Vice President Revenue Cycle

Taft Brown Associates; United States; On-site; USD 250,000 - 500,000; Full time

Job summary

Taft Brown Associates, in partnership with a behavioral health organization, seeks a Vice President of Revenue Cycle to lead enterprise-wide revenue cycle transformation. You will maximize revenue realization, optimize cash flow, reduce leakage, and standardize a data-driven infrastructure across patient access, coding, claims, and collections.

You will oversee AR, denials, payer relationships, and analytics, driving improvements in reimbursement trends and performance across multiple states and

Qualifications

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.
• 10+ years of progressive healthcare revenue cycle leadership experience, including multi-site operations.
• Experience leading enterprise-scale revenue cycle transformation and performance improvement.
• Strong understanding of the complete healthcare revenue cycle.
• Experience managing accounts receivable, denials, claims, collections, payer issues, and revenue optimization.
• Experience leading large teams and developing high-performing revenue cycle organizations.
• Proven ability to use data and analytics to drive financial and operational performance.
• Strong understanding of healthcare reimbursement and payer dynamics.
• Experience working across multiple states and/or multiple facilities.
• Strong executive presence and excellent communication, analytical, organizational, and problem-solving skills.

Responsibilities

• Develop enterprise-wide revenue cycle strategy aligned with financial and growth objectives.
• Standardize operating model across service lines, facilities, and markets.
• Transform revenue cycle into a strategic business partner to operations and leadership.
• Establish ownership, accountability, and standardized processes across revenue cycle.
• Improve net revenue, cash collections, working capital, and performance.
• Build scalable revenue cycle infrastructure to support growth and acquisitions.
• Collaborate with CFO and executive leadership on forecasting and initiatives.
• Lead denial prevention, management, and appeal strategies.
• Develop payer performance dashboards and reporting.

Skills

Leadership

Healthcare revenue cycle

Enterprise transformation

Data analytics

Payer dynamics

Cross-state experience

Executive presence

Communication

Problem solving

Team leadership

AR/denials management

Education

Bachelor's degree in Finance/Accounting/Healthcare Administration/Business Administration

Job description

Taft Brown Associates has partnered with a behavioral health organization for a Vice President of Revenue Cycle search.

As the Vice President of Revenue Cycle, you will have enterprise-wide responsibility for maximizing revenue realization, improving cash flow, reducing revenue leakage, strengthening billing and collections performance, and creating a more standardized, scalable, and data-driven revenue cycle infrastructure across the organization.

You will oversee the full revenue cycle continuum, including patient access and registration, insurance verification and eligibility, authorization, charge capture, coding, claims submission, payment posting, accounts receivable, denials and appeals, collections, payer relationships, and revenue-cycle analytics and reporting.

You will bring deep healthcare revenue cycle expertise, preferably within behavioral health, substance use disorder treatment, outpatient healthcare, addiction treatment, or another complex multi-site healthcare environment. Experience with Medicaid and other government payers, commercial insurance, multiple states, multiple levels of care, and highly regulated healthcare environments is particularly valuable.

This is both a strategic and hands-on leadership opportunity. The successful candidate will establish the vision and operating model for the organization’s revenue cycle function while also driving measurable improvements in execution, accountability, technology utilization, processes, and financial performance.

Key Responsibilities

• Develop and execute a comprehensive, enterprise-wide revenue cycle strategy aligned with organization’s financial, operational, and growth objectives.
• Establish a consistent revenue cycle operating model across the organization’s diverse service lines, brands, facilities, and geographic markets.
• Lead the transformation of revenue cycle operations from a primarily transactional function into a strategic business partner to operations, finance, clinical leadership, and executive management.
• Establish clear ownership, accountability, performance expectations, and standardized processes throughout the revenue cycle.
• Identify opportunities to improve net revenue, cash collections, working capital, and overall financial performance.
• Develop scalable revenue cycle infrastructure capable of supporting continued organic growth, new locations, service-line expansion, and acquisitions.
• Partner closely with the CFO and executive leadership team on revenue performance, forecasting, financial planning, and strategic initiatives.

