Vice President of Revenue Cycle & Managed Care

About the role

Adventist HealthCare seeks to hire an experienced Vice President of Revenue Cycle & Managed Care.

The Vice President of Revenue Cycle & Managed Care provides executive oversight of all functions governing the health system’s end-to-end revenue performance.

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 key performance indicators (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.
• Develop and manage the department budget, ensuring alignment with organizational goals.
• Lead the development and execution of the health system’s managed care strategy across all payer segments, including commercial, Medicare Advantage, Medicaid managed care, and self-insured employers.
• 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 — including denial rates, underpayments, and claims adjudication patterns — to directly 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.

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.
• Bachelor's degree in healthcare administration, business administration, or a related field. Master's degree preferred.
• Extensive experience (10 years) in healthcare revenue cycle covering multiple functions within the revenue cycle.
• Extensive knowledge of ambulatory services.
• 5 years of leadership role overseeing revenue cycle functions.

Pay

$249,144.83 - $373,717.24

Schedule

Executive Position

Benefits

• Work life balance through nonrotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
• Paid Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture.