VP, Revenue Cycle Management
VP, Revenue Cycle Management
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Job Description
Welcome to Ovation Healthcare!
At Ovation Healthcare weve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcares vision is to be a dynamic integrated professional services company delivering innovative and executable solutions through experience and thought leadership while valuing trust respect and customer focused behavior.
Were looking for talented motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcares corporate headquarters is located in Brentwood TN. For more information visit .
Summary:
We are seeking a mission-driven strategic revenue cycle executive to lead and modernize the Central Business Office (CBO) for our rural New York State health system. Our system includes multiple Critical Access Hospitals (CAHs) Rural Health Clinics (RHCs) Article 28 facilities Article 31 mental health clinics dialysis centers and comprehensive oncology services.
This senior leader will oversee the full spectrum of revenue cycle operations and drive enterprise-wide transformation that aligns with New York States complex healthcare landscape. The ideal candidate has deep expertise in rural and specialty care reimbursement experience navigating NYS Medicaid and regulatory compliance and a passion for advancing access and sustainability in underserved communities.
Duties and Responsibilities:
Enterprise Revenue Cycle Oversight:
Lead all revenue cycle functions including patient access authorization coding charge capture billing collections denials and revenue integrity across hospitals RHCs Article 28 clinics behavioral health (Article 31) dialysis and oncology centers.
New York State Regulatory Expertise:
Ensure full compliance with NYS Department of Health (DOH) and Office of Mental Health (OMH) billing guidelines Article 28/31 regulations APG billing Medicaid rate codes eMedNY requirements and documentation standards.
Technology Modernization:
Drive modernization of billing platforms and front-end digital tools. Lead optimization of EHR and RCM systems common to NYS providers (e.g. MEDITECH eClinicalWorks Athena NextGen Epic Community Connect) to enhance accuracy automation and reporting.
Specialty Billing Leadership:
Oversee complex reimbursement strategies for OMH behavioral health Medicare ESRD Prospective Payment System (for dialysis) and oncology infusion/drug billing (e.g. J-code accuracy 340B eligibility and carve-outs). Navigate NY Medicaids specialty service carve-ins and carve-outs.
Data-Driven Performance Management:
Implement dashboards and performance tracking systems to monitor KPIs such as A/R days denial rates net revenue realization Medicaid eligibility conversion and patient collections. Proactively manage financial risk in a challenging payer mix.
Transformation & Centralization:
Lead the centralization of revenue cycle functions into a high-performing scalable CBO model.
Streamline workflows and resource allocation across geographically dispersed multi-service facilities.
Strategic Financial Collaboration:
Serve as a key partner to the CFO and executive team in aligning revenue cycle strategy with system-wide financial goals.
Support payer contracting strategy and NYS Value-Based Payment (VBP) readiness efforts.
Workforce & Leadership Development:
Build and lead a strong revenue cycle leadership team.
Recruit and retain top talent in rural markets while fostering a culture of accountability innovation and mission alignment.
Knowledge Skills and Abilities:
Leadership & Transformation:
Demonstrated success leading enterprise-wide revenue cycle transformation workforce centralization and technology modernization.
Regulatory Acumen:
Strong grasp of NY-specific regulations cost reporting standards and payer trends impacting rural health and specialty services.
Communication & Change Management:
Excellent communicator and team builder with the ability to drive alignment and cultural buy-in across clinical financial and operational teams.
Systems Expertise:
Proficient with healthcare IT and RCM systems relevant in rural and NYS settings (e.g. MEDITECH CPSI Athena eClinicalWorks NextGen Epic).
Ability to lead upgrades integrations and optimization projects.
Work Experience Education and Certifications:
Bachelors degree in healthcare administration Business or Finance required; Masters degree (MHA MBA MPH) strongly preferred.
Minimum 10 years of progressive revenue cycle leadership experience with at least 5 years in New York State-based healthcare organizations.
Direct experience with CAH RHC Article 28 and 31 clinics and specialty care billing preferred.
Experience with 340B program compliance and optimization is highly desirable.
Strong knowledge of NYS Medicaid APG reimbursement rate codes OMH billing and DOH/OMH audits.
Working Conditions and Physical Requirements:
This position requires frequent travel up to 75% including overnight stays to various locations in Upstate New York.
Must be able to sit stand or walk for extended periods while traveling or attending meetings conferences or site visits.
Must be comfortable working in various environments including airports client sites and remote or field-based locations.
Flexibility to work outside of normal business hours as travel or time zone differences may require.
Must possess a valid drivers license.
Ability to work independently while traveling maintaining productivity and meeting deadlines with limited supervision.
Reliable high-speed internet connection is required for all remote/hybrid positions.
Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing cloud-based tools and other online work-related activities.
A HIPAA-compliant work environment is required including a secure workspace free from unauthorized access or interruptions no use of public Wi-Fi unless connected through a secure company-provided VPN and compliance with all applicable HIPAA privacy and security regulations.
Required Experience:
Exec
Employment Type
Full-Time