Revenue Optimization

• Identify and eliminate sources of revenue leakage throughout the patient financial lifecycle.
• Improve clean-claim rates, first-pass resolution, reimbursement, collection rates, and days in accounts receivable.
• Establish processes to ensure services are appropriately documented, coded, billed, and reimbursed.
• Analyze reimbursement trends by payer, state, facility, service line, and level of care.
• Identify underpayments, payment variances, contractual discrepancies, and other opportunities for revenue recovery.
• Develop and maintain key performance indicators that provide leadership with clear visibility into revenue-cycle performance.
• Establish appropriate benchmarks and performance targets for the organization and individual revenue cycle teams.

Accounts Receivable, Denials & Collections

• Provide executive oversight of accounts receivable performance across the organization.
• Develop strategies to reduce aging AR and accelerate cash conversion.
• Establish disciplined processes for managing high-dollar, aged, and otherwise at-risk accounts.
• Lead enterprise-wide denial prevention, management, and appeal strategies.
• Identify root causes of denials and work collaboratively with operations, clinical teams, coding, authorization, and IT to address systemic issues.
• Establish reporting and accountability around denial rates, denial reasons, appeal success rates, and recoveries.
• Develop strategies for appropriate patient financial responsibility and collections while maintaining the organization’s patient-centered mission and commitment to access to care.
• Ensure appropriate processes are in place for credit balances, refunds, unapplied cash, and other payment-related activities.

Payer Management & Reimbursement

• Develop strong working relationships with key commercial and government payers.
• Partner with Finance and executive leadership regarding payer performance, reimbursement trends, contracts, and opportunities for improvement.
• Monitor payer-specific issues and identify trends affecting reimbursement or cash flow.
• Collaborate with contracting and operational leadership to assess the financial impact of payer agreements and reimbursement changes.
• Ensure revenue cycle operations effectively implement new payer contracts, reimbursement methodologies, regulatory changes, and state-specific requirements.
• Develop payer performance dashboards and reporting to identify opportunities and risks.

Behavioral Health & OTP Revenue Cycle

• Develop a deep understanding of the unique revenue cycle requirements associated with substance use disorder treatment and behavioral healthcare.
• Ensure revenue cycle processes appropriately address the unique characteristics of OTP and outpatient addiction treatment, including recurring patient encounters, medication-assisted treatment, counseling and behavioral services, medical services, and varying payer requirements.
• Understand the revenue cycle implications of residential treatment, withdrawal management, outpatient treatment, office-based opioid treatment, and other levels of care.
• Partner with operational and clinical leaders to ensure documentation, coding, authorization, and billing processes appropriately reflect the services being delivered.
• Ensure revenue cycle processes are designed to support the unique regulatory and reimbursement requirements associated with addiction treatment.
• Establish best practices that can be consistently deployed across the organization’s extensive network of treatment locations.

Technology, Systems & Process Improvement

• Evaluate and optimize the organization’s revenue cycle technology, billing platforms, electronic health record functionality, clearinghouse relationships, and related systems.
• Identify opportunities to automate manual processes and reduce administrative burden.
• Improve integration between clinical, operational, financial, and revenue cycle systems.
• Partner with IT and operational leaders on system enhancements, implementations, integrations, and optimization initiatives.
• Develop standardized workflows, policies, procedures, and controls across the revenue cycle.
• Utilize data analytics and technology to improve visibility, predictability, and accountability.
• Evaluate emerging technologies, including automation and AI-enabled revenue cycle tools, where appropriate.
• Ensure system implementations and process changes are appropriately tested, documented, and adopted across the organization.

Organizational Leadership

• Build, lead, and develop a high-performing enterprise revenue cycle organization.
• Assess the current organizational structure, talent, capabilities, and resource allocation and make recommendations for improvement.
• Establish appropriate organizational design, staffing levels, roles, responsibilities, and performance expectations.
• Recruit, develop, coach, and retain high-performing revenue cycle leaders and teams.
• Establish a culture of accountability, continuous improvement, collaboration, and service.
• Create career development and succession plans for key revenue cycle positions.
• Establish appropriate centralized and decentralized responsibilities across the organization.

