Vice President, Revenue Cycle & Payer Strategy - Now Hiring

The Vice President of Revenue Cycle & Payer Strategy is a senior executive responsible for the strategic oversight, optimization, and financial performance of the organization’s end-to-end revenue cycle across a multi-state, multi-specialty medical practice. This leader develops and executes enterprise strategies that maximize reimbursement, strengthen payer relationships, improve operational efficiency, ensures regulatory compliance across all markets and service lines.

Reporting to the Chief Financial Officer, the Vice President serves as a key strategic partner to Finance, Operations, Clinical Leadership, and Growth teams to ensure sustainable revenue performance and scalable infrastructure that supports the organization’s expansion and evolving care delivery models.

Key Responsibilities

· Lead the enterprise revenue cycle strategy across a multi-state, multi-specialty medical practice, overseeing patient access, coding, billing, accounts receivable, denial management, and collections.

· Establish and monitor enterprise KPIs, dashboards, and standardized workflows that drive revenue integrity, operational efficiency, and scalable growth.

· Own performance for Net Collection Rate (target ≥95%) and Days Sales Outstanding (target ≤35 days).

· Drive initiatives to reduce AR greater than 90 days and accelerate reimbursement cycles.

· Partner with the CFO to provide 13-week rolling cash flow visibility and quantify monthly cash recovery opportunities.

· Identify and eliminate revenue leakage while improving clean claim rates, reimbursement accuracy, and denial prevention.

· Implement enterprise monitoring of contracted versus paid rates across all payers and lead underpayment identification and recovery efforts.

· Develop payer performance scorecards and reimbursement analytics to support Medicare Advantage and commercial payer negotiations.

· Quantify and communicate the EBITDA impact of reimbursement and payer performance improvements.

· Implement operational controls for secondary and tertiary billing, including timely claim submission and coordination-of-benefits processes to eliminate reimbursement leakage.

· Ensure accurate charge capture, compliant billing practices, and adherence to federal and state regulatory requirements.

· Oversee provider credentialing and payer enrollment lifecycle, implementing pre-start enrollment controls and reducing payer enrollment cycle times.

· Establish safeguards to prevent billing under unenrolled NPIs and protect revenue continuity.

· Lead centralized and distributed revenue cycle teams and oversee relationships with billing vendors, MSOs, and clearinghouse partners.

· Manage the transition to a unified outsourced billing platform and ensure alignment between internal teams and external partners.

· Lead EMR and revenue cycle platform integration initiatives, ensuring accurate data reconciliation and effective claims and remittance workflows.

· Oversee clearinghouse configuration, remittance processes, and lockbox strategies to improve payment processing and financial controls.

· Deliver monthly revenue cycle reporting tied directly to EBITDA and financial performance.

· Provide downside, base, and upside revenue sensitivity analysis and translate operational metrics into executive and board-level insights.

· Build and lead a high-performing multi-state revenue cycle organization while fostering a culture of accountability, analytics-driven decision-making, and continuous improvement.

· Partner closely with finance, operations, clinical leadership, and IT to align revenue cycle performance with enterprise financial goals.

What We Provide:

· Competitive Compensation (based on experience)

· Medical, Dental, Vision, Life Insurance, Short & Long-Term Disability

· 401(k) plan with company match

· Paid Time Off

· Remote Work with limited travel



Requirements:

· Bachelor’s degree in Healthcare Administration, Business, Finance, or related field. Master’s degree (MBA, MHA, MPH) preferred

· 10+ years of progressive revenue cycle leadership experience, including executive or enterprise-level roles.

· Experience in MSO or physician-owned PC structures

· Demonstrated experience leading multi-state or multi-site healthcare revenue cycle operations.

· Deep expertise in payer reimbursement, medical billing, coding regulations, and revenue cycle analytics.

· Process improvement experience (Lean/Six Sigma) preferred

Key Competencies:

· Strategic leadership and operational excellence.

· Data‑driven decision-making.

· Strong understanding of payer contracts and reimbursement.

· Cross‑functional collaboration.

· Change management and continuous improvement.



