Revenue Cycle Executive: Scale Ops & Cash Flow

PsychPlus; Houston (TX); On-site; USD 180,000 - 280,000; Full time

Job summary

PsychPlus is seeking a Vice President of Revenue Cycle to own end-to-end revenue cycle strategy, execution, and performance across a multi-entity healthcare organization.

You will drive front-to-back RCM (intake to collections), establish KPIs, and build scalable processes while leading internal teams and outsourced vendors.

This role requires a proven track record of improving cash collections, reducing denials, and integrating EHR/RCM platforms in a multi-site setting.

Qualifications

• 8–12+ years of progressive revenue cycle leadership in healthcare.
• Deep expertise across the full RCM lifecycle (front, mid, back-end).
• Experience in multi-site, multi-state provider organizations (behavioral health preferred).
• Proven track record improving collections, reducing denials, and scaling operations.
• Strong operator mindset—able to execute, not just strategize.
• Experience managing both internal teams and outsourced vendors.
• Familiarity with EHR/RCM platforms and data-driven decision-making.
• Bachelor's degree required; advanced degree preferred.

Responsibilities

• Own full revenue cycle performance: front-end (intake, eligibility, authorization), mid-cycle (coding, charge capture), and back-end (billing, collections, denials).
• Establish and enforce KPIs across all functions (e.g., days in A/R, clean claim rate, denial rate, cash collections).
• Build scalable processes to support rapid geographic and service line expansion.
• Lead and manage internal RCM teams and third-party vendors.
• Standardize workflows across markets and entities.
• Implement accountability structures, reporting cadence, and performance management systems.
• Identify and eliminate revenue leakage across the lifecycle.
• Partner with contracting to optimize reimbursement rates and payer mix.
• Develop strategies to improve collections and reduce write-offs.
• Oversee denial management and appeals strategy.
• Optimize and integrate EHR, billing, and RCM platforms.
• Drive automation and technology adoption across the revenue cycle.
• Ensure data integrity and real-time visibility into performance.
• Ensure adherence to all federal and state billing regulations.
• Maintain audit readiness and minimize compliance risk.
• Lead revenue cycle integration for acquisitions and new market launches.
• Build scalable onboarding processes for new clinics and providers.
• Support diligence and integration efforts in partnership with leadership.

Skills

RCM leadership

Healthcare domain

Multi-site operations

Vendor management

Data analytics

EHR/RCM systems

Strategic execution

Education

Bachelor's degree

Advanced degree preferred

Tools

EHR platforms

RCM software

Job description

PsychPlus is seeking a Vice President of Revenue Cycle to own end-to-end revenue cycle strategy, execution, and performance across a multi-entity healthcare organization.

You will drive front-to-back RCM (intake to collections), establish KPIs, and build scalable processes while leading internal teams and outsourced vendors.

This role requires a proven track record of improving cash collections, reducing denials, and integrating EHR/RCM platforms in a multi-site setting.