Vice President of Revenue Cycle

Pathway Healthcare is a leading behavioral health organization dedicated to providing comprehensive care for individuals facing mental health challenges, and substance abuse issues. We believe in a holistic approach to treatment, addressing both physical and mental well-being to foster lasting recovery and wellness.

We value our team members and want our team members to experience a positive culture where they feel valued. Our team members have access to health benefits, including Teladoc that is free to all full-time employees, as well as PTO, and paid holidays. If you are passionate about helping people and want to be part of a team where you will be valued and have the opportunity to grow, then send us your resume!

POSITION OVERVIEW

The Vice President of Revenue Cycle is responsible for overseeing the revenue cycle management for multiple organizations within a consolidated entity. This role focuses on the strategic integration of revenue cycle operations, optimizing revenue generation, and ensuring compliance across all entities.

ROLE RESPONSIBILITIES

• Enterprise-Level Strategy:
  • Develop and implement a unified revenue cycle strategy for the consolidated organizations.
  • Align revenue cycle goals with the broader financial and operational objectives of the consolidated entity.
• Integration and Standardization:
  • Lead efforts to integrate revenue cycle processes and systems across multiple organizations.
  • Standardize billing, coding, and reimbursement practices to achieve efficiency and consistency.
• Performance Monitoring:
  • Establish key performance indicators (KPI’s) for measuring revenue cycle performance across entities.
  • Monitor and analyze performance data to identify opportunities for improvement.
• Compliance Oversight:
  • Ensure that revenue cycle practices across all organizations adhere to regulatory guidelines and industry standards.
  • Oversee compliance audits and corrective actions as needed.
• Resource Allocation:
  • Allocate resources including staffing and technology, to support revenue cycle operations for all consolidated entities.
  • Optimize resource utilization to enhance revenue and reduce costs.
• Vendor Management (if applicable):
  • Manage relationships with third-party vendors providing revenue cycle services to the consolidated entities.
  • Ensure vendor performance aligns with the enterprise’s expectations.
• Stakeholder Collaboration:
  • Collaborate with senior leadership, including CFOs and CEOs of individual entities, to coordinate revenue cycle efforts and share insights.

QUALIFICATIONS & EDUCATION REQUIREMENTS

• Bachelor’s degree in Healthcare Management, Business Administration, or other related field.
• Master’s degree preferred.
• Certified Professional in Healthcare Management (CPHM) or equivalent certification is a plus.
• Minimum of 10 plus years of progressive experience in revenue cycle management, with a track record of success in overseeing integrated revenue cycle operations.
• Strong knowledge of healthcare billing, coding, and reimbursement processes.
• Excellent leadership, communication, and strategic planning skills.
• Proficiency in healthcare revenue cycle software and data analytics tools.