AVP, RCM Operations

LE1000 Veradigm LLC; Raleigh (NC); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Veradigm is seeking an AVP, RCM Operations to lead a portfolio of Revenue Cycle Services clients, ensuring financial performance and healthy client outcomes.

You will supervise a team of Client Executives, partner with US and India delivery teams, and drive portfolio growth, retention, and operational excellence.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or related field.
• 10+ years in Revenue Cycle Management (RCM), including outsourced and multi-client operations.
• 5+ years of ambulatory practice operations or physician revenue cycle experience.
• 5+ years of financial management with direct P&Ls or portfolio accountability.
• 7+ years of leadership managing client-facing teams.

Responsibilities

• Own the financial performance of the assigned client portfolio, including revenue, gross margin and cost to serve.
• Meet contracted KPIs and SLAs and lead corrective actions when performance slips.
• Forecast labor requirements and coordinate staffing with US and India delivery leaders.
• Report portfolio performance and risks to RCS leadership monthly.
• Own executive relationships with clients and act as sponsor for key accounts.
• Identify expansion opportunities and support sales on new business.
• Oversee onboarding of new clients and integration of RCS services.
• Lead or participate in operating committees and business reviews.
• Ensure HIPAA, compliance and security requirements across the portfolio.
• Collaborate cross-functionally with Operations, Product, Technology, Sales, Finance, and Customer Success.

Skills

Leadership

Financial management

RCM knowledge

Client relationships

Data analytics

Excel

Power BI

Education

Bachelor's degree in Business or Healthcare Administration

Tools

Power BI

Tableau

Excel

EHR systems

Practice management software

Job description

The AVP, RCM Operations leads a portfolio of Revenue Cycle Services (RCS) clients and is accountable for its financial performance, client outcomes and growth. Leading a team of Client Executives and working closely with US and India delivery teams, the AVP owns portfolio profitability, KPI and SLA attainment, client retention and expansion, and the executive relationship with each client. The role turns revenue cycle data into action that keeps independent ambulatory practices financially healthy and independent.

Job Responsibilities

Portfolio performance and financial results

• Own the financial performance of an assigned client portfolio (book of business), including revenue, gross margin and cost to serve
• Hold the portfolio to contracted KPIs and SLAs (such as days in A/R, A/R over 90 days, denial rate, clean claim rate and net collection rate) and lead corrective action when performance slips
• Forecast labor requirements and partner with US and India delivery leadership on staffing, productivity and quality
• Report portfolio performance, risks and forecasts to RCS leadership each month

Client relationships and retention

• Own the executive relationship with each client in the portfolio and act as executive sponsor for key accounts
• Monitor client health and renewal risk, and build and carry out retention plans for at-risk clients
• Lead resolution of client escalations, contract issues and payment disputes, working with Legal and Finance as needed
• Lead or take part in joint operating committees and business reviews with client leadership

Growth

• Identify and develop expansion opportunities within the portfolio, including onsite discovery at strategic accounts
• Support Sales on new business through discovery, solution scoping, pricing input and client references
• Oversee initial client builds and the integration of RCS services for new and expanding clients

Team leadership

• Lead, coach and develop a team of Client Executives: set goals, review performance and build bench strength
• Keep roles and accountabilities clear across Client Executives, Account Managers and delivery teams

Operational excellence and innovation

• Identify recurring issues across the portfolio and drive root-cause fixes and standard processes
• Serve as a resource on payer, regulatory and coding changes (such as payer outages and new coverage rules) and their impact on clients
• Evaluate and adopt technology, automation and AI that improve client outcomes and reduce cost to collect
• Ensure HIPAA, compliance and security requirements are met across the portfolio

Cross-functional collaboration

• Work across Operations, Product, Technology, Sales, Finance, Customer Success and Support to deliver a consistent client experience

Knowledge and Skills

Technical: Deep knowledge of the full ambulatory revenue cycle (front end, mid cycle and back end), payer rules and RCM KPIs. Advanced proficiency with Excel and PowerPoint and with practice management, EHR and RCM reporting tools; experience with BI tools (such as Power BI or Tableau) preferred. Comfortable using AI and automation tools to analyze data and improve work.

Leadership: Builds accountable, high‑performing teams; sets clear goals and coaches to them; makes decisions with incomplete information; prioritizes well under pressure, especially at month, quarter and year end. Represents RCS professionally with clients and internal partners.

Communication: Strong presentation and influencing skills; able to convey a compelling story about RCS to outsiders. Ability to speak clearly and to make effective and persuasive arguments and presentations to senior management and internal/external stakeholders. Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Ability to read, analyze and interpret complex documents, including technical journals and service agreements. Ability to respond effectively to sensitive inquiries or complaints. Ability to write reports, business correspondence, financial reports and budgets.

Financial and analytical: Builds and interprets portfolio P&Ls, KPI dashboards and A/R analyses; uses data to find root causes and decide on action; reads and applies client service agreements and contract terms.

Qualifications & Experience

• Bachelor's degree in Business, Healthcare Administration, or a related field; equivalent experience will also be considered.
• 10+ years of experience in Revenue Cycle Management (RCM), including outsourced and/or multi-client RCM operations.
• 5+ years of ambulatory practice operations or physician revenue cycle experience.
• 5+ years of financial management experience with direct P&Ls or portfolio accountability.
• 7+ years of leadership experience managing client-facing teams and/or people leaders, with responsibility for achieving organizational goals and performance metrics.

Preferred Qualifications

• HFMA (CRCR or CHFP) and/or AAPC certification.
• Experience working with offshore or global delivery teams (5+ years preferred).

Working Arrangements

Standard work week or as defined by assignment and client site requirements. Works hybrid model when not traveling, with substantial time on site at prospect and client locations. Requires after hours and weekend work during activations, go-lives, and escalations. Travel up to 25%.

Compensation

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network.

Visa Sponsorship is not offered for this position. At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings. Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. From a 'VEVRAA Federal Contractor' We request Priority Referral of Protected Veterans.

At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.