Vice President - Revenue Cycle and Managed Care

Summary

The Vice President of Revenue Cycle and Managed Care is responsible for the strategic direction, financial performance, and operational integrity of MCW's professional services revenue cycle and managed care/payer strategy — spanning patient access/registration, coding and charge capture, billing and collections, denial management, cash application, and payer contracting. This executive position is charged with transforming the revenue cycle into a strategic partner, supporting clinical growth and serving as the single point of executive accountability for revenue cycle and managed care performance. The VP operates as a key strategic partner to the Senior Vice President & Chief Financial Officer, Chief Medical Officer Revenue Cycle, and faculty practice leadership. This role sits at the intersection of finance, physician enterprise, and operations, and is expected to translate revenue cycle and managed care performance into institutional-level business strategy.

Reporting Relationships

Reports to:  Senior Vice President & Chief Financial Officer and MCW Medical Group Chief Operating Officer

Direct reports:  Assistant Vice President, Clinical Practice Services; Executive Director, Revenue Cycle Operations, Director, Managed Care

Primary Responsibilities

Strategic & Financial Leadership

• Maximize revenue capture and drive continuous improvement in overall revenue cycle and managed care financial performance.

• Develop and execute a multi-year strategic plan for revenue cycle performance aligned with MCW's institutional financial goals, in partnership with the Senior Vice President & CFO, Executive Vice President & Dean of the Medical School, and MCW Medical Group leadership.

• Own enterprise-level revenue cycle financial targets: cash to collect, gross days revenue outstanding (GDRO), AR aging (>90 days), avoidable write-offs, and incremental net revenue enhancement.

• Lead capital and operating budget planning for the revenue cycle function; serve as final approval authority for departmental operating procedures, policies, and standards.
• Provide executive oversight of revenue cycle audit readiness, and resolution of material findings, in partnership with finance.
• Represent revenue cycle performance and trends in executive and Board-level financial reporting.

• Advise on the reimbursement and revenue cycle implications of clinical expansion, new services, regulatory changes, affiliate arrangements, and changes in care delivery.

Managed Care & Payer Strategy

• Develop and execute an organizational managed care and payer strategy aligned with MCW's institutional financial and clinical growth objectives.

• Provide strategic oversight of payer contract negotiations and ensure negotiated contract economics are fully realized in operational and financial performance.

• Identify emerging reimbursement risks and opportunities across payer markets and advise executive leadership on appropriate strategic responses.

• Establish meaningful managed care performance metrics and reporting that complement revenue cycle KPIs, strengthening transparency and accountability across both functions.

• Engage with the MCW Board of Trustees regarding strategies that require the formation of partnerships with outside organizations.

Operational Oversight

• Provide executive oversight for all revenue cycle functions (including patient access/registration, coding and charge capture, professional billing and collections, denial management, cash posting, and customer service) through accountable functional leaders, setting priorities, performance expectations, and resource allocation.

• Establish and monitor KPIs and dashboard reporting across the department; hold direct reports accountable to performance standards.

• Maintain internal control safeguards over AR records and cash collection; ensure billing compliance with all payer, state, and federal requirements.

• Oversee vendor and outsourced service programs supporting revenue cycle operations.

Physician & Stakeholder Alignment

• Operate in a dyad leadership model with the Chief Medical Officer Revenue Cycle to align clinical, operational, and financial priorities.

• Serve as the primary executive liaison between revenue cycle and managed care operations, MCW financial leadership, MCW Medical Group leadership, faculty department chairs and administrators, and affiliate partner organizations.

• Establish and lead governance forums, stakeholder engagement structures, and escalation pathways connecting clinical practices to revenue cycle performance.

• Champion practice-facing education on coding, denials, and performance metrics to drive shared accountability for results.

Technology & Systems

• Set revenue cycle technology priorities and jointly govern investment, sequencing, and benefits realization with IT and clinical leadership.

• Leverage technology and analytics as a competitive advantage in performance improvement and reporting, including implementation of AI in the CPS technology roadmap

• Provide executive accountability for revenue cycle system reliability, data integrity, and remediation of material revenue risks, in partnership with IT.

Talent & Organizational Leadership

• Recruit, develop, and retain a high-performing revenue cycle and managed care leadership team; build formal succession plans for key positions.

• Establish performance expectations for direct reports and lead the performance management process for the department.

• Foster an organizational culture of continuous improvement, transparency, and customer-centered service delivery.

Compliance

• Ensure all revenue cycle activities comply with HIPAA, payer regulations, and applicable state and federal billing requirements.

• Serve as an institutional point of contact for regulatory agencies and third-party payers on revenue cycle matters.

Knowledge – Skills – Abilities

• Deep knowledge of healthcare revenue cycle and managed care financial indicators, regulatory environment, and payer contracting dynamics.

• Executive-level communication skills; ability to translate operational performance into institutional financial narrative for CFO, COO, Dean School of Medicine's office, and Board audiences.

• Proven ability to build trust and drive change across physician, administrative, and operational stakeholder groups.

• Strategic orientation balanced with comfort in operational detail and performance accountability.

• Change management and organizational design experience, given this is a newly established executive role.

Qualifications

Appropriate experience may be substituted on an equivalent basis.

Minimum Required Education:  Bachelor's degree in Business, Healthcare Administration, Finance, or a related field required.

Minimum Required Experience:  Ten or more years of progressive revenue cycle leadership experience, including a senior leadership role in a large academic medical center, multi-specialty faculty practice plan, or comparable complex health system. Demonstrated success managing revenue cycle performance at scale (>$500M NPSR under management preferred). Experience working in Epic Resolute PB is required. Experience leading managed care contracting or payer strategy functions strongly preferred.

Preferred Education:  Master's degree (MBA, MHA, or related field).

Preferred Experience:  Experience navigating physician/faculty governance structures in an academic medical center environment.

Preferred Certification/Licensure(s):  HFMA, AAHAM, or MGMA certification. Coding credential (RHIA, RHIT, CPC, CCS-P, or CDIP) a plus.

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Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Employee & Family Assistance Program (EFAP)
• Pet Insurance
• On campus Fitness Facility, offering onsite classes
• Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview

For a full list of positions see: MCW Careers

At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring – Collaborative – Curiosity – Inclusive – Integrity – Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.