Vice President, Revenue Financial Management

MedAmerica•Sacramento, CA

23h•$250,000 - $300,000•Remote

About The Position

At Vituity, we are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. We have cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

Requirements

10+ years in healthcare revenue cycle and financial leadership roles required.
Demonstrated experience owning a net revenue budget of $500M+ across multiple specialties or markets required.
Demonstrated experience in evaluating and managing resource utilization, incorporating offshore vendor resource implementation and adoption of automation or AI resources required.
Proven ownership of P&L and large-scale financial operations required.
Proven track record of presenting financial performance, variance analysis, and strategic recommendations to a CFO, Board of Directors, or equivalent executive body required.
Deep expertise in reimbursement, payer dynamics, and revenue optimization required.
Strong track record of driving measurable financial improvement required.
Experience in oversight of a budget, revenue and expense management.
Experience in strategic planning and execution of short term and long-term plans.
Strategic, visionary, and innovative leadership.
Proven ability to develop strong relationships and work collaboratively across multiple business functions.
Highly skilled at conflict management and resolution.
Possess excellent problem-solving capabilities.
High level of emotional intelligence and proven professional judgment.
Ability to manage multiple work streams, projects, tasks, and goals.
Knowledge and experience with industry charge methodology, billing and collection regulations.
Possess excellent communication skills and ability to communicate effectively with staff, executives, and other professionals.
Ability to travel regularly.

Nice To Haves

CPA with healthcare industry experience preferred.
CRCE (Certified Revenue Cycle Executive — AAHAM) preferred.
Experience in physician enterprise or multi-specialty acute care RCM spanning Emergency Medicine, Hospital Medicine, Anesthesiology, and/or Radiology preferred.
Experience leading revenue cycle financial due diligence for M&A or new practice acquisitions preferred.
Familiarity with AI/automation ROI modeling in a revenue cycle context preferred.

Responsibilities

Co-own the RCM P&L with the EVP of RCM, including revenue, cost structure, EBITDA, and cash flow performance.
Own and actively manage the full RCM cost budget, including internal staffing and FTE planning, external billing RCM, and technology investments; establish cost-per-unit benchmarks (e.g., cost to collect, cost per claim) and conduct monthly variance analysis to identify inefficiencies, rightsizing opportunities, and ROI gaps across all operational spend.
Drive enterprise-wide initiatives to accelerate cash collection, improve yield, and enhance cost efficiency.
Establish, monitor, and report on financial performance benchmarks including net collection rate, gross-to-net revenue realization, days in AR, denial, write-off rates, and bad debt allowance.
Oversee monthly revenue recognition processes, working in concert with Accounting and FP&A to ensure revenue is accurately stated in accordance with GAAP and applicable healthcare accounting standards.
Build and maintain long-range financial models incorporating growth, acquisitions, payer mix dynamics, and resource management strategies.
Partner with Finance on forecasting, budgeting, and variance analysis related to the revenue cycle.
Oversee net collection rate, AR performance, denial rates, and payer yield.
Establish data-driven accountability across the full revenue cycle.
Identify and execute opportunities for pricing optimization, contract improvement, and reimbursement uplift.
Quantify payer trends and their impact on net revenue, proactively surfacing financial risks to the CFO and executive team.
Monitor Self-Pay Strategy to ensure maximum reimbursement for self-pay and patient responsibility after insurance, recommending improvements and opportunities that are scalable and meet PCI and other regulatory requirements.
Ensure RCM operations and resources are aligned with financial targets and growth objectives.
Measure and drive efficiency through automation, technology, and process redesign.
Evaluate ROI on technology, vendors, and internal investments.
Support integration of acquisitions with a focus on financial performance and scalability.
Ensure financial and regulatory compliance across all RCM activities.
Working with Compliance, maintaining strong internal controls related to billing, collections, payment reconciliation, quality and reporting.
Monitor regulatory changes impacting reimbursement and revenue recognition.
Serve as the financial voice of RCM with executive leadership and the Board.
Partner with clinical, operational, and finance teams to align incentives and outcomes.
Build a performance-driven culture with clear accountability for results.

Benefits

Superior health plan options
Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 plus discretionary profit-sharing contributions (eligible January following 18 months of service)
Generous paid time off starting 3-4 weeks’ annually
Student Loan Refinancing Discounts
Professional and Career Development Program
EAP and travel assistance included
Wellness program
Purpose-driven culture focused on improving the lives of our patients, communities, and employees
Eligible to participate in our annual corporate Success Sharing bonus program