VP, Revenue Cycle & Managed Care Transformation

Adventist HealthCare; Buffalo (NY); On-site; USD 249,000 - 374,000; Full time

Benefits offered by this job

Work-life balance

Professional rewards

Free parking

Health coverage

Disability insurance

Paid time off

401(k) match

Voluntary benefits

Childcare subsidy

Tuition reimbursement

EAP support

Job summary

Adventist HealthCare seeks an experienced Vice President of Revenue Cycle & Managed Care to lead the health system's end-to-end revenue performance. This executive will oversee payer contracts, patient access, coding, billing, collections, and denial management to ensure contracting is realized in billing outcomes.

The role emphasizes strategic negotiation, financial analytics, compliance, and team leadership to drive value-based transformation and financial sustainability.

Qualifications

• Excellent communication and negotiation skills, both written and verbal.
• Strong knowledge of revenue cycle best practices.
• In-depth knowledge of reimbursement methodologies, insurance regulations, and industry trends.
• Strong financial acumen and ability to analyze complex financial data and make data-driven decisions.
• Strong organization skills with the ability to prioritize and manage multiple projects simultaneously.
• Customer and relationship-focused, and results-oriented.

Responsibilities

• Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services.
• Oversee billing, coding, collections, and reimbursement processes to ensure accuracy and efficiency
• Monitor KPIs and implement improvements to enhance financial performance
• Collaborate with clinical and administrative staff to streamline workflows and reduce denials and write-offs
• Lead and mentor a team of revenue cycle and managed care professionals.
• Foster a culture of continuous improvement, accountability, and collaboration.
• Provide regular training and development opportunities for team members.
• Ensure compliance with all federal, state, and local regulations related to revenue cycle and managed care.
• Develop and implement policies and procedures to mitigate risk and ensure ethical billing practices.
• Prepare and present regular reports on revenue cycle performance.
• Conduct financial analysis to identify trends, opportunities, and areas for improvement.
• Lead the development and execution of the health system’s managed care strategy across all payer segments.
• Direct the negotiation of all facility, professional, and ancillary contracts with commercial and government payers, ensuring competitive rates and operationally executable terms.
• Develop and maintain robust contract financial models to evaluate the revenue impact of proposed rate structures, reimbursement methodologies, and risk-sharing arrangements.
• Leverage revenue cycle performance data to inform and strengthen contract negotiation positions.
• Maintain a comprehensive payer contract calendar and ensure timely renewals, amendments, renegotiations, and termination notices across all payer agreements.
• Serve as the senior executive liaison with payer network directors, medical directors, and government program administrators.
• Monitor market benchmarking data, competitor rate intelligence, and payer financial performance to sharpen negotiation strategy and identify new contracting opportunities.
• Stay current with industry trends, regulations, and best practices.

Skills

Executive communication

Revenue cycle best practices

Reimbursement methodologies

Financial analytics

Organization & prioritization

Relationship-focused

Education

Bachelor's degree in healthcare/business administration

Master's degree preferred

Job description

Adventist HealthCare seeks an experienced Vice President of Revenue Cycle & Managed Care to lead the health system's end-to-end revenue performance. This executive will oversee payer contracts, patient access, coding, billing, collections, and denial management to ensure contracting is realized in billing outcomes.

The role emphasizes strategic negotiation, financial analytics, compliance, and team leadership to drive value-based transformation and financial sustainability.