VP, Revenue Cycle Management and Payer Strategy

Hispanic Technology Executive Council; United States; Remote; USD 179,000 - 321,000; Full time

Job summary

A leading healthcare organization is seeking a VP of Revenue and Payor Operations to optimize the revenue cycle and develop strategic plans for managed care programs. The role requires extensive experience in oncology revenue cycle management and strong leadership skills. The VP will lead a geographically dispersed team and collaborate with cross-functional leaders to drive innovation and ensure alignment with healthcare trends.

Benefits

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Flexible spending accounts (FSAs)

Short- and long-term disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Qualifications

• 15+ years in Oncology Revenue Cycle Management.
• Ability to lead large-scale transformation initiatives.
• Thorough knowledge of commercial managed care and healthcare finance.

Responsibilities

• Ensure operational efficiency in revenue management.
• Develop managed care contracting strategy.
• Lead continuous process improvement efforts.

Skills

Leadership

Communication

Analytical

Problem Solving

Business Acumen

Education

Bachelors degree in business administration

MBA

Job description

Position Summary

Position Title

VP, Revenue and Payor Operations

Location

Nationwide, US

Position Summary

Senior executive leader responsible for leading all aspects of Navistas Physician Offices revenue cycle, managed care and value based care programs and services. Key responsibilities include optimizing the revenue cycle to create financial stability to physician offices, develop short and long term strategic plans for manage care and value based care programs and, fostering partnerships with external vendors and payors.

The VP of Revenue and Payor Operations will be a seasoned leader and advisor, with proven experience in the Oncology physician office space. They will be responsible for continuously monitoring the competitive environment and understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive on the Navista Physician Alliance leadership team and will be critical in shaping the long-term organizational vision, owning the execution, and leading transformational initiatives.

Position Description

Responsibilities

• Ensure operational efficiency in revenue management through a combination of leading best practices, developing team members, and innovation
• Develops and implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy and all third-party negotiations for contract provisions
• Identify and develop strategic growth opportunities, partnering with the payer, provider, and service partners to enhance care delivery and provider support.
• Lead continuous process improvement efforts to enhance revenue cycle design and process
• Establish and track key performance metrics, ensuring alignment with organizational goals
• Partner with employed physician organization in deploying value-based care
• Develop the organization to serve stakeholders with support and delivery of analytic and operational resources and services to enable success in a value-based environment.
• Assists with revenue projections and proformas for various lines of business based on existing contracts, payor mix assumptions, and new lines of business.
• Develop and carry out a multi-year vision and strategy to drive continued growth and innovation
• Align revenue operations with evolving healthcare industry trends and regulatory changes
• Collaborate and partner with cross-functional leaders to ensure revenue operations is positioned as a strategic business enabler and thought partner
• Manage a geographically dispersed team, including roughly 200 indirect reports
• Lead a high-performing team, driving engagement, enablement, talent development, and succession planning
• Translate complex operational and financial data into actionable insights for key stakeholders

Experiences & Capabilities

• Bachelors degree in business administration, healthcare administration, life sciences, or a related field; advanced degree (MBA, master in healthcare administration) preferred
• 15+ in Oncology Revenue Cycle Management
• Entrepreneurial and have knowledge and experience with high-growth business environments including the ability to roll-up sleeves and dig into the details of the work.
• Comfortable getting into the details of operations to help drive execution and can quickly pivot between strategy and operations.
• Ability to quickly gain credibility and establish the required relationships to influence and generate results; withthe goal ofquickly influencing partners to action.
• Comfortable leading large-scale transformation and change management initiatives.
• Thorough knowledge of commercial managed care, Medicaid, and Medicare contract payment terms, healthcare finance concepts and principles.
• Understanding of future reimbursement trends and directly related experience in risk contracting for hospital and physician services.
• Excellent communication and presentation skills, with the ability to effectively convey the networks mission and impact with physicians, staff and internal stakeholders
• Familiarity with the field of Oncology including trends, healthcare regulations, treatment modalities, and research advancements
• Strong business acumen and financial background, to ensure efficient allocation of resources and maximize returns on investments
• Experience with leading and managing diverse teams through change
• Strong analytical and problem-solving abilities

Anticipated pay range: $179,500-$320,275
Bonus eligible: Yes
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
  
• Paid time off plan
  
• Health savings account (HSA)
  
• 401k savings plan
  
• Access to wages before pay day with myFlexPay
  
• Flexible spending accounts (FSAs)
  
• Short- and long-term disability coverage
  
• Work-Life resources
  
• Paid parental leave
  
• Healthy lifestyle programs

* The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidates geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Application window anticipated to close: 07/16//2025 *If interested in opportunity, please submit application as soon as possible.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.