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 requiredMaster's degree (MBA, MHA, or equivalent) preferred10+ years of progressive healthcare revenue cycle leadership experienceExperience overseeing both professional and hospital billing operations in a multi-tenant environmentStrong understanding of managed care contracting and payor strategyExperience leading revenue cycle operations across multi-site healthcare systemsPreferred industry experience:Orthopedic hospital or surgical specialty environmentAmbulatory surgery center revenue cycle operationsPhysician practice billing environmentsProvider based hospital billing environmentKnowledge of value-based strategies and direct-to-employer contractingTechnology platforms and utilization of artificial intelligenceFamiliar 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 StrategyDevelop 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 goalsDeveloping long-term strategies to improve margin and cash flowLeading revenue forecasting and revenue optimization initiativesDriving payor strategy and contract performanceLeading implementation of AI tools and Agents to optimize performanceCreating a scalable Revenue Cycle AssetRevenue Cycle Operations LeadershipProvide operational leadership for all front-end, mid-cycle, and back-end revenue functions.Ensure performance excellence in:Clean claim submissionDenial prevention and managementCoding accuracy and complianceAccounts receivable performanceCash accelerationPayment according to contractsPatient financial experienceCollaboration and communication with internal stakeholders (Finance, IT, Clinical Leadership, etc) toward achievement of revenue optimization initiatives. Managed Care StrategyPartner 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 agreementsMonitoring payor performance and complianceIdentifying underpayment trends and revenue recovery opportunitiesLeading escalation strategies for payor disputes Revenue IntegrityDevelop systems and processes that ensure accurate revenue capture and reimbursement and prevent revenue leakage.Key responsibilities include:Charge capture optimizationDocumentation and coding alignmentCompliance with payer and regulatory requirementsRevenue integrity auditing programsPartner with Finance to develop case costing systems Data and Analytics LeadershipDevelop a transparent, data-driven revenue performance culture.Responsibilities include:Building executive revenue cycle management dashboardsMonitoring key performance indicatorsProviding data transparency to physicians and executive leadershipUsing analytics to identify performance improvement opportunitiesEnsuring operational reporting to support and monitor all critical activities across the revenue cycle Leadership & CultureThis executive must be both strategic and people-centered, capable of building a high-performing team culture.Leadership expectations include:Coaching and developing revenue cycle leadersBuilding strong relationships with physicians and operational leadersPromoting accountability and transparencyCreating a culture of cross-department collaboration and communicationThe 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.Equal Opportunity Employer