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The Vice President of Revenue Cycle provides strategic, financial, and operational leadership across the enterprise for revenue cycle and managed care functions at JPS Health Network and Acclaim, their employed medical group. This position ensures sustainable net revenue performance, enhances payer contracting strategies, improves the patient financial experience, and utilizes technology and analytics to position the organization for success under both fee-for-service and value-based models. It is responsible for planning, organizing, and managing operations related to billing, collections, payment processing, pricing, third-party payer relationships, compliance, and financial analysis to ensure effective revenue cycle management. The role involves developing and executing processes to meet revenue cycle objectives, overseeing training, monitoring, analysis, and reporting on revenue cycle performance. Additionally, it involves formulating managed care strategies, including contracting, payer accountability, and market pricing. Building, establishing, and maintaining strong relationships with internal and external partners is also a key aspect of this position.
Job Responsibility
Provides strategic, financial, and operational leadership across the enterprise for revenue cycle and managed care functions
Ensures sustainable net revenue performance
Enhances payer contracting strategies
Improves the patient financial experience
Utilizes technology and analytics to position the organization for success under both fee-for-service and value-based models
Responsible for planning, organizing, and managing operations related to billing, collections, payment processing, pricing, third-party payer relationships, compliance, and financial analysis
Developing and executing processes to meet revenue cycle objectives
Overseeing training, monitoring, analysis, and reporting on revenue cycle performance
Formulating managed care strategies, including contracting, payer accountability, and market pricing
Building, establishing, and maintaining strong relationships with internal and external partners
Requirements
Master’s degree in business, accounting, finance, or a related field from an accredited University
Ten (10) plus years of increasingly responsible leadership experience in revenue cycle operation services, hospital and physician billing revenue management and managed care
Seven (7) plus years of experience leading payer contract negotiations and value-based reimbursement strategies
Demonstrated success implementing revenue cycle technology, automation, and analytics solutions