VP of Revenue Cycle Management

OSS Health•York Township, PA

About The Position

The Vice President of Revenue Cycle leads all revenue-generating operational functions for the enterprise and is responsible for maximizing reimbursement, optimizing cash flow, and driving long-term revenue performance across the musculoskeletal health system. Reporting directly to the CEO, this role ensures financial strength through high-performing revenue cycle operations, optimized payor strategy, and revenue integrity. This executive oversees the full continuum of revenue management including, but not limited to patient access, preauthorization, managed care contracting, coding, professional billing, hospital billing, denial management, collections, and revenue integrity. The high-performing leader must be capable of building a modern, data-driven revenue strategy that supports long-term organizational growth while also collaborating with internal and external stakeholders to create success. Candidate must be comfortable with the evolving technology landscape and how that will play a critical role in revenue transformation. As the organization continues to expand, this role will evolve from operational stabilization to enterprise revenue transformation, ensuring the organization remains financially strong in an increasingly complex payor environment.

Requirements

Bachelor’s degree in Healthcare Administration, Finance, Business, or related field required
10+ years of progressive healthcare revenue cycle leadership experience
Experience overseeing both professional and hospital billing operations in a multi-tenant environment
Strong understanding of managed care contracting and payor strategy
Experience leading revenue cycle operations across multi-site healthcare systems

Nice To Haves

Master’s degree (MBA, MHA, or equivalent) preferred
Orthopedic hospital or surgical specialty environment
Ambulatory surgery center revenue cycle operations
Physician practice billing environments
Provider based hospital billing environment
Knowledge of value-based strategies and direct-to-employer contracting
Technology platforms and utilization of artificial intelligence
Familiar with multiple EMR systems (i.e. Medent, CPSI, EPIC, etc.)
Compliance with existing and evolving payer and governmental guidelines and regulations

Responsibilities

Develop and lead the organization’s comprehensive revenue strategy that ensures sustainable financial performance in a complex and evolving healthcare reimbursement environment.
Aligning revenue cycle operations with enterprise financial goals
Developing long-term strategies to improve margin and cash flow
Leading revenue forecasting and revenue optimization initiatives
Driving payor strategy and contract performance
Leading implementation of AI tools and Agents to optimize performance
Creating a scalable Revenue Cycle Asset
Provide operational leadership for all front-end, mid-cycle, and back-end revenue functions.
Ensure performance excellence in: Clean claim submission Denial prevention and management Coding accuracy and compliance Accounts receivable performance Cash acceleration Payment according to contracts Patient financial experience
Collaboration and communication with internal stakeholders (Finance, IT, Clinical Leadership, etc) toward achievement of revenue optimization initiatives.
Partner with internal and external stakeholders to drive payor strategies and contracting efforts to ensure optimal reimbursement and strong payor relationships.
Negotiating and managing managed care agreements
Monitoring payor performance and compliance
Identifying underpayment trends and revenue recovery opportunities
Leading escalation strategies for payor disputes
Develop systems and processes that ensure accurate revenue capture and reimbursement and prevent revenue leakage.
Charge capture optimization
Documentation and coding alignment
Compliance with payer and regulatory requirements
Revenue integrity auditing programs
Partner with Finance to develop case costing systems
Develop a transparent, data-driven revenue performance culture.
Building executive revenue cycle management dashboards
Monitoring key performance indicators
Providing data transparency to physicians and executive leadership
Using analytics to identify performance improvement opportunities
Ensuring operational reporting to support and monitor all critical activities across the revenue cycle
This executive must be both strategic and people-centered, capable of building a high-performing team culture.
Coaching and developing revenue cycle leaders
Building strong relationships with physicians and operational leaders
Promoting accountability and transparency
Creating a culture of cross-department collaboration and communication
The leader must be able to manage and lead through healthcare challenges while inspiring transformation.