We are seeking a highly experienced and strategic Vice President of Revenue Cycle to lead and optimize all revenue cycle management (RCM) operations across the organization. This executive role is responsible for overseeing end-to-end financial performance in healthcare operations, including patient access, billing, coding, claims management, collections, denial management, and revenue integrity.
The ideal candidate is a seasoned healthcare finance and operations leader with deep expertise in revenue cycle systems, payer relationships, regulatory compliance, and large-scale process optimization. This role is critical in ensuring financial sustainability while maintaining compliance and supporting high-quality patient care.
To support executive leadership collaboration and operational oversight, candidates must currently reside in one of the following metropolitan areas in the United States:
Dallas, Texas
Houston, Texas
Austin, Texas
Atlanta, Georgia
Jacksonville, Florida
Miami, Florida
Nashville, Tennessee
Charlotte, North Carolina
Phoenix, Arizona
Candidates outside of these locations will not be considered.
Lead the overall revenue cycle strategy across all healthcare facilities and service lines
Align revenue cycle operations with organizational financial goals and patient care objectives
Develop long-term strategies to improve cash flow, reduce denials, and increase revenue integrity
Establish KPIs, benchmarks, and performance standards for revenue cycle performance
Drive transformation initiatives across the end-to-end billing and reimbursement lifecycle
Oversee accounts receivable (A/R), cash collections, and reimbursement processes
Improve clean claim rates, reduce denials, and accelerate payment cycles
Optimize charge capture, coding accuracy, and reimbursement performance
Identify revenue leakage and implement corrective action plans
Ensure financial forecasting accuracy and revenue predictability
Oversee medical coding, billing, and documentation accuracy across all departments
Ensure compliance with CMS, HIPAA, payer requirements, and healthcare regulations
Monitor and enforce coding integrity and audit readiness
Collaborate with compliance teams to mitigate billing risks and errors
Ensure adherence to ICD-10, CPT, and HCPCS coding standards
Oversee patient registration, eligibility verification, and pre-authorization processes
Improve patient access workflows to reduce delays and denials
Enhance point-of-service collections and financial counseling programs
Ensure accurate insurance verification and benefit coordination
Improve patient financial experience and transparency
Lead denial prevention and resolution strategies across all payer types
Analyze denial trends and implement corrective process improvements
Establish root cause analysis frameworks for recurring denial issues
Improve appeal processes and overturn rates
Strengthen revenue integrity controls across clinical and billing operations
Collaborate with insurance payers to resolve reimbursement issues
Support contract negotiations and reimbursement strategy optimization
Monitor payer performance and compliance with contractual agreements
Build strong relationships with commercial and government payers
Identify opportunities for improved reimbursement models
Lead and mentor Directors of Revenue Cycle, Billing Managers, and Coding Leaders
Build high-performing, accountable revenue cycle teams across all functions
Drive workforce development, training, and succession planning
Establish performance management frameworks and accountability structures
Foster a culture of continuous improvement and operational excellence
Oversee revenue cycle systems (EHR, billing platforms, RCM software)
Drive automation and digital transformation within revenue cycle operations
Improve integration between clinical, financial, and billing systems
Leverage analytics and reporting tools to drive decision-making
Support implementation of AI and automation in billing and coding workflows
Ensure compliance with federal, state, and payer regulations
Oversee internal and external audits related to billing and reimbursement
Implement controls to reduce fraud, waste, and abuse risks
Maintain documentation accuracy and audit readiness across all processes
Collaborate with compliance and legal teams on regulatory matters
Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or related field
Master’s degree (MHA, MBA, or related) strongly preferred
10+ years of healthcare revenue cycle management experience
5+ years in senior leadership or executive-level RCM roles
Deep knowledge of healthcare billing, coding, and reimbursement systems
Strong experience with payer relations and contract management
Proven success in large-scale revenue cycle optimization initiatives
Strong analytical, financial, and leadership skills
Must currently reside in one of the approved locations listed above
Certified Revenue Cycle Executive (CRCE) or HFMA certifications
Experience in large hospital systems or multi-site healthcare organizations
Strong background in EHR systems (Epic, Cerner, Meditech, etc.)
Experience with automation, AI, and analytics in revenue cycle operations
Familiarity with value-based care reimbursement models
Experience leading enterprise-level financial transformation initiatives
Strong regulatory expertise in Medicare, Medicaid, and commercial payer systems
Experience managing offshore or shared service revenue cycle teams
Net revenue improvement and revenue capture rate
Days in Accounts Receivable (A/R)
Cash collection rate and net collection efficiency
Reduction in revenue leakage
Clean claim rate
Denial rate reduction and overturn success rate
Claim submission turnaround time
Coding accuracy and compliance rates
A/R aging improvement (0–30, 31–60, 60+ days)
Cost to collect optimization
Workflow automation and productivity improvements
Reduction in billing cycle time
Patient satisfaction with billing and financial services
Point-of-service collection effectiveness
Reduction in patient billing complaints
Financial counseling engagement rates
Audit findings and resolution rates
Regulatory compliance adherence
Reduction in billing errors and rework
Internal control effectiveness
Chief Financial Officer (CFO)
Chief Executive Officer (CEO)
Chief Operating Officer (COO)
Chief Revenue Officer (CRO) (if applicable)
Full-Time
On-site / Hybrid executive healthcare leadership role
Occasional travel to facilities, payer meetings, and executive sessions
Participation in executive leadership and financial strategy meetings
On-call availability for revenue cycle disruptions or system-wide issues
Executive-level healthcare finance environment
High-impact role influencing organizational financial performance
Collaboration with clinical, administrative, and payer stakeholders
Fast-paced, data-driven operational setting
Strong focus on financial sustainability, compliance, and operational excellence
Opportunity to lead enterprise-wide revenue transformation initiatives