VP, Revenue Cycle

Nemours Children's Health • $150K — $200K *

US-AnywhereRemote in Jacksonville, FL

Hospitals & Medical Centers

8 - 10 years of experience

1 week ago

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Job Overview by Ladders

Qualifications

Bachelor's degree in Finance, Healthcare Administration, or a related field (Master's preferred)
10-15+ years of progressive revenue cycle leadership experience in a large, complex health system
Demonstrated success leading enterprise revenue cycle transformation
Deep expertise in Epic revenue cycle modules and Medicaid-heavy reimbursement environments
Strong financial acumen with the ability to influence executive and board-level decisions

Responsibilities

Provide strategic oversight of all revenue cycle functions including Health Information Management and Patient Financial Services
Lead a multi-state integrated revenue cycle model across Delaware and Florida
Establish a high-performing, standardized operating model with accountability and KPIs
Drive improvements in key performance metrics such as net patient revenue yield and cash collections
Lead initiatives to reduce revenue leakage and improve margin performance
Optimize revenue cycle processes for a high Medicaid payer mix environment
Lead optimization and continuous improvement of EPIC revenue cycle systems

Benefits

Opportunities for mentorship and leadership development
Collaborative culture that emphasizes innovation and performance excellence
Focus on family-centered care aligned with the organization's mission
Access to cutting-edge technology and digital tools
Engagement in community outreach and health equity initiatives

Full Job Description

Job Description

Vice President, Revenue Cycle - Nemours Children's Health

Position Overview

Nemours Children's Health seeks a transformational and results-driven Vice President of Revenue Cycle to lead the enterprise-wide revenue cycle strategy across its multi-state pediatric health system. Reporting to the Chief Financial Officer, this executive will be responsible for optimizing financial performance, enhancing patient and family experience, and driving innovation across all revenue cycle functions.

This leader will play a critical role in advancing Nemours' mission by ensuring sustainable financial performance while supporting equitable access, Medicaid optimization, and value-based care transformation.

Key Responsibilities

Enterprise Revenue Cycle Leadership

Provide strategic oversight of all revenue cycle functions including:
- Health Information Management
- Patient Financial Services (Central Business Office)
- Revenue Integrity
- Coding for Hospital and Physician Practices
Lead a multi-state, integrated revenue cycle model across Delaware, Florida, and affiliated sites of care
Establish a high-performing, standardized operating model with clear accountability and KPIs

Financial Performance & Optimization

Drive improvements in key performance metrics:
- Net patient revenue yield
- Days in Accounts Receivable (A/R)
- Cash collections
- Denial rates and overturn success
- Cost to collect
- Discharge Not Final Billed
Lead enterprise-wide initiatives to reduce revenue leakage and improve margin performance
Partner with finance leadership on forecasting, budgeting, and long-range financial planning
Oversight of System Revenue Cycle Committee

Medicaid & Payer Strategy Alignment

Optimize revenue cycle processes in a high Medicaid payer mix environment (~50%)
- Partner with payer strategy and managed care teams to:
- Improve reimbursement accuracy
- Reduce administrative burden
- Strengthen payer-provider collaboration
Ensure readiness for evolving reimbursement models including value-based care and risk arrangements

Digital Transformation & Innovation

Lead optimization and continuous improvement of EPIC revenue cycle systems
Drive automation, AI, and analytics capabilities across the revenue cycle:
- Predictive denials management
- Intelligent work queues
- Real-time eligibility and authorization tools
Advance digital patient financial experience:
- Transparent pricing
- Digital billing and payment platforms

Patient & Family Experience

Ensure a frictionless, compassionate financial journey for patients and families
Align revenue cycle processes with Nemours' mission of family-centered care
Reduce financial barriers to care while maintaining strong financial stewardship

Compliance & Risk Management

Ensure compliance with all federal and state regulations including:
- CMS billing requirements
- Medicaid policies
- No Surprises Act and price transparency
Maintain strong internal controls and audit readiness
Partner with compliance and legal teams on risk mitigation

