VP of Revenue Cycle Management

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times.

Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation.

Are you ready to provide a 5-star “OSSOME” experience? Apply today!

JOB SUMMARY:

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.

QUALIFICATIONS AND EDUCATION:

Qualifications and Education:

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field required
• Master’s degree (MBA, MHA, or equivalent) preferred
• 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

Preferred industry experience:

• 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

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Specific duties and responsibilities include, but are not limited to:

Enterprise Revenue Strategy

Develop and lead the organization’s comprehensive revenue strategy that ensures sustainable financial performance in a complex and evolving healthcare reimbursement environment.

Responsibilities include:

• 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

Revenue Cycle Operations Leadership

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.

Managed Care Strategy

Partner with internal and external stakeholders to drive payor strategies and contracting efforts to ensure optimal reimbursement and strong payor relationships.

Responsibilities include:

• Negotiating and managing managed care agreements
• Monitoring payor performance and compliance
• Identifying underpayment trends and revenue recovery opportunities
• Leading escalation strategies for payor disputes

Revenue Integrity

Develop systems and processes that ensure accurate revenue capture and reimbursement and prevent revenue leakage.

Key responsibilities include:

• 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

Data and Analytics Leadership

Develop a transparent, data-driven revenue performance culture.

Responsibilities include:

• 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

Leadership & Culture

This executive must be both strategic and people-centered, capable of building a high-performing team culture.

Leadership expectations include:

• 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.

SUPERVISORY RESPONSIBILITIES:

Supervises Patient Access, Insurance Verification & Authorizations, Coding & Clinical Documentation Integrity, Professional Billing, Hospital Billing, Accounts Receivable & Collections, Denial Management, Managed Care Contracting, and Revenue Integrity & Payor Compliance. Collaborates closely with the Director of Budget and Director of Finance to align revenue cycle performance with financial planning, forecasting, and organizational budgeting.