Associate Vice President (AVP), Revenue Recovery

Key Responsibilities

Strategic Leadership & Vision:

• Develop and execute the overall vision and strategy for the Revenue Recovery service line ensuring alignment with corporate goals.

• Serve as the companys foremost subject matter expert on denial management and underpayment recovery advising executive leadership on market trends strategic opportunities and emerging technologies.

• Drive a culture of accountability continuous improvement and high performance within the team fostering individual motivation and professional development.

• Establish and own the service lines P&L developing and managing operating budgets forecasting revenue and ensuring profitability.

Operational Oversight & Performance Management:

• Provide executive leadership and oversight for the Clinical Nurse Manager and the Revenue Recovery Manager ensuring their teams meet and exceed all operational and financial targets.

• Define monitor and report on Key Performance Indicators (KPIs) including denial rates appeal success rates recovery velocity A/R days and cost-to-collect.

• Lead the continuous optimization of workflows within the Health Innovas Pulse platform and our selected AI partners tools to maximize efficiency and effectiveness.

• Analyze performance data to identify systemic root causes of revenue leakage and lead the development of enterprise-level prevention strategies.

Client & Stakeholder Collaboration:

• Serve as the primary executive liaison for the Revenue Recovery service building and maintaining strong collaborative partnerships with Insource client leadership including hospital CFOs and VPs of Finance.

• Prepare and deliver executive-level presentations and business reviews to clients translating complex operational data into clear financial impact and strategic recommendations.

• Collaborate effectively with internal leaders including the Business Enablement team IT and Sales to ensure seamless service delivery and strategic alignment.

Technology & Innovation:

• Lead the strategy for leveraging technology to create a competitive advantage including the full optimization of the Pulse platform and the integration of agentive and generative AI tools.

• Develop and maintain a roadmap for automation to improve processes reduce administrative burden and lower the overall cost-to-collect.

Qualifications and Skills

Required:

• Bachelors Degree in Healthcare Administration Business Finance or a related field. Masters Degree (MHA MBA) is highly preferred.

• A minimum of 10 years of progressive experience in healthcare revenue cycle management with deep expertise in back-end operations including denial management underpayment recovery and AR management.

• At least 5 years of experience in a senior leadership role (Director level or above) with a proven track record of building and leading high-performing teams and managing a P&L.

• Strong financial acumen and exceptional analytical skills with the ability to analyze complex data sets identify trends and make data-driven strategic decisions.

• Excellent communication presentation and interpersonal skills with the ability to build trusted relationships and communicate effectively with C-suite executives clinical leaders and internal teams.

Preferred:

• Experience in an outsourced RCM vendor or consulting environment.

• Demonstrated experience implementing and optimizing revenue cycle technologies including workflow management platforms and AI/automation tools.

• Industry certifications such as HFMA-CRCR or FHFMA.

• Experience with LEAN Six Sigma or other process improvement methodologies.