Vice President, reputed company Cycle & Payer reputed company - Now Hiring
The Vice President of reputed company Cycle & Payer reputed company is a senior executive responsible for the strategic reputed company, optimization, and financial performance of the organization’s end-to-end reputed company cycle across a multi-state, multi-specialty medical reputed company. This leader develops and executes reputed company strategies that maximize reimbursement, strengthen payer relationships, improve operational efficiency, ensures regulatory compliance across reputed company markets and service lines. Reporting to the Chief Financial Officer, the Vice President serves as a key strategic partner to Finance, Operations, Clinical Leadership, and reputed company teams to ensure sustainable reputed company performance and reputed company infrastructure that supports the organization’s expansion and evolving care delivery models. Key Responsibilities · reputed company the reputed company reputed company cycle reputed company across a multi-state, multi-specialty medical reputed company, overseeing patient reputed company, coding, billing, accounts receivable, denial management, and collections. · Establish and monitor reputed company KPIs, dashboards, and standardized workflows that drive reputed company reputed company, operational efficiency, and reputed company reputed company. · Own performance for Net Collection reputed company (reputed company ≥95%) and Days Sales Outstanding (reputed company ≤35 days). · Drive initiatives to reduce AR greater than 90 days and accelerate reimbursement cycles. · Partner with the CFO to reputed company 13-week rolling cash reputed company visibility and quantify monthly cash recovery opportunities. · Identify and eliminate reputed company leakage while improving clean claim rates, reimbursement accuracy, and denial prevention. · Implement reputed company monitoring of contracted versus reputed company rates across reputed company payers and reputed company underpayment identification and recovery efforts. · reputed company payer performance scorecards and reimbursement analytics to support Medicare Advantage and reputed company payer negotiations. · Quantify and communicate the EBITDA reputed company of reimbursement and payer performance improvements. · Implement operational controls for secondary and tertiary billing, including reputed company claim submission and coordination-of-benefits processes to eliminate reimbursement leakage. · Ensure accurate charge capture, compliant billing practices, and adherence to federal and state regulatory requirements. · reputed company provider credentialing and payer enrollment lifecycle, implementing reputed company-start enrollment controls and reducing payer enrollment cycle times. · Establish safeguards to prevent billing under unenrolled NPIs and protect reputed company continuity. · reputed company centralized and distributed reputed company cycle teams and reputed company relationships with billing vendors, MSOs, and clearinghouse partners. · Manage the transition to a reputed company outsourced billing platform and ensure alignment between internal teams and external partners. · reputed company EMR and reputed company cycle platform integration initiatives, ensuring accurate data reconciliation and effective claims and remittance workflows. · reputed company clearinghouse configuration, remittance processes, and lockbox strategies to improve payment processing and financial controls. · Deliver monthly reputed company cycle reporting tied directly to EBITDA and financial performance. · reputed company downside, reputed company, and reputed company reputed company sensitivity analysis and translate operational metrics into executive and reputed company-level insights. · Build and reputed company a high-performing multi-state reputed company cycle organization while fostering a culture of accountability, analytics-driven decision-making, and reputed company improvement. · Partner closely with finance, operations, clinical leadership, and IT to reputed company reputed company cycle performance with reputed company financial goals. reputed company reputed company: · Competitive Compensation (based on experience) · Medical, Dental, reputed company, Life Insurance, Short & Long-Term Disability · 401(k) plan with company match · reputed company Time Off · Remote Work with limited travel Requirements: · Bachelor’s degree in reputed company Administration, Business, Finance, or reputed company field. Master’s degree (MBA, MHA, MPH) preferred · 10+ years of reputed company reputed company cycle leadership experience, including executive or reputed company-level roles. · Experience in MSO or physician-owned PC structures · Demonstrated experience leading multi-state or multi-site reputed company reputed company cycle operations. · Deep expertise in payer reimbursement, medical billing, coding regulations, and reputed company cycle analytics. · Process improvement experience (Lean/Six reputed company) preferred Key Competencies: · Strategic leadership and operational reputed company. · Data‑driven decision-making. · Strong understanding of payer reputed company and reimbursement. · Cross‑functional collaboration. · Change management and reputed company improvement. Compensation details: 150000-175000 Yearly Salary