Vice President of Operations & Revenue Integrity

Description

The Vice President of Operations & Revenue Integrity serves as a critical link between SPCP’s clinical operations and revenue cycle management (RCM) functions, reporting directly to the COO . This leadership role is responsible for ensuring optimal coordination between billing, coding, reimbursement, and collections while driving organizational efficiency and profitability . The position will work closely with both operational teams and RCM staff to align strategic goals, optimize workflows, and support sustained financial performance and compliance .

Requirements

Key Responsibilities

Strategic Leadership

• Provide oversight and strategic direction for the revenue cycle, including billing, coding, reimbursement, and collections .
• Collaborate with Regional Vice Presidents and operational leaders to standardize processes and drive alignment between clinical operations and RCM .
• Develop long-range objectives and implement policies in response to internal and external changes .
  
  

Revenue Cycle Optimization

• Identify, design, and implement best practices to optimize the full revenue cycle process, ensuring efficient billing, accurate coding, and effective collections .
• Monitor and analyze key metrics (e.g., AR days, denial rates) to drive improvements that enhance financial performance .
  
  

Operational Efficiency

• Drive operational improvements by working closely with clinic leadership to refine workflows, increase profitability, and improve patient experience across multiple sites .
• Define targets related to revenue and profit, reviewing outcomes to ensure alignment with organizational priorities .
  
  

Financial Analysis & Compliance

• Oversee compliance with healthcare regulations, payer policies, and organizational standards to mitigate risk and uphold ethical operations .
• Conduct regular financial analyses to identify trends, areas of improvement, and mitigate denials to maximize cash flow .
  
  

Team Development & Collaboration

• Lead, mentor, and develop teams across both operations and RCM, ensuring best practices in documentation, coding, and quality standards .
• Collaborate with cross-functional stakeholders—including finance, clinical providers, and compliance—to identify opportunities for innovation and revenue enhancement .
  
  

Vendor & Contract Management

• Manage and evaluate vendors (e.g., billing companies, software providers), negotiating contracts and maintaining service level agreements .
  
  

Qualifications & Requirements

• Bachelor’s degree in Healthcare Administration, Business, or a related field required; Master’s degree preferred .
• Minimum of 10 years of progressive leadership in revenue cycle management, preferably in a healthcare setting .
• Strong background in healthcare operations, with proven ability to oversee multiple sites and drive process improvements .
• Excellent analytical, financial, and interpersonal skills, capable of synthesizing complex data and collaborating with internal and external stakeholders .
• Ability to travel up to 30% within assigned markets .
  
  

Key Physical & Mental Requirements

• Ability to lift up to 50 pounds and push or pull heavy objects using up to 50 pounds of force .
• Ability to sit or stand for extended periods of time .
• Fine motor skills to operate office equipment .
• Ability to use logical reasoning for problem-solving and to receive and comprehend instructions verbally and/or in writing .
• Ability to travel to multiple locations as needed .
  
  

FLSA Classification

Exempt .

Equal Opportunity Employer

Southeast Primary Care Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law .