VP, Revenue Cycle Management

Nsight Health

2d•$175,000 - $225,000•Remote

About The Position

Nvera is a revenue cycle management company built to operate differently. We're not building another traditional billing shop that throws bodies at the problem — we're building an autonomous medical billing operation, one that leverages artificial intelligence, automation, and smart technology to do what used to take dozens of people. Our parent company manages 2,000+ providers, 400+ clinics, and 70,000+ active patients across the country, with 250,000+ AI-powered voice calls processed monthly. Nvera is where all of that operational intelligence meets revenue cycle execution. We're looking for a Vice President of Revenue Cycle Management to build and lead Nvera's entire RCM division from the ground up. This isn't a role where you inherit a team and maintain the status quo. You're starting from scratch — building systems, hiring selectively, and automating aggressively. The goal is a lean, high-performance operation where AI and technology handle the bulk of the work, and your team handles the exceptions, strategy, and client relationships. You'll report directly to our COO and work closely with the CEO and technology team. In the early stages, you'll also serve as the face of the company with prospective clients — someone who can walk into a room, speak the language of revenue cycle, and instill confidence that we know what we're doing.

Requirements

10+ years of progressive revenue cycle management experience, with at least 5 years in a senior leadership role (VP, SVP, or equivalent)
Proven experience building an RCM operation from scratch — not just managing an inherited team
Demonstrated track record of growing and scaling RCM teams from small to large (50+ FTEs)
Deep analytical capability: you think in metrics, build dashboards, and use data to drive every decision
Hands-on experience with practice management systems — ideally you've helped build, configure, or spec one from the ground up
Strong working knowledge of AI, automation, and RPA tools as applied to revenue cycle workflows
Experience managing offshore teams and maintaining quality across distributed operations
Expertise in value-based care models, payer contracting, and reimbursement optimization strategies
Familiarity with revenue cycle optimization platforms (eligibility engines, claim scrubbers, denial management systems, etc.)
Deep knowledge of deductible hold management and patient financial journey optimization
Multi-specialty billing experience across at least 3–4 of the specialties listed above
Excellent client-facing communication skills — you can pitch, consult, present, and de-escalate with equal confidence
Self-managing, fast-moving, and innovative — you don't wait for permission to improve things
You personally use AI tools (Claude, ChatGPT, Copilot, or similar) in your daily work and can demonstrate how
You've implemented or led AI/automation initiatives in a revenue cycle environment
You believe the future of RCM is fewer people doing higher-value work — not more people doing the same work
You're excited to partner with engineers and product teams to push the boundaries of what's possible
You can articulate a clear vision for what an autonomous RCM operation looks like in 12–24 months

Nice To Haves

Background in EMS billing and ambulance transport reimbursement
CPC, CPMA, CHBME, or equivalent certification
Experience working within a healthcare technology company (not just a billing company)
Familiarity with HIPAA compliance, BAA management, and healthcare data security requirements

Responsibilities

Build Nvera's RCM operation from zero — people, process, technology, and infrastructure
Hire and develop a team of 10–20, with the explicit goal of automating yourself out of needing more headcount over time
Build SOPs, training documentation, and quality assurance frameworks that scale
Oversee offshore team components as needed, ensuring quality and compliance across geographies
Design and implement AI-first workflows across the entire revenue cycle: eligibility verification, charge capture, claims submission, denial management, payment posting, collections, and patient billing
Partner with the engineering and AI team to build or configure practice management and billing systems that support autonomous operation
Drive continuous automation initiatives that reduce manual touchpoints and increase throughput
Own all key RCM metrics: clean claim rate, days in A/R, denial rate, first-pass resolution rate, net collection rate, cost-to-collect, and charge lag
Manage deductible hold strategies and patient journey workflows that maximize backend collections
Develop reporting dashboards and analytics that provide full visibility into revenue cycle performance for both internal leadership and clients
Serve as a revenue cycle consultant to clients — advising on payer contracting, value-based care models, and reimbursement optimization
Lead client-facing efforts in early stages: pitching prospects, onboarding new clients, and de-escalating provider concerns
Stay current on CMS regulations, payer policy changes, and industry trends that affect billing and reimbursement
Continuously evaluate new tools, platforms, and automation opportunities to keep Nvera ahead of the curve