Develop and implement an enterprise-wide revenue cycle strategy, supporting infusion services across multiple sites.
Oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management.
Oversee intake services including benefit verification, financial counseling, prior authorization, and customer call center operations.
Establish and maintain strong payer relationships, ensuring optimal reimbursement rates and contract compliance.
Ensure adherence to federal, state, and payer-specific regulations, including CMS and value-based care initiatives.
Leverage automation and analytics to improve revenue cycle performance, reduce denials, intake time and overall cost to collect and RCM OpEx.
Partner with clinical and operational leadership to ensure smooth revenue cycle integration with patient care workflows.
Analyze revenue cycle KPIs, drive continuous improvement, and present strategic insights to executive leadership.
Serve as a trusted consultant for clients, attending Quarterly Business Reviews (QBRs) and other key meetings to provide strategic insights on revenue cycle performance, reimbursement optimization, and payer trends.

Typically requires 12+ years of professional experience
4+ years of management experience
Bachelor’s degree in finance, healthcare administration, or a related field (MBA or MHA preferred)
12+ years of progressive experience in revenue cycle management, preferably in infusion, specialty pharmacy, or oncology settings.
Expertise in payer contracting, reimbursement methodologies, and healthcare finance.
Strong leadership skills with experience managing large teams and cross-functional collaboration.
Deep understanding of compliance (CMS, HIPAA, Stark Law, etc.) and regulatory considerations in infusion services.
Proven success in scaling revenue cycle operations for a growing healthcare organization.

VP, Revenue Cycle Management

Key skills