Cross-Functional Partnership

• Partner closely with the CFO, Finance, Operations, IT, Compliance, Legal, Clinical, Patient Access, and other functional leaders.
• Develop strong relationships with the organization’s Group Presidents and operational leadership across its major service lines.
• Work collaboratively with facility and regional leadership to ensure revenue cycle performance is understood and managed at the local level.
• Provide operational leaders with actionable information regarding revenue performance and opportunities for improvement.
• Partner with Compliance and Legal to ensure revenue cycle practices are consistent with applicable federal and state requirements.
• Support the organization’s commitment to ethical, compliant, patient-centered healthcare delivery.

Growth, Acquisitions & Integration

• Develop revenue cycle processes and infrastructure that can support the organization’s continued growth.
• Lead revenue cycle due diligence and integration activities associated with acquisitions and new business opportunities.
• Assess revenue cycle operations, systems, payer relationships, AR, staffing, processes, and risks of acquired organizations.
• Develop integration plans that establish consistent the organization’s revenue cycle standards while appropriately addressing unique market and service-line requirements.
• Identify opportunities to accelerate financial improvement following acquisitions.
• Ensure new facilities and service lines are appropriately integrated into the organization’s revenue cycle infrastructure.

Compliance & Risk Management

• Ensure revenue cycle activities comply with applicable federal and state laws, payer requirements, contractual obligations, and the organization’s policies.
• Partner with Compliance, Legal, and operational leadership regarding billing compliance and revenue cycle risk.
• Establish appropriate internal controls throughout the revenue cycle.
• Monitor risks related to coding, billing, documentation, medical necessity, authorization, payer requirements, and collections.
• Support internal and external audits and ensure appropriate corrective action is taken when issues are identified.
• Maintain a strong culture of ethical billing practices and financial integrity.

Qualifications

Required

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.
• 10+ years of progressive healthcare revenue cycle leadership experience, with significant experience leading complex, multi-site revenue cycle operations.
• Demonstrated experience leading enterprise-scale revenue cycle transformation and performance improvement.
• Strong understanding of the complete healthcare revenue cycle.
• Demonstrated experience managing accounts receivable, denials, claims, collections, payer issues, and revenue optimization.
• Experience leading large teams and developing high-performing revenue cycle organizations.
• Demonstrated ability to use data and analytics to drive financial and operational performance.
• Strong understanding of healthcare reimbursement and payer dynamics.
• Experience working across multiple states and/or multiple healthcare facilities.
• Strong executive presence and demonstrated ability to influence senior operational and financial leaders.
• Excellent communication, analytical, organizational, and problem-solving skills.

Preferred

• Experience in behavioral health, substance use disorder treatment, addiction treatment, or other outpatient healthcare environments.
• Direct experience with Opioid Treatment Programs (OTPs) or medication-assisted treatment.
• Experience with Medicaid and other government reimbursement programs.
• Experience managing revenue cycle operations across both outpatient and residential/inpatient levels of care.
• Experience integrating acquired organizations and standardizing revenue cycle processes across multiple legacy platforms.
• Experience with healthcare technology implementations and revenue cycle optimization.
• MBA, MHA, CPA, CRCR, CHFP, or other relevant advanced degree/certification.
• Strategic: Able to develop a long-term enterprise revenue cycle strategy while understanding the operational details necessary to execute it.
• Results-Oriented: Has a demonstrated record of improving collections, reducing AR, decreasing denials, increasing reimbursement, and strengthening financial performance.
• Transformational: Comfortable entering an organization with opportunities for improvement and building the people, processes, technology, and accountability required for meaningful change.
• Data-Driven: Uses financial and operational data to identify problems, prioritize opportunities, measure results, and hold teams accountable.
• Collaborative: Understands that revenue cycle performance is not solely a Finance responsibility and can effectively partner with Operations, Clinical, IT, Compliance, and executive leadership.
• Operationally Strong: Willing to get into the details, understand root causes, and personally drive execution rather than operating exclusively at a strategic level.
• Healthcare-Savvy: Understands the complexities of healthcare reimbursement and preferably has experience in behavioral health, addiction treatment, or other highly regulated healthcare environments.
• Change-Oriented: Has successfully led organizations through process standardization, technology implementation, organizational change, and performance improvement.
• Patient-Centered: Understands that revenue cycle excellence must support—not undermine— the organization’s mission of providing accessible, compassionate, evidence-based treatment to individuals with substance use disorders.