Team Leadership & Culture

Lead, mentor, and develop a large, diverse revenue cycle workforce
Build a culture of:
- Accountability and performance excellence
- Innovation and continuous improvement
- Collaboration across clinical and administrative teams
Develop future leaders within the revenue cycle organization

Key Partnerships

Chief Financial Officer
Chief Operating Officer
Market Presidents
Market CFOs
Chief Information Officer / Digital & IT teams
Payer Strategy & Managed Care
Clinical leadership across service lines
External vendors and revenue cycle partners

Qualifications

Bachelor's degree in Finance, Healthcare Administration, or related field (Master's preferred)
10-15+ years of progressive revenue cycle leadership experience in a large, complex health system
Demonstrated success leading enterprise revenue cycle transformation
Deep expertise in:
- Epic revenue cycle modules
- Pediatric or Medicaid-heavy reimbursement environments
- Denials management and revenue integrity
Strong financial acumen and ability to influence executive and board-level decisions

Preferred

Experience in a children's hospital or academic medical center
Track record of implementing digital/AI-enabled revenue cycle solutions
Experience with value-based care models and risk-based contracts

Key Competencies

Strategic and systems thinking
Data-driven decision-making
Change leadership and transformation execution
Executive communication and stakeholder alignment
Mission-driven leadership with a focus on health equity

About Nemours Children's Health

Nemours Children's Health Careers

There has never been a better time to explore the diverse job opportunities at Nemours Children's Health, a leading organization in pediatric healthcare. Nemours Children's Health is renowned for its commitment to innovation and excellence in child health services.

Work You’ll Do

Join Nemours Children's Health to assist in transforming pediatric healthcare and improving the lives of children across the nation. Nemours Children's Health stands at the forefront of medical innovation and patient care, making it an ideal environment for professionals looking to make a significant impact. Engage in meaningful work that combines cutting-edge technology, deep industry expertise, and a passion for enhancing children's health outcomes. Nemours Children's Health offers a unique position in the marketplace, enabling team members to lead in pediatric healthcare through advanced technology and innovative healthcare solutions. Collaborate with a dedicated team of healthcare professionals who are committed to driving change and fostering a culture of excellence and compassion.

Nemours Children's Health Employment Opportunities

The team is actively building its workforce to support and advance pediatric healthcare services. Nemours Children's Health offers a variety of positions, from clinical roles to administrative support, each contributing to the overarching goal of children's health and wellness.

Innovative Work and Career Growth

Nemours Children's Health is home to a vast network of healthcare professionals—each dedicated to pediatric care and committed to leadership and professional growth. The organization encourages continuous professional development and leadership training to ensure that team members are equipped to lead and innovate in their fields.

Be Part of a Diverse and Inclusive Team

Nemours Children's Health prioritizes diversity and inclusion, creating a welcoming environment where all team members can thrive. The organization offers diversity training and promotes a culture where different perspectives are valued and celebrated.

Future-Proof Your Career

Nemours Children's Health provides extensive support for career advancement, including professional development programs, certification support, and leadership training. The potential for growth within the organization is substantial, driven by a commitment to internal promotion and professional enrichment.

Explore Job Opportunities and Internships

Nemours Children's Health offers a range of job opportunities and internships, providing a pathway for those at the start of their careers to gain valuable experience in the healthcare industry. Positions are designed to harness the skills and enthusiasm of new entrants to the professional world, integrating them into a team that is passionate about children's health and well-being.

The Nemours Children's Health Network

By joining Nemours Children's Health, team members become part of a respected network known for its commitment to innovation and quality care. The collaborative environment ensures that all members have access to the tools and resources necessary to excel in their roles.

Stay Connected

Join the Team

Search open positions that match your skills and interests. Nemours Children's Health looks for passionate, curious, creative, and solution-driven team players. SEARCH NEMOURS CHILDREN'S HEALTH JOBS

Keep Up to Date

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