The Vice President for Revenue Operations – Patient Finance provides visionary leadership for UNC Health’s back-end Revenue Cycle operations; including both Hospital and Professional operations. This position reports directly to the System Chief Revenue Officer within the finance division. This executive role drives impactful results across the revenue cycle, focusing on claims management, payer performance, cash management, payment posting and denial management.

VP Revenue Operations – Patient Finance/Backend Responsibilities: Spearheads the back-end aspects of UNC Health’s Hospital and Professional Revenue Cycles. Develops and implements innovative strategies to enhance back-end performance, encompassing claims submission & follow-up, payment posting & reconciliation, cash management, technical denial prevention, appeals & resolution, and continuous optimization of revenue cycle technologies. Focuses on maximizing revenue capture while ensuring compliance and accuracy. Executing in this space requires strict adherence to billing standards, regulatory environments, and legal mandates in all operations. Lead with a focus on financial stewardship, patient financial experience, and accuracy. Own monthly reporting of accounts receivable performance for back-end operations, incorporating the reporting of key metrics and data from both the front end and mid-cycle operations to present a cohesive story of revenue cycle performance from the lens of accounts receivable. Partner with the System Vice President of Reimbursement in preparing revenue narratives that depict an understanding of net revenue and associated variances of rate, mix, and volume impacting entity operating statements.

Leading People: Leads people toward meeting the organization’s vision, mission, and goals. Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Encourages workforce engagement by building a commitment to excellence and by promoting the organization’s vision internally and externally. Delegates’ responsibility clarifies expectations and holds others accountable for achieving results related to their area of responsibility. Leads in a deliberate and predictable way and operates with transparency. Treats sensitive or confidential information appropriately. Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and by providing opportunities to learn through formal and informal methods. Manages and resolves conflicts and disagreements in a constructive manner.

Leading Change: Acts as a catalyst for organizational change. Influences others to translate vision into action. Brings about strategic change, both within and outside the organization, to meet organizational goals. Establishes an organizational vision and implements it in a continuously changing environment. Is open to change and new information and rapidly adapts to new information, changing conditions, or unexpected obstacles. Deals effectively with pressure and remains optimistic and persistent, even under adversity. Recovers quickly from setbacks. Formulates objectives and priorities, and implements plans consistent with the long-term interests of the organization. Capitalizes on opportunities and manages risks. Takes a long-term view and builds a shared vision with others.

Results Driven: Exceeds organizational goals and customer expectations. Makes decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. Holds self and others accountable for measurable, high-quality, timely, and cost-effective results. Delivers high-quality services and is committed to continuous improvement. Fosters a culture of safe and compassionate patient care. Makes well-informed, timely decisions, even when data are limited, or solutions produce unfavorable results. Positions the organization for success by identifying new opportunities and builds the organization by developing and improving services. Leads the budgeting process. Uses cost-benefit thinking to set priorities, monitors expenditures in support of programs and policies, and identifies cost-effective approaches.

Education Requirements

• Requires Master’s degree in healthcare administration, Accounting, Finance or related field
• Deep understanding of the healthcare revenue cycle, including patient registration, insurance verification, billing, coding, collections, denials management, and payer reimbursement processes.
• Understanding of value-based care initiatives, pay-for-performance models, and risk-sharing agreements.
• Skills in developing financial models, revenue forecasting, and scenario planning to ensure long-term economic health.
• Skills in overseeing the implementation and integration of revenue cycle management technology to optimize billing, payments, and collections.
• Must be able to adjust strategies in response to regulatory changes, shifts in payer models, or evolving healthcare trends.
• Strong ability to negotiate contracts with payers and vendors to secure favorable terms and enhance revenue streams.

Professional Experience Requirements

• Requires twelve (12) years of progressively responsible revenue operations experience, including ten (10) years of people management experience.