At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Vice President, Revenue Cycle Management (RCM) provides enterprise-wide strategic leadership and operational oversight for all revenue cycle functions across the organization, including acute care hospitals, specialty hospitals, physician practices, and centralized business office (CBO) operations. This role is accountable for optimizing financial performance, ensuring regulatory compliance, standardizing processes, and driving continuous improvement across the entire revenue lifecycle—from patient access through final resolution of accounts.

The VP, RCM partners closely with executive leadership, facility leadership, clinical operations, payers, and external vendors to establish enterprise revenue cycle strategy, governance, and performance standards that support organizational growth, cash flow stability, and an exceptional patient financial experience.

Essential Functions

• Establishes and executes an enterprise-wide revenue cycle strategy aligned with organizational financial, operational, and growth objectives.
• Provides executive oversight of all revenue cycle functions, including patient access, charge capture, coding, billing, collections, denials management, cash posting, payer relations, and patient financial services.
• Leads and governs centralized business office (CBO) operations and ensures effective alignment with facility-based workflows and leadership.
• Defines, monitors, and drives enterprise revenue cycle performance metrics, including net revenue realization, AR days, DNFB, denial rates, cash collections, and payer performance.
• Partners with finance, compliance, legal, clinical, IT, and operational leaders to ensure accurate reimbursement, regulatory compliance, and strong internal controls.
• Oversees enterprise payer strategy in collaboration with contracting, including payer performance monitoring, issue escalation, and reimbursement optimization.
• Leads enterprise initiatives to reduce denials, improve clean claim rates, accelerate cash flow, and enhance patient financial experience.
• Establishes standardized policies, procedures, and best practices across all facilities while allowing for appropriate market and regulatory variation.
• Evaluates, selects, and governs revenue cycle technologies, vendors, and outsourcing partnerships to ensure scalability, efficiency, and ROI.
• Leads, mentors, and develops senior revenue cycle leaders, fostering a culture of accountability, collaboration, innovation, and continuous improvement.
• Provides executive-level reporting and recommendations to senior leadership regarding revenue risks, opportunities, and strategic initiatives.
• Ensures compliance with federal and state regulations, including CMS, HIPAA, payer requirements, and applicable billing and coding standards.
• Supports mergers, acquisitions, integrations, and organizational growth initiatives from a revenue cycle perspective.

Knowledge/Skills/Abilities/Expectations

• Deep expertise across the full healthcare revenue cycle, including acute care, specialty hospitals, and physician practices.
• Strong executive leadership presence with the ability to influence, align, and drive results across diverse stakeholders.
• Advanced analytical and financial acumen with the ability to interpret complex data and translate insights into action.
• Thorough understanding of healthcare reimbursement methodologies, payer contracts, and regulatory requirements.
• Strong change-management, communication, and organizational leadership skills.
• Ability to lead large, geographically dispersed teams in a fast-paced, evolving healthcare environment.
• Proficiency with revenue cycle systems, analytics tools, and Microsoft Office Suite (Excel, Word, PowerPoint).
• Primarily sedentary work involving prolonged periods of sitting and computer use.
• Occasional travel to facilities, meetings, and conferences.
• Corporate office environment with frequent interaction across enterprise and facility leadership.
• Occasional exposure to healthcare facility environments.

Education

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

Licenses/Certifications

• None Required
• Professional certifications such as HFMA (CHFP), CPA, or equivalent preferred.

Experience

• Minimum of 12–15 years of progressive leadership experience in healthcare revenue cycle management required.
• Demonstrated experience leading enterprise or multi-facility revenue cycle operations, preferably within a complex, multi-state healthcare system.
• Proven executive-level experience overseeing centralized business office (CBO) operations.
• Strong background in payer reimbursement, denial management, AR optimization, and revenue cycle technology platforms.
• Experience partnering with executive leadership and governing bodies on financial strategy and performance improvement.