Vice President, Revenue Cycle Management

Modivcare

1d•$202,300 - $250,000

About The Position

The Vice President, Revenue Cycle Management is responsible for strategic initiatives and direction across the Personal Care department’s billing and claims operations. The role optimizes departmental processes to promote accuracy, efficiency, timely claim submissions, and compliance with industry regulations and company policies, including HIPAA. It also oversees quality assurance, complex billing and claims issues, financial reporting, third-party service-provider relationships, budgeting, and the adoption of emerging technologies. The position determines staffing resources, develops senior leaders through mentoring and education, establishes annual KPIs aligned with corporate goals, and guides performance management, career development, succession planning, employee relations, and other human-resource processes. The role is accountable for strategic design and execution, employee satisfaction and retention, and cross-functional change initiatives. It collaborates with internal and external stakeholders to resolve issues and support customer success. Occasional business travel may be required.

Requirements

Bachelor’s degree.
Fifteen or more years of progressive experience in billing and claims management.
Ten or more years of leadership experience leading teams.
Strong knowledge of industry regulations, compliance, and best practices.
Strong leadership and people-management skills.
Excellent analytical, problem-solving, and decision-making abilities.
Excellent communication, negotiation, and interpersonal skills.
Proven ability to build and maintain productive relationships with internal and external stakeholders.
Proficiency with billing and claims management software and systems.
Highly organized and results-oriented, with strong attention to detail.

Nice To Haves

Master’s degree.

Responsibilities

Develop and implement the strategic direction for the billing and claims department in alignment with company goals and objectives.
Assess and optimize billing and claims processes to improve efficiency, accuracy, compliance, and timely claim submissions.
Ensure billing and claims activities comply with industry regulations and company policies, including HIPAA, and maintain current knowledge of relevant regulations.
Implement quality assurance measures to reduce errors, denials, and rejections, and oversee resolution of complex billing and claims issues.
Prepare and present financial reports and analysis to the CFO, Business Unit Leader, and stakeholders.
Manage relationships with third-party billing and claims service providers and monitor their performance.
Develop and manage the department budget, optimize resources, analyze variances, and initiate corrective actions.
Collaborate with legal and compliance teams, internal stakeholders, and external partners to resolve complex claims issues.
Monitor emerging technologies and trends in billing and claims management and lead integration of innovative tools and systems.
Determine appropriate staff resourcing to achieve goals and objectives.
Build and develop an effective senior leadership team through mentoring and formal education focused on management and project management principles.
Define annual Key Performance Indicators aligned with corporate goals.
Guide senior leaders on performance gaps, career development, and strategies.
Coach senior leaders on human-resource processes, including onboarding, performance management, succession planning, employee relations, selection, terminations, compensation, and rewards.
Lead strategic design and execution and be accountable for collective results and others’ contributions.
Drive employee satisfaction and retention by developing programs and initiatives.
Direct and influence cross-functional change-management initiatives to improve performance and efficiency.
Collaborate and communicate with internal and external customers and stakeholders to address issues, maintain organizational alignment, and support customer success.
Lead projects and perform other duties as assigned.
Travel occasionally for business, as required.