Vanderbilt Health
Associate Vice President, Finance - Revenue Integrity & Strategic Pricing
Vanderbilt Health, Nashville, Tennessee, United States, 37247
Overview
Discover Vanderbilt University Medical Center. Located in Nashville, Tennessee, VUMC is a community focused on teaching, discovery, and patient care. Vanderbilt Health is committed to an environment where everyone has the chance to thrive. Vanderbilt's mission is to advance health and wellness through programs in patient care, education, and research. Organization :
Finance-Reimbursement Job Summary
The Vanderbilt Health Executive Search Team is conducting a national search for an Associate Vice President, Finance - Revenue Integrity & Strategic Pricing. The AVP will provide enterprise leadership over three domains: Chargemaster Description Management, Strategic Pricing, and Revenue Integrity. This is a highly analytical and strategic leadership role that ensures Vanderbilt's pricing models, charge capture practices, and revenue optimization strategies are accurate, defensible, and responsive to clinical innovation, payer requirements, and market competitiveness. This position bridges clinical and financial environments—collaborating with clinical departments to operationalize pricing for emerging therapies and new service lines, while working with Managed Care, Compliance, Finance, and Revenue Cycle teams to align pricing and revenue capture with enterprise goals. Shift :
First Shift; Days (Remote)
Role Accountabilities
Chargemaster Description Management (CDM)
Oversee the enterprise-wide Epic HB and PB Chargemaster Description Management processes, systems, and governance. Lead a structured, policy-driven lifecycle for CDM: creation, updates, documentation, audit schedules, exception handling, and version control. Ensure alignment of CDM with coding, billing, and clinical operations across service lines and specialties. Partner with Epic IT teams on CDM system optimization, testing, and performance enhancements. Oversee internal and external audits of chargemaster compliance and documentation. Strategic Pricing & Market Intelligence
Develop, implement, and refine a strategic pricing framework balancing transparency, competitiveness, reimbursement alignment, and academic mission. Conduct market analysis and benchmarking to position VUMC competitively within Tennessee and peer academic health systems nationwide. Integrate payer contract logic and reimbursement methodology into pricing strategy (e.g., APCs, DRGs, fee schedules, per diem rates). Lead cross-functional financial modeling for new clinical programs, devices, and treatments, ensuring pricing accuracy and margin protection. Maintain CMS price transparency deliverables, including machine-readable files and shoppable services lists. Collaborate with managed care and legal teams to respond to external pricing inquiries or audit requests. Lead cross-functional pricing governance with senior stakeholders across Finance, Revenue Cycle, Clinical Operations, and Legal. Enterprise Revenue Integrity and Optimization Strategy
Ensure Epic and related revenue integrity infrastructure supports both fee-for-service and value-based reimbursement models. Develop enterprise strategies and processes to ensure accurate, complete, and compliant revenue capture across hospital and professional services. Collaborate with enterprise teams and revenue cycle management groups to design and implement tools for optimized revenue capture via structured analytics. Partner with coding, billing, compliance, and operational departments to mitigate charge integrity risks and denials. Leadership & Collaboration
Build and lead a multidisciplinary team of professionals in pricing, chargemaster operations, compliance, analytics, and charge integrity. Set priorities, provide coaching, and build organizational capacity to support VUMC's growth and innovation goals. Cultivate trusted relationships with senior leaders across Finance, Clinical Services, Managed Care, Legal, Compliance, and IT. Represent VUMC in national forums, working groups, and conferences related to pricing, chargemaster, and revenue integrity strategies. Analytics, Reporting & Governance
Define KPIs and dashboards to monitor revenue performance, pricing trends, charge lag, and reimbursement optimization. Deliver actionable analytics to senior leadership with insights into pricing competitiveness, payer-specific yield, and regulatory exposure. Chair enterprise committees focused on pricing policy, CDM governance, and revenue compliance. Qualifications
External:
Bachelor’s Degree and 7 years of experience. Preferred Qualifications :
Bachelor’s Degree in Business, Finance, Health Administration, or related field; Master’s degree (MBA, MHA, MS). Epic CDM Certifications (HB and PB modules), or ability to complete certification within 12 months of hire. Professional certifications such as CPC, COC, CCS, RHIA, CHRI, HFMA-CRCR, or PMP. Minimum of 15 years of progressive experience in healthcare revenue cycle, chargemaster/pricing strategy, or revenue integrity roles. Demonstrated expertise with Epic Resolute (HB and PB) CDM tools and revenue cycle integration. Proven ability to analyze payer fee schedules, market data, cost structures, and reimbursement logic to drive pricing decisions. Strong knowledge of CMS and commercial payer billing regulations. Experience leading multidisciplinary teams and enterprise-wide programs in complex healthcare systems. Proficiency in Excel and business intelligence/reporting tools for financial modeling and analytics. Familiarity with pricing and compliance tools such as Craneware, Optum, or nThrive. Experience in academic medical centers or health systems with complex payer mixes and innovation pipelines. LI-JC1 Our professional administrative functions include information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to equal opportunity (EOE / Vets / Disabled).
