Vice President, Medical Operations

The Vice President of Revenue Cycle is responsible for the strategic oversight and hands-on execution of the end-to-end revenue cycle across the organization’s Skilled Nursing Facility (SNF) network. This role provides direct operational leadership for billing, collections, accounts receivable, payer compliance, and audit readiness, with a strong emphasis on facility-level performance, cash flow optimization, and team development.
The Vice President partners closely with facility administrators, clinical leadership, and corporate leadership to maximize reimbursement, reduce days in accounts receivable, and ensure compliance with Medicare, Medi-Cal, and Managed Care payer requirements in a highly regulated post-acute environment.

Skilled Nursing Facility Revenue Cycle Optimization
Billing & Coding Compliance (Medicare, Medi-Cal, Managed Care)
Claims Management, Denial Prevention, and Appeals
Accounts Receivable & Cash Flow Improvement
Regulatory Compliance & Audit Readiness
Team Development, Mentorship, and Performance Management

Revenue Cycle Leadership & Regional Operations
Oversee all aspects of the revenue cycle across the SNF portfolio, including patient intake, billing, collections, and accounts receivable.
Provide hands-on executive leadership with direct accountability for facility-level revenue cycle performance.
Act as the primary escalation point for complex billing issues, unresolved AR, and payer disputes.
Cash Flow & Performance Management
Develop and implement strategies to improve revenue cycle efficiency, reduce days in accounts receivable, and optimize cash flow.
Review and analyze facility-level cash collections, aging reports, and payer performance trends.
implement corrective action plans to improve revenue recognition and collections.
Claims, Denials & Payer Compliance
Ensure accurate, timely, and compliant claim submission to Medicare, Medi-Cal, and commercial payers.
Implement best practices for claims management, denial prevention, and appeals.
Ensure accounts receivable and billing systems are fully functional and aligned with field operations by partnering with the Information Systems team and external vendors.
Serve as the primary liaison and subject-matter expert for billing audits, internal audits, and Additional Documentation Requests (ADRs).
Develop, enforce, and maintain revenue cycle policies, procedures, and internal controls.
Conduct regular audits and reviews to ensure compliance with regulatory and payer requirements.
Facility Engagement & Continuous Improvement
Work closely with facility administrators and business office managers to improve billing accuracy, timeliness, and accountability.
Conduct regular facility-level performance reviews, identifying root causes and driving corrective actions.
Standardize workflows and best practices across facilities while accommodating operational realities of a regional platform.
Lead, mentor, and develop revenue cycle teams, including billing, coding, and collections staff.
Evaluate team performance and implement strategies for continuous improvement and professional growth.
Support recruiting, interviewing, hiring, and onboarding of business office and revenue cycle personnel.
Stay current on industry trends, regulatory updates, and best practices impacting SNF reimbursement and revenue cycle operations.
Perform other related duties as assigned by senior management.

Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field preferred.
Minimum of 7–10 years of progressive revenue cycle management experience, with demonstrated leadership success.
Extensive knowledge of SNF revenue cycle operations, healthcare reimbursement, and billing practices.
Strong understanding of healthcare reimbursement, billing, and accounting principles.
Proven ability to manage labor and operational budgets and track financial performance.
Management reserves the right to assign or reassign duties and responsibilities at any time based on business needs.