Vice President, Revenue CycleThe Vice President, Revenue Cycle is responsible for improving the overall financial health of AllHealth Network by maximizing revenue, reimbursement, and revenue cycle effectiveness. This role leads enterprise revenue cycle strategy, governance, and performance improvement across AllHealth Network, including reimbursement optimization, revenue integrity, compliance, process design, and cross-functional coordination with finance, clinical operations, technology, and payer-related functions.
This position reports to the Chief Financial Officer and provides leadership to assigned revenue cycle functions, including the Director of Revenue, Credentialing Supervisor, and Certified Professional Coder/Auditor.
Responsibilities:- Lead enterprise revenue cycle strategy, governance, and performance improvement to strengthen reimbursement, revenue integrity, compliance, and operational consistency.
- Build the processes, reporting structures, and operating routines needed to measure and improve revenue cycle performance.
- Lead continual process improvement across billing, reimbursement, credentialing, coding, authorization, front-desk, encounter reconciliation, and related revenue cycle workflows.
- Partner with clinical, finance, technology, and operational leaders to identify revenue optimization opportunities and improve workflow effectiveness.
- Provide timely, accurate, and actionable financial and revenue cycle information for executive leadership, external reporting, payer discussions, and strategic decision-making.
- Serve as the revenue cycle subject matter leader for EHR functionality and technology enhancements that affect billing, charging, reimbursement, documentation workflow, accounting, and revenue integrity.
- Lead AllHealth Network's negotiating position on rate and non-rate issues for managed care contracts and provide executive guidance for CFO review and decision-making.
- Monitor payer contract compliance, reimbursement trends, underpayment patterns, denial drivers, Medicaid, Medicare, managed care, behavioral health funding, and external regulatory or payer changes.
- Partner with the CFO to evaluate new funding sources, managed care contracts, reimbursement models, payer strategy, revenue-generation opportunities, and business-process redesign.
- Lead, develop, and hold accountable the revenue cycle function, including team capability building, performance expectations, and succession planning.
- Participate in AllHealth Network's strategic planning process with a focus on financial sustainability, payer strategy, access, service-line viability, and reimbursement risk and opportunity.
- Follow all AllHealth Network policies and procedures, complete required trainings, and perform other duties within the scope of the position.
Qualifications:- Bachelor's degree or equivalent combination of education and experience required.
- Ten or more years of progressive revenue cycle leadership experience required, including enterprise revenue cycle strategy, reimbursement analysis, payer contract support, revenue integrity, process improvement, and leadership of revenue cycle teams or functions.
- Demonstrated experience with full-cycle reimbursement, including payer requirements, managed care reimbursement, contract compliance, denial trends, authorization processes, and revenue stream enhancement.
- Experience with electronic health record systems and technology-enabled revenue cycle improvement.
- Strong knowledge of reimbursement, payer requirements, revenue integrity, billing compliance, authorization processes, denials management, and revenue cycle reporting.
- Ability to lead revenue cycle strategy, governance, performance improvement, and cross-functional change across clinical, finance, technology, and operational teams.
- Ability to communicate complex financial and operational information clearly while building trusted relationships and holding teams accountable for revenue cycle outcomes.
Shift/Location:Full-Time, Exempt
Revenue Accounting / RU 9710
AllHealth Network
The annual salary range is $170,000-$185,000Benefits & Perks:First, you would be joining one of Denver's Top Places to Work! We are honored to receive this recognition, and we know it reflects our engaged staff who believe they are taken care of, listened to, and part of something bigger.
- Positive, collaborative team culture
- Competitive compensation structure
- Medical Insurance, Dental Insurance, Basic Life and AD&D Insurance, Short- and Long-Term Disability Insurance, and Flexible Spending Accounts
- Retirement savings 401(k), including company match up to 50% of the first 6% contributed
- Excellent Paid Time Off and paid holidays
- Additional employee benefits and professional development opportunities
Please apply and join AllHealth Network's mission to be the most impactful growth and recovery provider with communities that need us most.