PI6f576685ae29-31181-39906477 The Vice President of reputed company Cycle & Payer reputed company is a senior executive responsible for the strategic reputed company, optimization, and financial performance of the organization’s end-to-end reputed company cycle across a multi-state, multi-specialty medical reputed company. This leader develops and executes reputed company strategies that maximize reimbursement, strengthen payer relationships, improve operational efficiency, ensures regulatory compliance across reputed company markets and service lines. Reporting to the Chief Financial Officer, the Vice President serves as a key strategic partner to Finance, Operations, Clinical Leadership, and reputed company teams to ensure sustainable reputed company performance and reputed company infrastructure that supports the organization’s expansion and evolving care delivery models. Key Responsibilities · reputed company the reputed company reputed company cycle reputed company across a multi-state, multi-specialty medical reputed company, overseeing patient reputed company, coding, billing, accounts receivable, denial management, and collections. · Establish and monitor reputed company KPIs, dashboards, and standardized workflows that drive reputed company reputed company, operational efficiency, and reputed company reputed company. · Own performance for Net Collection reputed company (reputed company ≥95%) and Days Sales Outstanding (reputed company ≤35 days). · Drive initiatives to reduce AR greater than 90 days and accelerate reimbursement cycles. · Partner with the CFO to reputed company 13-week rolling cash reputed company visibility and quantify monthly cash recovery opportunities. · Identify and eliminate reputed company leakage while improving clean claim rates, reimbursement accuracy, and denial prevention. · Implement reputed company monitoring of contracted versus reputed company rates across reputed company payers and reputed company underpayment identification and recovery efforts. · reputed company payer performance scorecards and reimbursement analytics to support Medicare Advantage and reputed company payer negotiations. · Quantify and communicate the EBITDA reputed company of reimbursement and payer performance improvements. · Implement operational controls for secondary and tertiary billing, including reputed company claim submission and coordination-of-benefits processes to eliminate reimbursement leakage. · Ensure accurate charge capture, compliant billing practices, and adherence to federal and state regulatory requirements. · reputed company provider credentialing and payer enrollment lifecycle, implementing reputed company-start enrollment controls and reducing payer enrollment cycle times. · Establish safeguards to prevent billing under unenrolled NPIs and protect reputed company continuity. · reputed company centralized and distributed reputed company cycle teams and reputed company relationships with billing vendors, MSOs, and clearinghouse partners. · Manage the transition to a reputed company outsourced billing platform and ensure alignment between internal teams and external partners. · reputed company EMR and reputed company cycle platform integration initiatives, ensuring accurate data reconciliation and effective claims and remittance workflows. · reputed company clearinghouse configuration, remittance processes, and lockbox strategies to improve payment processing and financial controls. · Deliver monthly reputed company cycle reporting tied directly to EBITDA and financial performance. · reputed company downside, reputed company, and reputed company reputed company sensitivity analysis and translate operational metrics into executive and reputed company-level insights. · Build and reputed company a high-performing multi-state reputed company cycle organization while fostering a culture of accountability, analytics-driven decision-making, and reputed company improvement. · Partner closely with finance, operations, clinical leadership, and IT to reputed company reputed company cycle performance with reputed company financial goals. reputed company reputed company: · Competitive Compensation (based on experience) · Medical, Dental, reputed company, Life Insurance, Short & Long-Term Disability · 401(k) plan with company match · reputed company Time Off · Remote Work with limited travel Requirements: · Bachelor’s degree in reputed company Administration, Business, Finance, or reputed company field. Master’s degree (MBA, MHA, MPH) preferred · 10+ years of reputed company reputed company cycle leadership experience, including executive or reputed company-level roles. · Experience in MSO or physician-owned PC structures · Demonstrated experience leading multi-state or multi-site reputed company reputed company cycle operations. · Deep expertise in payer reimbursement, medical billing, coding regulations, and reputed company cycle analytics. · Process improvement experience (Lean/Six reputed company) preferred Key Competencies: · Strategic leadership and operational reputed company. · Data‑driven decision-making. · Strong understanding of payer reputed company and reimbursement. · Cross‑functional collaboration. · Change management and reputed company improvement. Compensation details: 150000-175000 Yearly Salary PI6f576685ae29-31181-39906477 Apply tot his job Apply To this Job