VP, Revenue Cycle Management
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Job Description
Vice President of Revenue Cycle Management at Nvera, focusing on building a technologically advanced billing operation from the ground up. Promoting automation and leading a high-performance team.
Responsibilities:
- Build & Lead the RCM Operation
- Build Nvera's RCM operation from zero — people, process, technology, and infrastructure
- Hire and develop a team of 10–20, with the explicit goal of automating yourself out of needing more headcount over time
- Build SOPs, training documentation, and quality assurance frameworks that scale
- Oversee offshore team components as needed, ensuring quality and compliance across geographies
- Design & Implement AI-First Workflows
- Design and implement AI-first workflows across the entire revenue cycle: eligibility verification, charge capture, claims submission, denial management, payment posting, collections, and patient billing
- Partner with the engineering and AI team to build or configure practice management and billing systems that support autonomous operation
- Drive continuous automation initiatives that reduce manual touchpoints and increase throughput
- Own the Numbers
- Own all key RCM metrics: clean claim rate, days in A/R, denial rate, first-pass resolution rate, net collection rate, cost-to-collect, and charge lag
- Manage deductible hold strategies and patient journey workflows that maximize backend collections
- Develop reporting dashboards and analytics that provide full visibility into revenue cycle performance for both internal leadership and clients
- Client-Facing Leadership
- Serve as a revenue cycle consultant to clients — advising on payer contracting, value-based care models, and reimbursement optimization
- Lead client-facing efforts in early stages: pitching prospects, onboarding new clients, and de-escalating provider concerns
- Stay Ahead of the Industry
- Stay current on CMS regulations, payer policy changes, and industry trends that affect billing and reimbursement
- Continuously evaluate new tools, platforms, and automation opportunities to keep Nvera ahead of the curve
Requirements:
- 10+ years of progressive revenue cycle management experience, with at least 5 years in a senior leadership role (VP, SVP, or equivalent)
- Proven experience building an RCM operation from scratch — not just managing an inherited team
- Demonstrated track record of growing and scaling RCM teams from small to large (50+ FTEs)
- Deep analytical capability: you think in metrics, build dashboards, and use data to drive every decision
- Hands-on experience with practice management systems — ideally you've helped build, configure, or spec one from the ground up
- Strong working knowledge of AI, automation, and RPA tools as applied to revenue cycle workflows
- Experience managing offshore teams and maintaining quality across distributed operations
- Expertise in value-based care models, payer contracting, and reimbursement optimization strategies
- Familiarity with revenue cycle optimization platforms (eligibility engines, claim scrubbers, denial management systems, etc.)
- Deep knowledge of deductible hold management and patient financial journey optimization
- Multi-specialty billing experience across at least 3–4 of the specialties listed above
- Excellent client-facing communication skills — you can pitch, consult, present, and de-escalate with equal confidence
- Self-managing, fast-moving, and innovative — you don't wait for permission to improve things
- Background in EMS billing and ambulance transport reimbursement (preferred)
- CPC, CPMA, CHBME, or equivalent certification (preferred)
- Experience working within a healthcare technology company (not just a billing company) (preferred)
- Familiarity with HIPAA compliance, BAA management, and healthcare data security requirements (preferred)
Benefits:
- Unlimited PTO
- Medical, Dental, Vision, and supplemental insurance options
- 401(k) Plan with 3.5% Company Match
- Company-provided equipment
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