Description

Job Overview:

The Vice President, Revenue Analytics provides strategic leadership and subject matter expertise for the valuation, reconciliation, and financial reporting of acute care and physician practice revenue and accounts receivable across the health system. This role oversees valuation methodologies, ensures accurate reconciliation of billing subsystems to the general ledger, and serves as a key advisor to finance leadership, physician executives, and compliance partners while maintaining compliance with generally accepted accounting principles and nonprofit healthcare accounting standards. This position will also support the Financial Analytics team to develop, monitor and analyze enterprise-wide revenue budgets to ensure accurate forecasting, financial sustainability and alignment with organizational goals.

Reports to:

• The Vice President Revenue Analytics reports directly to the SVP, Finance

Essential Functions:

• Strategic Oversight of Patient Revenue and AR Valuation
  • With the Revenue Analytics team, oversee the valuation of acute care and physician practice revenue and accounts receivable, including gross AR, contractual allowances, charity care, bad debt reserves, and other valuation adjustments
  • Establish, document, and maintain consistent valuation methodologies across acute care and employed and affiliated physician practices and specialties
  • Evaluate payer mix, volume trends, reimbursement rates and changes, collection performance, and regulatory impacts to refine reserve assumptions and valuation models
  • Monitor monthly KPIs and trend across periods to highlight potential issues.
  • Perform routine cash run out models to check against valuations for material discrepancies
  • Analyze and report on opportunities for revenue enhancement through process improvement
  • Introduce opportunities for automation to reduce human error and improve the overall quality and efficiency of revenue recognition and receivable valuation
  • Correlate revenue recognition with volume statistics to identify anomalies in financial performance requiring further review and analysis
  • Monitor actual revenue performance against budget and provide variance analyses with clear explanations and recommendations

• Billing & Financial Governance
  • Provide oversight and governance of Hospital Billing (HB) and Professional Billing (PB) subsystems to general ledger reconciliation processes
  • Ensure timely and accurate reconciliation of charges, payments, adjustments, and AR balances.
  • Serve as the escalation point for complex reconciling items, system issues, or data integrity concerns.
  • Ensure PB bill areas within billing sub-system correlate to the payroll areas within the financial system’s payroll module.
  • Partner with Revenue Cycle, Coding, IT, and Compliance to support sub-system upgrades, system changes, and reporting enhancements.

• Financial Leadership & Reporting
  • Lead month-end and year-end close activities related to acute care and physician practice revenue and accounts receivable
  • Present AR valuation results, trends, and risks to senior finance leadership and physician enterprise executives
  • Work with Managed Care team to evaluate and monitor Medicaid Access to Physician Services Program reimbursements
  • Maintain auditable reconciliation documentation
  • Support system-level financial statements, footnotes, and disclosures related to revenue and receivables
  • Provide guidance on physician practice financial impacts for strategic initiatives, acquisitions, and operational changes
  • Maintain documentation of budgeting assumptions, methodologies and processes.

• Controls, Compliance & Audit Leadership
  • Design, implement, and monitor internal controls over AR valuation and sub-system to GL reconciliation processes
  • Serve as contact for internal and external auditors related to patient revenue and receivables
  • Ensure compliance with GAAP, nonprofit healthcare accounting standards, and regulatory requirements
  • Proactively identify financial, operational, and compliance risks related to revenue cycle activity

• Team Leadership & Process Improvement
  • Establish performance expectations, review work products, and support professional development
  • Drive process improvement initiatives to enhance accuracy, efficiency, and transparency across financial reporting
  • Promote standardization and best practices across the enterprise

Technical Expertise

• Deep expertise in HB and PB workflows within Epic EHR system
• Experience with Medicare, Medicaid, and commercial payer reimbursement
• Experience with budgeting software and healthcare financial systems
• Strong financial modeling, data analysis, and Excel skills
• Experience supporting system implementations, upgrades, or large-scale process changes

Leadership & Professional Skills

• Proven leadership and team development experience
• Strong executive presence and communication skills
• Ability to exercise sound judgment in complex and ambiguous situations
• Strong collaboration skills across finance, physician leadership, compliance, and IT

Requirements

Qualifications:

• Bachelor’s degree in accounting, Finance, or related field required; Master’s degree or CPA preferred
• 8-12+ years of progressive accounting or finance experience, with significant experience in physician practice and nonprofit healthcare finance
• Demonstrated experience leading AR valuation, revenue recognition, or revenue cycle accounting functions
• Experience preferred in academic medical centers or large multispecialty physician groups