Vice President, Payor Credentialing & Revenue Cycle Management
Client: VIVOSLIFE
POP: 12+ months
Location: Remote, will be required to report on-site for meetings in Colorado SCOPE every few months.
The Vice President (VP) of Payor Credentialing and Revenue Cycle Management provides
strategic leadership over all aspects of the revenue cycle and credentialing processes. This
executive is responsible for ensuring provider credentialing is completed accurately and on
time, maximizing reimbursement from third-party payors, and driving financial performance
through revenue integrity, compliance, and operational excellence.
REQUIRED SKILLS
Bachelor s degree in Healthcare Administration, Business, or related field (Master s
degree preferred).
10+ years of progressive leadership experience in healthcare revenue cycle and
credentialing.
Deep understanding of payor enrollment, medical billing, coding, reimbursement, and
payer contracting.
Demonstrated experience leading large-scale process improvements and change
initiatives.
Expertise in revenue cycle KPIs and tools for performance management.
Strong communication, leadership, and strategic planning skills.
PREFERRED SKILLS
Certified Revenue Cycle Executive (CRCE) HFMA
CPCS or CPMSM National Association Medical Staff Services (NAMSS)
Familiarity with pay systems and government payor programs (Medicare, Medicaid,
Managed Care)
TASKS
Develop and execute a comprehensive revenue cycle strategy aligned with
organizational financial goals.
Lead initiatives to improve payer contracting, collections, and reimbursement
performance.
Drive integration between credentialing, contracting, and revenue operations to reduce
delays and denials.
Oversee the provider credentialing process for all physicians, mid-levels, and facilities.
Ensure timely and accurate payor enrollment and revalidation to prevent delays in billing
and reimbursement.
Maintain compliance with all payor requirements, accreditation standards, and
regulatory mandates (e.g., CMS, NCQA, CAQH).
Oversee the full revenue cycle including patient access, billing, coding, A/R, charge
capture, denial management, and collections.
Establish KPIs and reporting structures to monitor performance and outcomes.
Collaborate with IT to enhance the functionality and data integrity of RCM platforms.
Ensure compliance with federal and state laws, payer policies, and healthcare
regulations (e.g., HIPAA, CMS, OIG).
Implement internal controls and audit processes to mitigate financial and compliance
risks.
Lead a large, multi-disciplinary team including directors, managers, credentialing
specialists, billers, and coders.
Foster a culture of accountability, excellence, and continuous improvement.
Develop talent and succession planning strategies within the department.
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