Description
The Vice President, Revenue Cycle Management will build, lead and oversee all aspects of revenue cycle operations, ensuring compliance, efficiency, and strategic optimization of patient intake, financial counseling, billing, collections, reimbursement, and financial workflows.
This executive will design and implement scalable, AI-enabled automated revenue cycle infrastructure in partnership with Sales, Market Access, and Commercial Operations to maximize revenue capture, minimize denials, and enhance patient financial experience.
This is a remote role with up to 25% travel.
The successful candidate will develop and implement Freenome's enterprise-wide revenue cycle strategy, build and coach a high-performing team, establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management, and partner with Market Access to maintain strong payer relationships.
Key responsibilities include:
- Strategic Leadership: Develop and implement Freenome's enterprise-wide revenue cycle strategy.
- People Leadership: Build, coach, and develop a high-performing team, fostering a culture of accountability, continuous improvement, and deep customer focus.
- Billing & Collections: Establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management.
- Patient Intake Services: Oversee the efficiency and effectiveness of intake services including benefit verification, financial counseling, prior authorization, and customer call center operations.
- Payer & Contracting Relations: Partner with Market Access to maintain strong payer relationships, ensuring optimal reimbursement rates and contract compliance.
- Compliance & Risk Management: Ensure adherence to federal, state, and payer-specific regulations, including CMS and value-based care initiatives.
- AI, Technology & Process Optimization: Leverage AI, ML, automation, and analytics to improve revenue cycle performance, reduce denials, intake time and overall cost to collect.
- Cross-Functional Collaboration: Partner with Sales, Market Access and Commercial Operations leadership to ensure smooth revenue cycle integration with patient care workflows.
- Financial Performance Monitoring: Define, track, and analyze revenue cycle KPIs, drive continuous improvement, and present strategic insights and actionable recommendations to executive leadership.
- Budget Oversight: Oversee annual budget, ensuring effective allocation of resources to meet organization objectives.
- Customer Engagement: Build strong relationships with customers by proactively addressing financial challenges and aligning solutions with their operational and clinical needs.
- Organization Leadership: Serve as a trusted and key contributor to the Finance organization and Senior Leadership Team, actively participating in Quarterly Business Reviews (QBRs) and providing strategic insights on revenue cycle performance, reimbursement optimization, and payer trends.
Requirements include:
- Bachelor's degree in finance, healthcare administration, or a related field (MBA or MHA preferred).
- 12+ years of progressive experience in revenue cycle management, preferably in molecular diagnostics or precision diagnostics industry.
- 6+ years leadership experience in revenue cycle management building and leading high-performance teams.
- 4+ years of P&L responsibility.
- Extensive expertise in payer contracting, reimbursement methodologies, and healthcare finance.
- Proven success in scaling revenue cycle operations for a growing healthcare organization.
- Passion for utilizing AI and automation to optimize systems and processes.
- Strong planning and cross-functional partnership skills with demonstrated ability to drive continuous improvement.
- Deep understanding of compliance (CMS, HIPAA, Stark Law, etc.) and regulatory considerations in infusion services.
The US target range of our base salary for new hires is $261,725 - $337,838. You will also be eligible to receive equity, cash bonuses, and a full range of medical, financial, and other benefits depending on the position offered.