VP, RCM

Reporting to the SVP Revenue Cycle Management the Vice President Revenue Cycle Management (RCM) is responsible for leading and optimizing all aspects of our revenue cycle operations. The Vice President will oversee the end-to-end revenue cycle process ensuring operational efficiency regulatory compliance financial performance and a patient-centered experience.

Privia Health orchestrates its Revenue Cycle Management through national oversight strategic offshore partnerships and localized market resources ensuring a cohesive approach across all facets of practice operations. The Vice President of RCM spearheads this critical function by defining and deploying
revenue cycle policies procedures and processes coupled with rigorous accountability for teams against key performance indicators. Furthermore this role demands strong leadership to guide staff consistently embodying and promoting Privia Healths core mission vision and values.

Primary Job Duties:

Develop and execute strategic plans to optimize all components of the revenue cycle including patient access billing collections revenue integrity claims and denials management

Provide day-to-day operational oversight of RCM across a subset of Privias markets while overseeing and managing national RCM operations including but not limited to Revenue Optimization AR Management Training Unpostables QA Refunds and Overpayments

Lead mentor and build high-performing teams across RCM functions.

Review enact and maintain policies procedures and processes related to revenue cycle functions

Monitor analyze and report on key performance indicators (KPIs) and financial metrics; recommend and implement corrective actions when necessary

 Collaborate cross-functionally with finance operations IT compliance and clinical leadership to drive integrated revenue cycle initiatives

Own full P&L responsibility for RCM operations. Partner with the SVP of RCM to develop the annual budget and ensure the department adheres to fiscal goals and budgetary expectations

Design and implement strategic RCM plans to enhance performance or maximize operational effectiveness for existing and new market growth ensuring alignment with Privias broader revenue cycle goals

Implement technology solutions robotic process automation and process improvements to increase efficiency accuracy and cash flow

 Foster a culture of accountability continuous improvement and service excellence

Oversee relationships with external vendors and partners supporting RCM operations developing strategies to enhance workflows and maximize resource utilization

Stay informed of industry trends regulatory changes and best practices to maintain a cutting-edge revenue cycle operation

Ensure compliance with federal state and payer-specific billing regulations

Other duties as assigned

Qualifications :

 Bachelors degree in Finance Business Administration Healthcare Administration or a related field; Masters degree preferred

5 years of leadership experience in revenue cycle management within healthcare organizations

Multi-site and multi-state experience required

Deep knowledge of healthcare reimbursement models payer contracts billing regulations and compliance requirements

Strong analytical skills and experience using data-driven approaches to optimize revenue cycle performance

Exceptional leadership communication and interpersonal skills

Experience implementing and optimizing RCM technology platforms (e.g. EHR/EMR billing systems)

Thorough understanding of all payers including all major commercial payers as well as Medicaid and Managed Medicaid across multiple markets

athenaNet experience preferred

Must comply with HIPAA rules and regulations

The salary range for this role is $190000-$225000 in base pay and exclusive of any bonuses or benefits (medical dental vision life and pet insurance 401K paid time off and other wellness programs).This role is also eligible for an annual bonus targeted at 25% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience education and geographic location.

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only not applicable for onsite/in office work):

In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.  

Remote Work :

Yes

Employment Type :

Full-time