Vice President, Revenue Cycle
About The Position
AllHealth Network is seeking a Vice President, Revenue Cycle to lead enterprise revenue cycle strategy, governance, and performance improvement. The role is responsible for improving the organization’s financial health by maximizing revenue, reimbursement, and revenue cycle effectiveness, while supporting financial sustainability, compliance, operational consistency, and long-term success. The position leads revenue cycle functions and continually improves workflows spanning billing, reimbursement, credentialing, coding, authorization, front-desk operations, encounter reconciliation, and related processes. It partners across finance, clinical operations, technology, and payer-related functions to optimize revenue, improve workflows, and support strategic decisions. The role also serves as the revenue cycle subject matter leader for relevant EHR functionality and technology enhancements, and leads the organization’s negotiating position on managed care contract rate and non-rate issues. The Vice President reports to the Chief Financial Officer and provides leadership to assigned revenue cycle functions, including the Director of Revenue, Credentialing Supervisor, and Certified Professional Coder/Auditor. The position is full-time and exempt.
Requirements
- Bachelor’s degree or an equivalent combination of education and experience.
- Ten or more years of progressive revenue cycle leadership experience, including enterprise revenue cycle strategy, reimbursement analysis, payer contract support, revenue integrity, process improvement, and leadership of revenue cycle teams or functions.
- Demonstrated experience with full-cycle reimbursement, including payer requirements, managed care reimbursement, contract compliance, denial trends, authorization processes, and revenue stream enhancement.
- Experience with electronic health record systems and technology-enabled revenue cycle improvement.
- Strong knowledge of reimbursement, payer requirements, revenue integrity, billing compliance, authorization processes, denials management, and revenue cycle reporting.
- Ability to lead revenue cycle strategy, governance, performance improvement, and cross-functional change across clinical, finance, technology, and operational teams.
- Ability to communicate complex financial and operational information clearly, build trusted relationships, and hold teams accountable for revenue cycle outcomes.
Responsibilities
- Lead enterprise revenue cycle strategy, governance, and performance improvement to strengthen reimbursement, revenue integrity, compliance, and operational consistency.
- Build processes, reporting structures, and operating routines to measure and improve revenue cycle performance.
- Lead continual process improvement across billing, reimbursement, credentialing, coding, authorization, front-desk, encounter reconciliation, and related revenue cycle workflows.
- Partner with clinical, finance, technology, and operational leaders to identify revenue optimization opportunities and improve workflow effectiveness.
- Provide timely, accurate, and actionable financial and revenue cycle information for executive leadership, external reporting, payer discussions, and strategic decision-making.
- Serve as the revenue cycle subject matter leader for EHR functionality and technology enhancements affecting billing, charging, reimbursement, documentation workflow, accounting, and revenue integrity.
- Lead AllHealth Network’s negotiating position on rate and non-rate issues for managed care contracts and provide executive guidance for CFO review and decision-making.
- Monitor payer contract compliance, reimbursement trends, underpayment patterns, denial drivers, Medicaid, Medicare, managed care, behavioral health funding, and external regulatory or payer changes.
- Partner with the CFO to evaluate new funding sources, managed care contracts, reimbursement models, payer strategy, revenue-generation opportunities, and business-process redesign.
- Lead, develop, and hold accountable the revenue cycle function, including team capability building, performance expectations, and succession planning.
- Participate in strategic planning with a focus on financial sustainability, payer strategy, access, service-line viability, and reimbursement risk and opportunity.
- Follow AllHealth Network policies and procedures, complete required trainings, and perform other duties within the scope of the position.
Benefits
- Medical insurance
- Dental insurance
- Basic life and AD&D insurance
- Short- and long-term disability insurance
- Flexible spending accounts
- 401(k) retirement savings plan with company match up to 50% of the first 6% contributed
- Paid time off
- Paid holidays
- Professional development opportunities
- Positive, collaborative team culture
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What This Job Offers
Job Type
Full-time
Career Level
Executive
