[Hiring] Vice President, Revenue Financial Management @Vituity

Role Description

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.
• Establish, monitor, and report on financial performance benchmarks including net collection rate, gross-to-net revenue realization, days in AR, denial, write-off rates, and bad debt allowance.
• Oversee monthly revenue recognition processes, working in concert with Accounting and FP&A to ensure revenue is accurately stated in accordance with GAAP and applicable healthcare accounting standards.
• 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 net collection rate, AR performance, denial rates, and payer yield.
• Establish data-driven accountability across the full revenue cycle.
• Identify and execute opportunities for pricing optimization, contract improvement, and reimbursement uplift.
• Quantify payer trends and their impact on net revenue, proactively surfacing financial risks to the CFO and executive team.
• Monitor Self-Pay Strategy to ensure maximum reimbursement for self-pay and patient responsibility after insurance, recommending improvements and opportunities that are scalable and meet PCI and other regulatory requirements.
• Ensure RCM operations and resources are aligned with financial targets and growth objectives.
• Measure and drive efficiency through automation, technology, and process redesign.
• 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.
• Working with Compliance, maintaining strong internal controls related to billing, collections, payment reconciliation, quality and reporting.
• Monitor regulatory changes impacting reimbursement and revenue recognition.
• Serve as the financial voice of 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.

Qualifications

• 10+ years in healthcare revenue cycle and financial leadership roles required.
• Demonstrated experience owning a net revenue budget of $500M+ across multiple specialties or markets required.
• Demonstrated experience in evaluating and managing resource utilization, incorporating offshore vendor resource implementation and adoption of automation or AI resources required.
• Proven ownership of P&L and large-scale financial operations required.
• Proven track record of presenting financial performance, variance analysis, and strategic recommendations to a CFO, Board of Directors, or equivalent executive body required.
• Deep expertise in reimbursement, payer dynamics, and revenue optimization required.
• Strong track record of driving measurable financial improvement required.
• 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 preferred.
• Experience leading revenue cycle financial due diligence for M&A or new practice acquisitions preferred.
• 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.
• Proven ability to develop strong relationships and work collaboratively across multiple business functions.
• Highly skilled at conflict management and resolution.
• Possess excellent problem-solving capabilities.
• High level of emotional intelligence and proven professional judgment.
• 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.

Benefits

• Superior health plan options.
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more.
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service).
• Generous paid time off starting 3-4 weeks’ annually.
• Student Loan Refinancing Discounts.
• Professional and Career Development Program.
• EAP and travel assistance included.
• Wellness program.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.