About The Position

The Vice President of Revenue Strategy and Operational Efficiencies (Consultant) will serve as a senior advisor and operational strategist supporting Arete Health’s enterprise-wide financial performance initiatives. This position focuses on optimizing revenue cycle processes, driving operational alignment between clinical and financial operations, and ensuring accountability of both internal teams and external RCM vendors to Arete’s high-performance standards. The Consultant will evaluate, design, and implement systems and workflows that enhance billing accuracy, improve collections, strengthen cash flow, and achieve industry-leading results in denial reduction, write-off prevention, and patient responsibility collections. This role embodies The Arete Way—pursuing excellence, consistency, and daily 1% improvements in all measurable outcomes.

Requirements

  • Bachelor’s degree in healthcare administration, finance, or related field required; Master’s preferred.
  • 10+ years of progressive RCM leadership experience, preferably in outpatient physical therapy or multi-site ambulatory care.
  • Proven track record in improving collection efficiency, denial management, and operational performance.
  • Strong analytical, leadership, and change management skills.
  • Deep understanding of payer regulations, compliance, and RCM technology systems.
  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.

Nice To Haves

  • Master’s preferred.

Responsibilities

  • Develop and implement enterprise-level strategies to optimize billing, collections, and net revenue performance.
  • Monitor, analyze, and report on KPIs including clean claim rates, denial rates, write-offs, and A/R aging across all entities.
  • Create accountability structures to ensure all revenue processes align with Arete’s expectations for timeliness, accuracy, and compliance.
  • Partner with Finance, Operations, and Clinical Leadership to ensure end-to-end alignment of revenue strategy and operational execution.
  • Oversee performance of external vendors, including Prompt RCM, ensuring adherence to Arete’s standards and contractual SLAs.
  • Conduct monthly vendor performance reviews and provide measurable feedback on improvement targets.
  • Ensure payment posting accuracy, timely cash reconciliation, and revenue recognition consistency across business units.
  • Design workflows that bridge revenue cycle operations and clinical teams to enhance data integrity, compliance, and collections.
  • Lead initiatives to achieve measurable 1% improvements in operational efficiency and revenue performance each month.
  • Evaluate and implement technology solutions to streamline patient access, charge capture, and financial communication workflows.
  • Develop and oversee best practices for patient responsibility collections, including pre-service, point-of-service, and post-service engagement strategies.
  • Drive improved collection performance during annual deductible resets and patient owed balances.
  • Ensure transparency and consistency in patient communication while maintaining Arete’s commitment to service excellence.
  • Supervise credentialing processes for new and existing providers to ensure timely activation and payer compliance.
  • Maintain adherence to HIPAA, CMS, and state/federal regulations governing revenue cycle operations.
  • Provide consulting support to internal leadership teams to enhance RCM literacy and operational alignment.
  • Model The Arete Way culture by demonstrating excellence, servant leadership, and continuous improvement.
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