Adventist HealthCare
Vice President, Ambulatory Revenue Cycle & Managed Care
Adventist HealthCare seeks to hire an experienced Vice President of Ambulatory Revenue Cycle and Managed Care who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.
Reporting to the Senior Vice President and Chief Financial Officer for Adventist HealthCare, the Vice President of Ambulatory Revenue Cycle and Managed Care plays an essential role in ensuring the success and financial stability of the Health System. The Vice President of Ambulatory Revenue Cycle and Managed Care is responsible for overseeing and optimizing the entire revenue cycle for ambulatory services and managing care contracts across the system. This role involves strategic planning, execution, and continuous improvement of revenue cycle processes to maximize financial performance. The VP will work in partnership with entity CFOs, the VP of Hospital Revenue Cycle and various departments to ensure efficient billing, coding, collections, and reimbursement processes while maintaining compliance with regulatory standards.
As a Vice President of Ambulatory Revenue Cycle and Managed Care you will:
Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services.
Oversee billing, coding, collections, and reimbursement processes to ensure accuracy and efficiency.
Monitor key performance indicators (KPIs) and implement improvements to enhance financial performance.
Collaborate with clinical and administrative staff to streamline workflows and reduce denials and write-offs.
Negotiate and manage contracts with managed care organizations (MCOs), insurance companies, and other payers.
Analyze contract performance and ensure compliance with contract terms and conditions.
Develop strategies to maximize reimbursement rates and minimize payment delays.
Maintain relationships with payers and resolve any contract-related issues or disputes.
Lead and mentor a team of revenue cycle and managed care professionals.
Foster a culture of continuous improvement, accountability, and collaboration.
Provide regular training and development opportunities for team members.
Ensure compliance with all federal, state, and local regulations related to revenue cycle and managed care.
Develop and implement policies and procedures to mitigate risk and ensure ethical billing practices.
Stay current with industry trends, regulations, and best practices.
Prepare and present regular reports on revenue cycle performance and managed care contract outcomes.
Conduct financial analysis to identify trends, opportunities, and areas for improvement.
Develop and manage the department budget, ensuring alignment with organizational goals.
Qualifications Include
Bachelor's degree in healthcare administration, business administration, or a related field. Master’s degree preferred.
Extensive experience (10 years) in healthcare revenue cycle covering multiple functions within revenue cycle.
Extensive knowledge of ambulatory services and managed care contracting.
5 years of leadership role overseeing revenue cycle functions.
Work Schedule Monday - Friday 8-5pm
Pay Range $249,144.83 - $373,717.24
Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Exempt)
COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement Tobacco use is a well‑recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. Applicants must provide proof of negative test results for nicotine and marijuana prior to employment. Positive tests may lead to withdrawal of offers and re‑application eligibility after 90 days with a clean record.
Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission‑centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities and religious beliefs in accordance with applicable law. Applicants who wish to request accommodations should contact the Support Center HR Office.
Benefits
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer‑paid Short & Long‑Term Disability, Basic Life Insurance and AD&D, (short‑term disability buy‑up available)
Paid Time Off
Employer retirement contribution and match after 1‑year of eligible employment with a 3‑year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long‑term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
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Reporting to the Senior Vice President and Chief Financial Officer for Adventist HealthCare, the Vice President of Ambulatory Revenue Cycle and Managed Care plays an essential role in ensuring the success and financial stability of the Health System. The Vice President of Ambulatory Revenue Cycle and Managed Care is responsible for overseeing and optimizing the entire revenue cycle for ambulatory services and managing care contracts across the system. This role involves strategic planning, execution, and continuous improvement of revenue cycle processes to maximize financial performance. The VP will work in partnership with entity CFOs, the VP of Hospital Revenue Cycle and various departments to ensure efficient billing, coding, collections, and reimbursement processes while maintaining compliance with regulatory standards.
As a Vice President of Ambulatory Revenue Cycle and Managed Care you will:
Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services.
Oversee billing, coding, collections, and reimbursement processes to ensure accuracy and efficiency.
Monitor key performance indicators (KPIs) and implement improvements to enhance financial performance.
Collaborate with clinical and administrative staff to streamline workflows and reduce denials and write-offs.
Negotiate and manage contracts with managed care organizations (MCOs), insurance companies, and other payers.
Analyze contract performance and ensure compliance with contract terms and conditions.
Develop strategies to maximize reimbursement rates and minimize payment delays.
Maintain relationships with payers and resolve any contract-related issues or disputes.
Lead and mentor a team of revenue cycle and managed care professionals.
Foster a culture of continuous improvement, accountability, and collaboration.
Provide regular training and development opportunities for team members.
Ensure compliance with all federal, state, and local regulations related to revenue cycle and managed care.
Develop and implement policies and procedures to mitigate risk and ensure ethical billing practices.
Stay current with industry trends, regulations, and best practices.
Prepare and present regular reports on revenue cycle performance and managed care contract outcomes.
Conduct financial analysis to identify trends, opportunities, and areas for improvement.
Develop and manage the department budget, ensuring alignment with organizational goals.
Qualifications Include
Bachelor's degree in healthcare administration, business administration, or a related field. Master’s degree preferred.
Extensive experience (10 years) in healthcare revenue cycle covering multiple functions within revenue cycle.
Extensive knowledge of ambulatory services and managed care contracting.
5 years of leadership role overseeing revenue cycle functions.
Work Schedule Monday - Friday 8-5pm
Pay Range $249,144.83 - $373,717.24
Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Exempt)
COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement Tobacco use is a well‑recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. Applicants must provide proof of negative test results for nicotine and marijuana prior to employment. Positive tests may lead to withdrawal of offers and re‑application eligibility after 90 days with a clean record.
Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission‑centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities and religious beliefs in accordance with applicable law. Applicants who wish to request accommodations should contact the Support Center HR Office.
Benefits
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer‑paid Short & Long‑Term Disability, Basic Life Insurance and AD&D, (short‑term disability buy‑up available)
Paid Time Off
Employer retirement contribution and match after 1‑year of eligible employment with a 3‑year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long‑term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
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