"VP Revenue Cycle Operations"

Job Summary

The Vice President of Revenue Cycle Operations at Boston Children's Hospital will provide strategic and operational leadership across core revenue cycle functions, including Financial Clearance, Coding, Revenue Integrity, and Accounts Receivable Management. This role is pivotal in driving financial performance, reducing uncollectible accounts and AR days, improving operational processes, and preparing the organization for enterprise-level transformation.

The VP will align people, processes, and technology strategies to protect and enhance BCH's $3B+ annual revenue. The ideal candidate brings deep revenue cycle expertise, a strong operational mindset, and the ability to lead through complexity. As a key leadership position, this role will shape the next phase of BCH's revenue cycle evolution-delivering both immediate results and long-term readiness.

Key Responsibilities

Strategic Leadership & Transformation

• Develop and execute a multi-year transformation roadmap to position BCH as a top-performing revenue cycle organization.
• Align strategies across departments to enhance enterprise capabilities in coding, accounts receivable, revenue integrity, and financial clearance.
• Serve as a key advisor and second-in-command to the SVP, Revenue Cycle, providing executive-level oversight across initiatives and teams.

Operational Oversight

• Provide day-to-day leadership and accountability for:
  • Pre-Service Financial Clearance
  • Coding (Inpatient & Outpatient)
  • Revenue Integrity
  • Hospital Accounts Receivable
• Ensure achievement of departmental KPIs, including targets for uncollectible rates, AR days, clean claim rates, and denial prevention.

Revenue Performance & Risk Management

• Drive initiatives to reduce uncollectible accounts toward a goal of 2.0% of NPSR (FY27 target).
• Lead strategies to decrease AR days from 80+ to ~70 while improving cash flow and reducing cost to collect.
• Protect and optimize BCH's $3B+ annual revenue through strong controls, visibility, and accountability.

Talent & Succession Development

• Mentor and develop Director and Senior Director-level leaders to ensure operational excellence and leadership continuity.
• Build bench strength within mid-level management to support organizational growth and succession planning.

Collaboration & Integration

• Partner with Clinical Departments, IT (Epic), Finance, Health Information Management, Patient Care Services, and Foundation entities to align integrated revenue strategies.
• Drive collaboration between hospital and physician revenue cycle teams to enhance transparency and overall performance.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; advanced degree (MBA, MHA, or related discipline) preferred.
• 12+ years of progressive leadership experience in revenue cycle operations, preferably in an extensive academic or pediatric health system.
• Demonstrated success in leading complex, multi-functional teams and large-scale revenue cycle transformation initiatives.
• Proven experience managing hospital and professional revenue cycle functions, including coding, AR, revenue integrity, and financial clearance.
• Expertise in Epic and modern revenue cycle technologies, analytics, and automation strategies.
• Strong financial acumen with understanding of healthcare reimbursement, DRGs, denials management, and payer dynamics.
• Knowledge of compliance and full revenue cycle operations in complex healthcare environments.
• Skilled in using data and automation to drive performance and efficiency improvements.
• Ability to lead and develop high-performing teams, drive change, and deliver measurable results.
• Effective communicator with the ability to influence across clinical, financial, and administrative stakeholders.
• Proven capacity to balance strategic priorities with day-to-day operational execution in a fast-paced environment.

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

About Boston Children's Hospital

Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.