VP, Utilization Review & RCM Transformation

Exact Billing Solutions; Boynton Beach (FL); On-site; USD 200,000 - 230,000; Full time

Benefits offered by this job

21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays)

Flexible Spending Account (FSA) and Health Savings Account (HSA) options

Medical, dental, vision, long‑term disability, and life insurance

Generous 401(k) with up to 6% employer match

Job summary

A healthcare revenue management company is seeking a Vice President of Utilization Review to oversee strategic direction and operational efficiency in Lauderdale Lakes, FL. This full-time role focuses on revenue cycle management, requiring strong leadership, strategic thinking, and at least 10 years of relevant experience. The ideal candidate will drive business transformation and operational excellence, ensuring competitive advantage and client satisfaction. Outstanding benefits and a commitment to healthcare innovation are provided.

Qualifications

• Minimum 10 years of experience in operations management within healthcare or RCM industry.
• 5–7 years of experience in utilization review or related healthcare management role.
• Experience in providing leadership and direction to enhance customer relationships.

Responsibilities

• Oversee the strategic direction and operational efficiency of revenue cycle management functions.
• Collaborate with departments to achieve optimal patient outcomes.
• Serve as the point of escalation for complex UR cases.

Skills

Operations management

Utilization review

Leadership

Strategic thinking

Communication

Data analysis

Education

Bachelor's degree in Business Administration, Healthcare Management, or related field

MBA or other advanced degree

Tools

RCM software

AI and automation technologies

Job description

A healthcare revenue management company is seeking a Vice President of Utilization Review to oversee strategic direction and operational efficiency in Lauderdale Lakes, FL. This full-time role focuses on revenue cycle management, requiring strong leadership, strategic thinking, and at least 10 years of relevant experience. The ideal candidate will drive business transformation and operational excellence, ensuring competitive advantage and client satisfaction. Outstanding benefits and a commitment to healthcare innovation are provided.