Randstad USA

VP, Revenue Cycle Management

Randstad USA Emeryville, CA

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Randstad USA provided pay range

This range is provided by Randstad USA. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$250,000.00/yr - $300,000.00/yr

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Leading health care management company with over 6000+ customers nationwide is looking for a VP Revenue Cycle Management. Reports to the CFO responsible for the company's revenue cycle (RCM) work. Remote role.


Responsibilities:

Financial & Budgetary Ownership

  • P&L Co-Ownership: Manage the RCM P&L—including revenue, cost structure, EBITDA, and cash flow performance—alongside the EVP of RCM.
  • Budget & Cost Control: Oversee the full RCM budget across staffing, external vendors, and technology investments while conducting monthly variance analyses.
  • Financial Benchmarking: Establish and monitor operational cost-per-unit metrics, net collection rates, days in AR, and denial/write-off rates.
  • Long-Range Modeling: Build financial models that accurately account for company growth, acquisitions, payer mix shifts, and strategic resource management.

Revenue Cycle & Cash Performance

  • Cash Optimization: Drive enterprise-wide initiatives to accelerate cash collection, improve overall yield, and lower core operational costs.
  • Payer Trend Analysis: Quantify ongoing payer trends, evaluate their exact impact on net revenue, and proactively flag financial risks to the CFO and executive team.
  • Revenue Optimization: Identify strategic opportunities for pricing optimization, payer contract improvements, and reimbursement uplifts.
  • Self-Pay Strategy: Oversee and refine the self-pay and patient responsibility strategy while ensuring full PCI and regulatory compliance.

Accounting, Compliance & Integration

  • Revenue Recognition: Partner with Accounting and FP&A teams to ensure monthly revenue statements strictly align with GAAP and healthcare accounting standards.
  • Internal Controls: Collaborate with Compliance to maintain rigid internal controls for billing, collections, payment reconciliation, and quality reporting.
  • Regulatory Monitoring: Actively stay ahead of regulatory changes that could impact healthcare reimbursement rules and corporate revenue recognition.
  • M&A Integration: Support the seamless financial integration of new acquisitions with a clear focus on long-term scalability and financial performance.

Efficiency & Leadership

  • Tech & Automation ROI: Evaluate the financial returns of technology, external vendors, and internal investments to drive efficiency through process automation.
  • Executive Representation: Serve as the primary, strategic financial voice of the RCM division to executive leadership and the Board of Directors.
  • Cross-Functional Alignment: Partner with clinical, operational, and corporate finance teams to align business incentives and organizational outcomes.
  • Team Accountability: Cultivate a performance-driven culture with clear, data-driven accountability systems across the entire revenue cycle lifecycle.


Requirements:

BS degree

CPA a plus

10+ years of experience in healthcare revenue cycle and financial leadership roles

Deep expertise in reimbursement, payer dynamics and revenue optimization required

  • Seniority level

    Director
  • Employment type

    Full-time
  • Job function

    Accounting/Auditing
  • Industries

    Hospitals and Health Care

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