VP, Revenue Cycle Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop and direct the comprehensive revenue cycle strategy, ensuring alignment with the company's growth goals, market expansion efforts, and changing payer environments.

• Provide senior-level supervision of patient access, authorization processes, coding, billing, denials management, collections, and reporting mechanisms.

• Collaborate with executive leadership on revenue forecasting, pricing strategies, and payer contracting methodologies.

• Lead transformational initiatives aimed at optimizing revenue capture, enhancing profit margins, and improving operational efficiency.

• Establish organization-wide KPIs, benchmarks, and performance metrics.

• Oversee organizational design, workforce strategy, leadership development, succession planning, and vendor management.

• Manage relationships with third-party billing vendors, clearinghouses, and payer partners.

• Advocate for the adoption of technology, automation, and data analytics.

• Foster cross-functional collaboration with clinical, product, engineering, finance, and operations teams.

• Direct payer strategy, reimbursement optimization, contract negotiation support, and dispute resolution efforts.

• Ensure adherence to federal, state, payer, HIPAA, CMS, and commercial payer regulations.

• Sponsor initiatives for audit preparedness, risk management, and regulatory responses.

• Provide strategic insights and reporting to the executive team and board members.

• Promote accountability, innovation, and a culture of continuous improvement.

• Anticipate changes in industry, regulations, and reimbursement practices while adapting strategies accordingly.

⛳️ Requirements

• Bachelor's degree in healthcare administration, business, finance, or a related discipline.

• Over 12 years of progressive experience in revenue cycle management.

• A minimum of 5 years in a director or executive leadership position.

• Extensive expertise in comprehensive revenue cycle operations, including multi-state and telehealth settings.

• In-depth knowledge of CPT, ICD-10, E/M guidelines, and complex payer frameworks.

• Proven track record of successfully leading large, distributed teams and scaling revenue operations in a high-growth context.

• Experience with EMR and RCM systems along with revenue cycle technology implementation or enhancement.

• Demonstrated ability to influence executive stakeholders and facilitate cross-functional initiatives.

• Strong analytical and financial skills, including forecasting, budgeting, and performance improvement.

• Exceptional communication and leadership abilities, with the capacity to operate effectively in a virtual environment.

• High level of strategic thinking paired with rigorous execution capabilities.

• Required to demonstrate experience leading an RCM function and team in telehealth, digital health, or health tech sectors.

• Must illustrate experience in building an RCM function and team within a high-growth startup or early-stage environment.

• Required to showcase experience in the telehealth or health tech industries.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health, dental, and vision insurance.

• Flexible working hours and remote work options.

• Professional development and growth opportunities.

• Generous paid time off and holidays.