System VP for Revenue Operations - Mid-Cycle

DescriptionThe System Vice President for Revenue Operations – Mid-Cycle provides visionary leadership for UNC Health's mid-cycle Revenue Cycle operations, including both Hospital and Professional operations. This executive role drives impactful results across the revenue cycle, focusing on clinical documentation, coding, charge capture, and utilization review. The position oversees system-wide management of Mid-Cycle Revenue Cycle functions, including strategic program planning, variance analysis, operational optimization, financial stewardship, problem resolution, talent management, and continuous performance improvement. The primary objectives are to maximize revenue integrity, ensure accurate reimbursement, and drive operational excellence for all UNC Health entities, both owned and managed, that subscribe to Shared Revenue Cycle services.Description of Job ResponsibilitiesVP Revenue Operations – Mid Cycle : Spearhead the mid-cycle aspects of UNC Health's Hospital and Professional Revenue Cycles. