VP Revenue Cycle Operations

Children's Hospital Boston•Boston, MA

45d

About The Position

The Vice President of Revenue Cycle Operations at Boston Children's Hospital will provide strategic and operational leadership across core revenue cycle functions, including Financial Clearance, Coding, Revenue Integrity, and Accounts Receivable Management. This role is pivotal in driving financial performance, reducing uncollectible accounts and AR days, improving operational processes, and preparing the organization for enterprise-level transformation. The VP will align people, processes, and technology strategies to protect and enhance BCH's $3B+ annual revenue. The ideal candidate brings deep revenue cycle expertise, a strong operational mindset, and the ability to lead through complexity. As a key leadership position, this role will shape the next phase of BCH's revenue cycle evolution-delivering both immediate results and long-term readiness.

Requirements

Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; advanced degree (MBA, MHA, or related discipline) preferred.
12+ years of progressive leadership experience in revenue cycle operations, preferably in an extensive academic or pediatric health system.
Demonstrated success in leading complex, multi-functional teams and large-scale revenue cycle transformation initiatives.
Proven experience managing hospital and professional revenue cycle functions, including coding, AR, revenue integrity, and financial clearance.
Expertise in Epic and modern revenue cycle technologies, analytics, and automation strategies.
Strong financial acumen with understanding of healthcare reimbursement, DRGs, denials management, and payer dynamics.
Knowledge of compliance and full revenue cycle operations in complex healthcare environments.
Skilled in using data and automation to drive performance and efficiency improvements.
Ability to lead and develop high-performing teams, drive change, and deliver measurable results.
Effective communicator with the ability to influence across clinical, financial, and administrative stakeholders.
Proven capacity to balance strategic priorities with day-to-day operational execution in a fast-paced environment.

Responsibilities

Develop and execute a multi-year transformation roadmap to position BCH as a top-performing revenue cycle organization.
Align strategies across departments to enhance enterprise capabilities in coding, accounts receivable, revenue integrity, and financial clearance.
Serve as a key advisor and second-in-command to the SVP, Revenue Cycle, providing executive-level oversight across initiatives and teams.
Provide day-to-day leadership and accountability for: Pre-Service Financial Clearance Coding (Inpatient & Outpatient) Revenue Integrity Hospital Accounts Receivable
Ensure achievement of departmental KPIs, including targets for uncollectible rates, AR days, clean claim rates, and denial prevention.
Drive initiatives to reduce uncollectible accounts toward a goal of 2.0% of NPSR (FY27 target).
Lead strategies to decrease AR days from 80+ to ~70 while improving cash flow and reducing cost to collect.
Protect and optimize BCH's $3B+ annual revenue through strong controls, visibility, and accountability.
Mentor and develop Director and Senior Director-level leaders to ensure operational excellence and leadership continuity.
Build bench strength within mid-level management to support organizational growth and succession planning.
Partner with Clinical Departments, IT (Epic), Finance, Health Information Management, Patient Care Services, and Foundation entities to align integrated revenue strategies.
Drive collaboration between hospital and physician revenue cycle teams to enhance transparency and overall performance.