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Adventist HealthCare

Non-profit faith-based healthcare system

Vice President of Revenue Cycle & Managed Care

Corporate Finance & FP&AConfirmed live in the last 24 hours
Full-timeGaithersburg, MD, USA$249.1k - $373.7kIn-person

About the Job

Requirements

  • Excellent written and verbal communication and negotiation skills.
  • Strong knowledge of revenue cycle best practices.
  • In-depth knowledge of reimbursement methodologies, insurance regulations, and industry trends.
  • Strong financial acumen and ability to analyze complex financial data and make data-driven decisions.
  • Strong organizational skills and ability to prioritize and manage multiple projects simultaneously.
  • Customer- and relationship-focused, and results-oriented.
  • Bachelor's degree in healthcare administration, business administration, or a related field.
  • Ten years of experience in healthcare revenue cycle covering multiple revenue cycle functions, with extensive knowledge of ambulatory services.
  • Five years of experience in a leadership role overseeing revenue cycle functions.

Responsibilities

  • Develop and implement strategies to optimize the end-to-end revenue cycle for ambulatory services.
  • Oversee billing, coding, collections, and reimbursement processes to ensure accuracy and efficiency.
  • Monitor key performance indicators and implement improvements to enhance financial performance.
  • Collaborate with clinical and administrative staff to streamline workflows and reduce denials and write-offs.
  • Lead and mentor a team of revenue cycle and managed care professionals.
  • Foster a culture of continuous improvement, accountability, and collaboration.
  • Provide regular training and development opportunities for team members.
  • Ensure compliance with federal, state, and local regulations related to revenue cycle and managed care.
  • Develop and implement policies and procedures to mitigate risk and ensure ethical billing practices.
  • Prepare and present regular reports on revenue cycle performance.
  • Conduct financial analysis to identify trends, opportunities, and areas for improvement.
  • Develop and manage the department budget, ensuring alignment with organizational goals.
  • Lead the development and execution of the health system's managed care strategy across commercial, Medicare Advantage, Medicaid managed care, and self-insured employer payer segments.
  • Direct negotiation of facility, professional, and ancillary contracts with commercial and government payers, ensuring competitive rates and operationally executable terms.
  • Develop and maintain contract financial models to evaluate the revenue impact of proposed rate structures, reimbursement methodologies, and risk-sharing arrangements.
  • Use revenue cycle performance data, including denial rates, underpayments, and claims adjudication patterns, to inform and strengthen contract negotiation positions.
  • Maintain a payer contract calendar and ensure timely renewals, amendments, renegotiations, and termination notices across payer agreements.
  • Serve as the senior executive liaison with payer network directors, medical directors, and government program administrators.
  • Monitor market benchmarking data, competitor rate intelligence, and payer financial performance to sharpen negotiation strategy and identify new contracting opportunities.
  • Stay current with industry trends, regulations, and best practices.

About the Company

Adventist HealthCare

Non-profit faith-based healthcare system

Adventist HealthCare operates a network of hospitals, rehabilitation centers, and mental health services in Maryland. It delivers coordinated care across inpatient, outpatient, home-based, and community settings, guided by its faith-based mission. Unlike many providers, it is a not-for-profit organization that reinvests earnings into facilities and community health rather than distributing profits. Its goal is to provide compassionate patient care rooted in the teaching and healing ministry of Jesus Christ and to improve regional health through reinvested resources.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Gaithersburg, MD
Founded
1907

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