy sufficient to define meaningful metrics to direct data science work.
• A record of turning strategy into delivered, adopted product.
• Excellent written and verbal communication, and the credibility to align stakeholders and adjudicate cross-team decisions.
• Comfortable making calls with incomplete information, including on roadmaps whose pace depends on external parties and evolving regulation.
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
• Ability to write reports, business correspondence and procedure manuals.
• Ability to effectively present information and respond to questions from a variety of both internal and external sources.

Responsibilities

• Own the strategy for both initiatives and articulate how they combine into a unified patient-cost and eligibility platform. Make and communicate clear decisions on scope, sequencing, and trade-offs.
• Own the roadmap end to end and be accountable for shipping. Balance regulatory-driven work, foundational platform work, and customer-driven demand.
• Lead, grow, and develop two teams. Hire, coach, and set performance expectations.
• Steward both services as shared, encapsulated platforms with many consumers and resisting coupling to any single caller.
• Guide the use of claim, remittance, and benefit data to improve estimate accuracy and confidence, and set the metrics that define success.
• Keep the roadmap aligned with evolving price-transparency and surprise-billing requirements.
• Partner with product, engineering, data science, sales, client success, and compliance to align priorities and remove blockers.
• Lead the deliberate consolidation of overlapping capabilities into single services, including cutover sequencing, and customer migration off existing tools.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed