VP, Revenue Cycle

Confidentiel; United States; On-site; USD 240,000 - 360,000; Full time

Job summary

Confidentiel is hiring its first Vice President of Revenue Cycle to diagnose where revenue is being lost, deliver fast cash improvements, and design a standardized, data-driven model that scales with the business across 100 locations and roughly 175 providers.

You will own process, team structure, vendor relationships (including the outsourced RCM partner), and compliance with regulatory requirements, guiding multi-state operations to lift clean-claim rates, reduce denials, and accelerate cash.

Qualifications

• 8+ years leading revenue cycle for multi-site physician groups or MSOs (private equity context preferred).
• Proven track record turning around revenue cycle performance (cash, denials, A/R days).
• Experience managing outsourced RCM vendors and partnering with CFO/CEO.

Responsibilities

• Diagnose full revenue cycle: people, processes, systems, and vendors across locations.
• Lead quick-win initiatives to improve collections, denials, and A/R performance.
• Standardize workflows, KPIs, and reporting enterprise-wide.

Skills

Leadership

Data-driven decision making

Vendor management

Cross-functional collaboration

Executive communication

Education

Bachelor's degree

CPC certification

Degree in accounting/finance/business

Job description

A private equity–backed, physician-led specialty medical group is hiring its first Vice President of Revenue Cycle. The group is about $250M in revenue, with roughly 100 locations across 10 states and about 175 providers. Growth has outpaced the revenue cycle behind it, and this newly created role exists to change that.

You'll diagnose where revenue is being lost, deliver fast cash improvements, and build a standardized, data-driven revenue cycle that scales with the business. You'll have real authority over process, team structure, and vendor relationships, including the group's outsourced RCM partner.

What you'll lead

• Assess the full revenue cycle: people, processes, systems, and vendors, from scheduling and authorization through final collection
• Accelerate cash: improve collections, cut revenue leakage, and reduce A/R aging
• Reduce denials: raise clean-claim rates, prevent avoidable denials, and strengthen appeals
• Fix the front end: streamline prior authorizations and procedure scheduling to prevent delays and lost revenue
• Own specialty billing: ASC, workers' compensation, and personal injury reimbursement
• Hold vendors accountable: evaluate the outsourced RCM partner (athenahealth), separate vendor issues from internal ones, and redesign the model where needed
• Standardize and scale: consistent workflows, KPIs, and reporting across every location
• Build the team: assess current talent, restructure where needed, and develop a leadership bench that scales

Your first year

• Days 0–30, diagnose: set baseline KPIs; assess cash, A/R, denials, authorizations, the team, and vendor performance.
• Days 30–90, deliver quick wins: act on collections, denials, authorizations, and A/R while putting accountability in place.
• Months 3–12, scale: standardize workflows enterprise-wide, strengthen leadership, and show sustained financial results.

How you'll lead

• Acts in weeks, not quarters.
• Leads with data.
• Earns the confidence of senior leaders.
• Holds people and vendors accountable.
• Brings physicians along.
• Builds leaders.

What you bring

• 8+ years leading revenue cycle for multi-site physician groups, specialty practices, or MSOs, including senior leadership of a large, multi-state operation
• A record of personally leading revenue cycle turnarounds, with before-and-after results in cash, denials, A/R days, or collections
• Experience managing outsourced RCM vendors, and judging whether performance problems sit with the vendor or with internal workflows
• Experience partnering with a CFO and CEO, ideally in a private equity–backed or high-growth setting
• A track record of restructuring and developing revenue cycle teams
• Comfort presenting to boards and executive teams
• Bachelor's degree, or an equivalent combination of education and experience

Nice to have

• athenahealth experience, or a comparable outsourced RCM environment
• Procedure-heavy specialties such as pain management, orthopedics, spine, or ASCs
• Workers' compensation and personal injury billing
• Experience integrating acquired practices onto a common revenue cycle
• CPC certification, or a degree in accounting, finance, or business