Vice President, Revenue Financial Management - Remote - Nationwide

About the role

Vituity is seeking a Vice President, Revenue Financial Management to co-own the RCM P&L, manage budgets, and drive financial performance across the organization.

Responsibilities

• Co-own the RCM P&L with the EVP of RCM, including revenue, cost structure, EBITDA, and cash flow performance.
• Own and actively manage the full RCM cost budget, including internal staffing and FTE planning, external billing RCM, and technology investments.
• Establish cost-per-unit benchmarks (e.g., cost to collect, cost per claim) and conduct monthly variance analysis to identify inefficiencies, rightsizing opportunities, and ROI gaps across all operational spend.
• Drive enterprise-wide initiatives to accelerate cash collection, improve yield, and enhance cost efficiency.
• Build and maintain long-range financial models incorporating growth, acquisitions, payer mix dynamics, and resource management strategies.
• Partner with Finance on forecasting, budgeting, and variance analysis related to the revenue cycle.
• Oversee monthly revenue recognition processes, ensuring accuracy in accordance with GAAP and applicable healthcare accounting standards.
• Quantify payer trends and their impact on net revenue, proactively surfacing financial risks to the CFO and executive team.
• Evaluate ROI on technology, vendors, and internal investments.
• Support integration of acquisitions with a focus on financial performance and scalability.
• Ensure financial and regulatory compliance across all RCM activities.
• Work with Compliance to maintain strong internal controls related to billing, collections, payment reconciliation, quality and reporting.
• Maintain a strong financial voice for RCM with executive leadership and the Board.
• Partner with clinical, operational, and finance teams to align incentives and outcomes.
• Build a performance-driven culture with clear accountability for results.

Requirements

• 10+ years in healthcare revenue cycle and financial leadership roles.
• Demonstrated experience owning a net revenue budget of $500M+ across multiple specialties or markets.
• Demonstrated experience in evaluating and managing resource utilization, incorporating offshore vendor resource implementation and adoption of automation or AI resources.
• Proven ownership of P&L and large-scale financial operations.
• Proven track record of presenting financial performance, variance analysis, and strategic recommendations to a CFO, Board of Directors, or equivalent executive body.
• Deep expertise in reimbursement, payer dynamics, and revenue optimization.
• Strong track record of driving measurable financial improvement.
• CPA with healthcare industry experience preferred.
• CRCE (Certified Revenue Cycle Executive — AAHAM) preferred.
• Experience in physician enterprise or multi-specialty acute care RCM spanning Emergency Medicine, Hospital Medicine, Anesthesiology, and/or Radiology.
• Experience leading revenue cycle financial due diligence for M&A or new practice acquisitions.
• Familiarity with AI/automation ROI modeling in a revenue cycle context preferred.
• Experience in oversight of a budget, revenue and expense management.
• Experience in strategic planning and execution of short term and long-term plans.
• Strategic, visionary, and innovative leadership.
• Possess excellent problem-solving capabilities.
• Highly skilled at conflict management and resolution.
• Possess excellent communication skills and ability to communicate effectively with staff, executives, and other professionals.
• Ability to manage multiple work streams, projects, tasks, and goals.
• Knowledge and experience with industry charge methodology, billing and collection regulations.
• Possess excellent communication skills and ability to communicate effectively with staff, executives, and other professionals.
• Ability to travel regularly.

Qualifications

• Education: Bachelor's degree required. Master's degree preferred.
• Experience: 10+ years in healthcare revenue cycle and financial leadership roles.
• Skills: Strong financial acumen, strategic thinking, and leadership skills.

Benefits

We offer a comprehensive compensation and benefits package, including:

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage
• Top Tier 401(k) retirement savings plans with a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions
• Generous paid time off starting 3-4 weeks’ annually
• Professional and career development program
• EAP and travel assistance included
• Wellness program

We are committed to providing a supportive and inclusive environment for all employees, and we strive to promote diversity and inclusion in all aspects of our organization.