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Details

+ **Department:** Revenue Cycle

+ **Location:** Remote

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._

Responsibilities

The Associate Vice President (AVP) of Back-End Revenue Cycle is responsible for overseeing all hospital system back-end revenue cycle operations—including billing, follow-up, denials management, cash posting, and collections—executed primarily through a contracted third-party revenue cycle management (RCM) vendor. This role ensures accountability for vendor performance, alignment with system-wide financial goals, and adherence to regulatory requirements, while also driving innovation and performance improvement across the outsourced revenue cycle model.

The AVP partners closely with system leadership, hospital CFOs, and the third-party RCM vendor to ensure strong controls, optimal net revenue realization, and a seamless patient financial experience.

Vendor Management & Governance

+ Serve as the primary executive liaison between the health system and the outsourced RCM vendor for all back-end revenue cycle functions.

+ Develop and enforce performance scorecards, service-level agreements (SLAs), and key performance indicators (KPIs).

+ Lead monthly and quarterly business reviews with vendor leadership, escalating issues and driving resolution of operational gaps.

+ Ensure vendor compliance with health system policies, payer contract terms, and state/federal regulations.

Operational Oversight

+ Oversee the performance of billing, follow-up, denials, underpayments, self-pay collections, and cash posting across the enterprise.

+ Monitor accounts receivable (A/R) trends, denial rates, and cash performance, ensuring corrective action plans are executed by the vendor.

+ Collaborate with patient access, coding, clinical documentation improvement, and finance teams to address upstream and systemic revenue cycle issues.

+ Implement and oversee controls to safeguard against revenue leakage and mitigate compliance risks.

Financial Leadership

+ Partner with system CFOs and Finance leadership to align RCM operations with financial targets.

+ Translate operational metrics into CFO-level reporting, highlighting risks, opportunities, and strategic initiatives.

+ Support revenue forecasting, net-to-gross analytics, and cash flow optimization.

+ Drive continuous improvement initiatives to maximize yield from payer contracts and strengthen denial prevention.

Strategic Leadership

+ Serve as a thought partner to system leadership in evolving the outsourcing model, including governance structures, technology integration, and vendor accountability.

+ Identify and implement best practices in revenue cycle operations and outsourced vendor management.

+ Provide leadership during system transformations, such as ERP or EHR implementations, payer policy shifts, and new regulatory requirements.

+ Champion patient-centered revenue cycle practices that enhance the financial experience and protect the system’s reputation.

\#le@der

Requirements

Licensure / Certification / Registration:

+ Finance Professional specializing in Revenue Cycle preferred.

+ Licensed Reimbursement Spclst credentialed from the Healthcare Financial Management Association preferred.

Education:

+ Associate's degree/Bachelor's degree with 7 years of applicable cumulative job specific experience required, with 4 of those years being in leadership/management.

Additional Preferences

+ Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required; Master’s degree preferred.

+ 10+ years of progressive experience in hospital revenue cycle leadership, with at least 5 years in a large, complex health system.

+ Proven experience managing outsourced revenue cycle vendors, including governance, SLAs, and performance scorecards.

+ Strong knowledge of hospital and physician back-end revenue cycle operations, payer reimbursement methodologies, and denial management.

+ Demonstrated success in improving revenue cycle KPIs (A/R days, cash collections, denial overturn rates, cost-to-collect, etc.).

+ Excellent leadership and vendor management skills.

+ Ability to communicate effectively with executives, clinical leaders, and vendor partners.

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf)

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)