Compensation details: 150000-175000 Yearly Salary





PI6f576685ae29-31181-39906477

The Vice President of Revenue Cycle & Payer Strategy is a senior executive responsible for the strategic oversight, optimization, and financial performance of the organization’s end-to-end revenue cycle across a multi-state, multi-specialty medical practice. This leader develops and executes enterprise strategies that maximize reimbursement, strengthen payer relationships, improve operational efficiency, ensures regulatory compliance across all markets and service lines.

Reporting to the Chief Financial Officer, the Vice President serves as a key strategic partner to Finance, Operations, Clinical Leadership, and Growth teams to ensure sustainable revenue performance and scalable infrastructure that supports the organization’s expansion and evolving care delivery models.

Key Responsibilities

· Lead the enterprise revenue cycle strategy across a multi-state, multi-specialty medical practice, overseeing patient access, coding, billing, accounts receivable, denial management, and collections.

· Establish and monitor enterprise KPIs, dashboards, and standardized workflows that drive revenue integrity, operational efficiency, and scalable growth.

· Own performance for Net Collection Rate (target ≥95%) and Days Sales Outstanding (target ≤35 days).

· Drive initiatives to reduce AR greater than 90 days and accelerate reimbursement cycles.

· Partner with the CFO to provide 13-week rolling cash flow visibility and quantify monthly cash recovery opportunities.

· Identify and eliminate revenue leakage while improving clean claim rates, reimbursement accuracy, and denial prevention.

· Implement enterprise monitoring of contracted versus paid rates across all payers and lead underpayment identification and recovery efforts.

· Develop payer performance scorecards and reimbursement analytics to support Medicare Advantage and commercial payer negotiations.

· Quantify and communicate the EBITDA impact of reimbursement and payer performance improvements.

· Implement operational controls for secondary and tertiary billing, including timely claim submission and coordination-of-benefits processes to eliminate reimbursement leakage.

· Ensure accurate charge capture, compliant billing practices, and adherence to federal and state regulatory requirements.

· Oversee provider credentialing and payer enrollment lifecycle, implementing pre-start enrollment controls and reducing payer enrollment cycle times.

· Establish safeguards to prevent billing under unenrolled NPIs and protect revenue continuity.

· Lead centralized and distributed revenue cycle teams and oversee relationships with billing vendors, MSOs, and clearinghouse partners.

· Manage the transition to a unified outsourced billing platform and ensure alignment between internal teams and external partners.

· Lead EMR and revenue cycle platform integration initiatives, ensuring accurate data reconciliation and effective claims and remittance workflows.

· Oversee clearinghouse configuration, remittance processes, and lockbox strategies to improve payment processing and financial controls.

· Deliver monthly revenue cycle reporting tied directly to EBITDA and financial performance.

· Provide downside, base, and upside revenue sensitivity analysis and translate operational metrics into executive and board-level insights.

· Build and lead a high-performing multi-state revenue cycle organization while fostering a culture of accountability, analytics-driven decision-making, and continuous improvement.

· Partner closely with finance, operations, clinical leadership, and IT to align revenue cycle performance with enterprise financial goals.

What We Provide:

· Competitive Compensation (based on experience)

· Medical, Dental, Vision, Life Insurance, Short & Long-Term Disability

· 401(k) plan with company match

· Paid Time Off

· Remote Work with limited travel



Requirements:

· Bachelor’s degree in Healthcare Administration, Business, Finance, or related field. Master’s degree (MBA, MHA, MPH) preferred

· 10+ years of progressive revenue cycle leadership experience, including executive or enterprise-level roles.

· Experience in MSO or physician-owned PC structures

· Demonstrated experience leading multi-state or multi-site healthcare revenue cycle operations.

· Deep expertise in payer reimbursement, medical billing, coding regulations, and revenue cycle analytics.

· Process improvement experience (Lean/Six Sigma) preferred

Key Competencies:

· Strategic leadership and operational excellence.

· Data‑driven decision-making.

· Strong understanding of payer contracts and reimbursement.

· Cross‑functional collaboration.

· Change management and continuous improvement.



Compensation details: 150000-175000 Yearly Salary





PI6f576685ae29-31181-39906477

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...