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VP, Revenue Cycle
Center for Health Care StrategiesVice President of Revenue Cycle at Nemours Children's Health overseeing enterprise-wide revenue cycle strategies across multiple states. Leading financial performance and patient experience optimization in a complex pediatric health system.
About the role
Key responsibilities & impact- Provide strategic oversight of all revenue cycle functions including: Health Information Management, Patient Financial Services (Central Business Office), Revenue Integrity, Coding for Hospital and Physician Practices
- Lead a multi-state, integrated revenue cycle model across Delaware, Florida, and affiliated sites of care
- Establish a high-performing, standardized operating model with clear accountability and KPIs
- Drive improvements in key performance metrics: Net patient revenue yield, Days in Accounts Receivable (A/R), Cash collections, Denial rates and overturn success, Cost to collect, Discharge Not Final Billed
- Lead enterprise-wide initiatives to reduce revenue leakage and improve margin performance
- Partner with finance leadership on forecasting, budgeting, and long-range financial planning
- Oversight of System Revenue Cycle Committee
- Optimize revenue cycle processes in a high Medicaid payer mix environment (~50%)
- Partner with payer strategy and managed care teams to improve reimbursement accuracy, reduce administrative burden, strengthen payer-provider collaboration
- Ensure readiness for evolving reimbursement models including value-based care and risk arrangements
- Lead optimization and continuous improvement of EPIC revenue cycle systems
- Drive automation, AI, and analytics capabilities across the revenue cycle: Predictive denials management, Intelligent work queues, Real-time eligibility and authorization tools
- Advance digital patient financial experience: Transparent pricing, Digital billing and payment platforms
- Ensure a frictionless, compassionate financial journey for patients and families
- Align revenue cycle processes with Nemours’ mission of family-centered care
- Reduce financial barriers to care while maintaining strong financial stewardship
- Ensure compliance with all federal and state regulations including: CMS billing requirements, Medicaid policies, No Surprises Act and price transparency
- Maintain strong internal controls and audit readiness
- Partner with compliance and legal teams on risk mitigation
- Lead, mentor, and develop a large, diverse revenue cycle workforce
- Build a culture of accountability and performance excellence, innovation and continuous improvement, collaboration across clinical and administrative teams
- Develop future leaders within the revenue cycle organization.
- Key Partnerships: Chief Financial Officer, Chief Operating Officer, Market Presidents, Market CFOs, Chief Information Officer / Digital & IT teams, Payer Strategy & Managed Care, Clinical leadership across service lines, External vendors and revenue cycle partners.
Requirements
What you’ll need- Bachelor’s degree in Finance, Healthcare Administration, or related field (Master’s preferred)
- 10–15+ years of progressive revenue cycle leadership experience in a large, complex health system
- Demonstrated success leading enterprise revenue cycle transformation
- Deep expertise in Epic revenue cycle modules
- Pediatric or Medicaid-heavy reimbursement environments
- Denials management and revenue integrity
- Strong financial acumen and ability to influence executive and board-level decisions.
- Preferred experience in a children’s hospital or academic medical center
- Track record of implementing digital/AI-enabled revenue cycle solutions
- Experience with value-based care models and risk-based contracts.
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementfinancial forecastingbudgetingKPI developmentdenials managementrevenue integrityvalue-based carerisk-based contractsdigital revenue cycle solutionsEpic revenue cycle modules
Soft Skills
leadershipmentoringcollaborationaccountabilityperformance excellenceinnovationcommunicationstrategic oversightinfluencecontinuous improvement
Certifications
Bachelor’s degree in FinanceBachelor’s degree in Healthcare AdministrationMaster’s degree (preferred)