System VP Revenue Operations - Mid-Cycle

Description

The System Vice President for Revenue Operations – Mid-Cycle provides visionary leadership for UNC Health's mid-cycle Revenue Cycle operations; including both Hospital and Professional operations. This executive role drives impactful results across the revenue cycle, focusing on clinical documentation, coding, charge capture, and utilization review. The position oversees system-wide management of Mid-Cycle Revenue Cycle functions, including strategic program planning, variance analysis, operational optimization, financial stewardship, problem resolution, talent management, and continuous performance improvement. The primary objectives are to maximize revenue integrity, ensure accurate reimbursement, and drive operational excellence for all UNC Health entities, both owned and managed, that subscribe to Shared Revenue Cycle services.

Description of Job Responsibilities

VP Revenue Operations – Mid Cycle: Spearhead the mid-cycle aspects of UNC Health's Hospital and Professional Revenue Cycles. Develops and implements innovative strategies to enhance mid-cycle performance, encompassing Clinical Documentation Improvement (CDI), IP, OP and professional medical coding accuracy and compliance, charge capture optimization, utilization review and care management, clinical denial prevention & resolution, and continuous optimization of coding and CDI technologies. Assures quality data extraction for UNC quality programs is achieved. Partner with the Health Alliance to provide supportive documentation and leadership regarding HCC/RAF and coding elements in support of alternative payment models. Focuses on maximizing revenue capture while ensuring compliance and accuracy. Adheres to principals of coding standards, regulatory requirements, and legal mandates in all operations.

Leading People: Leads people toward meeting the organization's vision, mission, and goals. Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Encourages workforce engagement by building a commitment to excellence and by promoting the organization's vision internally and externally. Delegates’ responsibility clarifies expectations and holds others accountable for achieving results related to their area of responsibility. Leads in a deliberate and predictable way and operates with transparency. Treats sensitive or confidential information appropriately. Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and by providing opportunities to learn through formal and informal methods. Manages and resolves conflicts and disagreements in a constructive manner.

Leading Change: Acts as a catalyst for organizational change. Influences others to translate vision into action. Brings about strategic change, both within and outside the organization, to meet organizational goals. Establishes an organizational vision and implements it in a continuously changing environment. Is open to change and new information and rapidly adapts to new information, changing conditions, or unexpected obstacles. Deals effectively with pressure and remains optimistic and persistent, even under adversity. Recovers quickly from setbacks. Formulates objectives and priorities, and implements plans consistent with the long-term interests of the organization. Capitalizes on opportunities and manages risks. Takes a long-term view and builds a shared vision with others.

Results Driven: Exceeds organizational goals and customer expectations. Makes decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. Holds self and others accountable for measurable, high-quality, timely, and cost-effective results. Delivers high-quality services and is committed to continuous improvement. Fosters a culture of safe and compassionate patient care. Makes well-informed, timely decisions, even when data are limited, or solutions produce unfavorable results. Positions the organization for success by identifying new opportunities and builds the organization by developing and improving services. Leads the budgeting process. Uses cost-benefit thinking to set priorities, monitors expenditures in support of programs and policies, and identifies cost-effective approaches.

Education Requirements

Requires Master’s degree in healthcare administration, Accounting, Finance or related field

Licensure/Certification Requirements

None required.

Professional Experience Requirements

Requires twelve (12) years of progressively responsible revenue ops experience, including ten (10) years of people management experience

Knowledge, Skills, and Abilities Requirements

Deep understanding of the healthcare revenue cycle, including patient registration, insurance verification, billing, coding, collections, denials management, and payer reimbursement processes.

Understanding of value-based care initiatives, pay-for-performance models, and risk-sharing agreements.

Skills in developing financial models, revenue forecasting, and scenario planning to ensure long-term economic health.

Skills in overseeing the implementation and integration of revenue cycle management technology to optimize billing, payments, and collections.

Must be able to adjust strategies in response to regulatory changes, shifts in payer models, or evolving healthcare trends.

Strong ability to negotiate contracts with payers and vendors to secure favorable terms and enhance revenue streams.