Remote Vice President, Revenue Cycle & Contracting

Summary

Join Forge Health as a VP of Revenue Cycle & Contracting and lead all aspects of revenue cycle management and payer contracting functions. This role will oversee RCM performance, develop and implement payer contracting strategies, and manage the Director of Revenue Cycle.

Requirements

• Bachelor’s degree
• At least ten (10) years of experience in revenue cycle management in healthcare in positions of increasing responsibility – working with commercial health insurance companies, Medicaid programs, and Medicare programs – required
• Experience in revenue cycle management in behavioral health preferred
• Experience with value-based care payment arrangements preferred

Responsibilities

• Oversee all aspects of revenue cycle functions and initiatives
• Directly manage the Revenue Cycle operations team, including the director and their direct reports
• Drive continuous optimization of all revenue cycle operations by measuring, analyzing, and interpreting revenue cycle and reimbursement data
• Establish measures of performance metrics and create dashboards that incorporate both internal and external payment data
• Extract and compile data from various system sources to develop analyses leading to potential revenue cycle opportunities
• Develop, implement – and revise as necessary – revenue cycle management policies and procedures
• Provide senior leadership oversight of the revenue cycle operation, driving performance/ operational planning
• Oversee all aspects of existing and new payer contracts
• Serve as subject matter expert and go-to person for all revenue, payer contracting, and reimbursement-related matters
• Apply current knowledge and understanding of regulations, industry trends, current best practices, new developments, and applicable laws to ensure operational and financial effectiveness
• Proactively identify situations which require intervention (i.e. denials, underpayments, and other issues)
• Plan, prepare, and conduct corrective course of action(s) in partnership with key stakeholders
• Identify and ensure revenue cycle management training needs at all levels of the organization
• Monitor relevant policy at payers, states, and at the national level, and assess opportunities and threats related to emerging and evolving issues
• Prepare impactful reports, analytics, summaries, and visualizations to communicate findings
• Develop, recommend, and implement payer contracting strategy for fee-for-service and value-based initiatives with commercial health plans, Medicaid, and Medicare partners
• Create, develop, and maintain contacts with existing and potential contracting partners of new and existing payers
• Rapidly approach payers to obtain new or improved contracts
• Execute administrative duties as required, including maintaining lists of provider relations contacts

Benefits

• Competitive salary aligned with your experience
• Comprehensive paid time off package
• Annual time off to volunteer
• Parental leave
• Annual continuing education allocations
• Competitive medical, dental, and vision package
• Annual subscription to a leading meditation app