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Discover Vanderbilt University Medical Center. Located in Nashville, Tennessee, VUMC is a community focused on teaching, discovery, and patient care. Vanderbilt Health is committed to an environment where everyone has the chance to thrive. Vanderbilt's mission is to advance health and wellness through programs in patient care, education, and research. Organization :
Finance-Reimbursement Job Summary
The Vanderbilt Health Executive Search Team is conducting a national search for an Associate Vice President, Finance - Revenue Integrity & Strategic Pricing. The AVP will provide enterprise leadership over three domains: Chargemaster Description Management, Strategic Pricing, and Revenue Integrity. This is a highly analytical and strategic leadership role that ensures Vanderbilt's pricing models, charge capture practices, and revenue optimization strategies are accurate, defensible, and responsive to clinical innovation, payer requirements, and market competitiveness. This position bridges clinical and financial environments—collaborating with clinical departments to operationalize pricing for emerging therapies and new service lines, while working with Managed Care, Compliance, Finance, and Revenue Cycle teams to align pricing and revenue capture with enterprise goals. Shift :
First Shift; Days (Remote)
Role Accountabilities
Chargemaster Description Management (CDM)
Oversee the enterprise-wide Epic HB and PB Chargemaster Description Management processes, systems, and governance. Lead a structured, policy-driven lifecycle for CDM: creation, updates, documentation, audit schedules, exception handling, and version control. Ensure alignment of CDM with coding, billing, and clinical operations across service lines and specialties. Partner with Epic IT teams on CDM system optimization, testing, and performance enhancements. Oversee internal and external audits of chargemaster compliance and documentation. Strategic Pricing & Market Intelligence
Develop, implement, and refine a strategic pricing framework balancing transparency, competitiveness, reimbursement alignment, and academic mission. Conduct market analysis and benchmarking to position VUMC competitively within Tennessee and peer academic health systems nationwide. Integrate payer contract logic and reimbursement methodology into pricing strategy (e.g., APCs, DRGs, fee schedules, per diem rates). Lead cross-functional financial modeling for new clinical programs, devices, and treatments, ensuring pricing accuracy and margin protection. Maintain CMS price transparency deliverables, including machine-readable files and shoppable services lists. Collaborate with managed care and legal teams to respond to external pricing inquiries or audit requests. Lead cross-functional pricing governance with senior stakeholders across Finance, Revenue Cycle, Clinical Operations, and Legal. Enterprise Revenue Integrity and Optimization Strategy
Ensure Epic and related revenue integrity infrastructure supports both fee-for-service and value-based reimbursement models. Develop enterprise strategies and processes to ensure accurate, complete, and compliant revenue capture across hospital and professional services. Collaborate with enterprise teams and revenue cycle management groups to design and implement tools for optimized revenue capture via structured analytics. Partner with coding, billing, compliance, and operational departments to mitigate charge integrity risks and denials. Leadership & Collaboration
Build and lead a multidisciplinary team of professionals in pricing, chargemaster operations, compliance, analytics, and charge integrity. Set priorities, provide coaching, and build organizational capacity to support VUMC's growth and innovation goals. Cultivate trusted relationships with senior leaders across Finance, Clinical Services, Managed Care, Legal, Compliance, and IT. Represent VUMC in national forums, working groups, and conferences related to pricing, chargemaster, and revenue integrity strategies. Analytics, Reporting & Governance
Define KPIs and dashboards to monitor revenue performance, pricing trends, charge lag, and reimbursement optimization. Deliver actionable analytics to senior leadership with insights into pricing competitiveness, payer-specific yield, and regulatory exposure. Chair enterprise committees focused on pricing policy, CDM governance, and revenue compliance. Qualifications
External:
Bachelor’s Degree and 7 years of experience. Preferred Qualifications :
Bachelor’s Degree in Business, Finance, Health Administration, or related field; Master’s degree (MBA, MHA, MS). Epic CDM Certifications (HB and PB modules), or ability to complete certification within 12 months of hire. Professional certifications such as CPC, COC, CCS, RHIA, CHRI, HFMA-CRCR, or PMP. Minimum of 15 years of progressive experience in healthcare revenue cycle, chargemaster/pricing strategy, or revenue integrity roles. Demonstrated expertise with Epic Resolute (HB and PB) CDM tools and revenue cycle integration. Proven ability to analyze payer fee schedules, market data, cost structures, and reimbursement logic to drive pricing decisions. Strong knowledge of CMS and commercial payer billing regulations. Experience leading multidisciplinary teams and enterprise-wide programs in complex healthcare systems. Proficiency in Excel and business intelligence/reporting tools for financial modeling and analytics. Familiarity with pricing and compliance tools such as Craneware, Optum, or nThrive. Experience in academic medical centers or health systems with complex payer mixes and innovation pipelines. LI-JC1 Our professional administrative functions include information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to equal opportunity (EOE / Vets / Disabled).
#J-18808-Ljbffr