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Vice President, Revenue Cycle Management

Hellobrightline

🌍 North America 🏠 Remote ⏱ Full-time 🗓 6 weeks ago

Welcome to Brightline! We are searching for a Vice President of Revenue Cycle Management to own the strategic direction and executive leadership of our end-to-end revenue cycle. This is a senior executive role reporting to the CFO, responsible for developing and executing multi-year revenue cycle strategy, managing a team of Directors, and ensuring the organization maximizes net revenue, accelerates cash flow, and sustains compliant, scalable operations.

Responsibilities:

- Revenue Cycle Strategy Ownership: Develop and own the multi-year revenue cycle strategy aligned to the corporate strategic plan, translating it into operational priorities, investment decisions, and measurable performance outcomes across the full revenue cycle continuum.

- Organizational Leadership: Manage and develop a team of Directors spanning Payor Enrollment, Licensing & Credentialing, Medical Billing, Coding, Accounts Receivable, Denials Management, and Revenue Integrity — setting direction, holding leaders accountable to outcomes, and building a high-performing, scalable organization.

- Revenue Cycle Operations: Provide executive leadership across all revenue cycle functions — including charge capture, coding, billing, claims submission, accounts receivable, and collections — driving automation, technology adoption, and continuous performance improvement against KPIs including net collection rate, DAR, clean claim rate, and denial rate.

- Change Management & Risk Mitigation: Develop and lead change management and risk mitigation strategies for revenue cycle operations, including proactive planning for regulatory changes, payor policy shifts, technology transitions, and organizational growth or restructuring.

- Payor Enrollment & Credentialing: Maintain executive accountability for payor enrollment and provider credentialing functions, ensuring providers are enrolled and credentialed accurately, compliantly, and within timelines that protect the organization’s ability to bill and collect — including proactive planning for new market expansions and acquisitions.

- Denials Management & Revenue Integrity: Set strategic direction for denials prevention and revenue integrity, driving a proactive, analytics-based approach to root cause analysis and systemic issue resolution, in partnership with Compliance and Legal.

- External Stakeholder Engagement: Represent the organization externally with payor executives, at industry forums, and in high-stakes contract negotiations — serving as the senior revenue cycle voice and relationship holder at the executive level.

- Technology & Analytics: Lead revenue cycle technology strategy, sponsoring investment in practice management systems, coding tools, credentialing platforms, AI-assisted tools, and analytics capabilities that provide real-time executive visibility into revenue cycle performance.

REQUIREMENTS:

- 10+ years of progressive revenue cycle management experience in a healthcare services setting, with at least 5 years in a senior leadership role managing Directors or equivalent

- Demonstrated experience developing and executing revenue cycle strategy, improving net collection rates, reducing DAR, and leading organizations through transformation

- Experience overseeing payor enrollment and provider credentialing functions at scale; multi-site, multi-specialty, or multi-state experience preferred

- Deep expertise in Medicare, Medicaid, and commercial payor billing rules, credentialing standards, and enrollment processes

- Strong knowledge of ICD-10, CPT, and HCPCS coding principles and compliance requirements

- Proven ability to represent an organization externally with payors, in contract negotiations, or at an industry level

- Experience leading change management and enterprise risk mitigation in a complex, high-growth, or highly regulated environment

- Strong executive presence with the ability to present complex financial and operational information to senior leadership and the Board

- Proficiency with practice management and EHR platforms; enterprise credentialing systems (e.g., Cactus, Verity, MD-Staff) a plus

- Bachelor’s degree in Business, Healthcare Administration, Finance, or related field required; Master’s degree (MBA, MHA, or equivalent) strongly preferred

- Preferred certifications: CRCE or CRCP (HFMA/AAHAM), CPC (AAPC), and/or CPCS or CPMSM (NAMSS)

WE OFFER SEVERAL BENEFITS, PERKS, AND STIPENDS:

- Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k

- 12 Company Holidays, Holiday Shutdown, Flexible Time Off, Parental Leave

- Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement

- Stock Options

At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory special

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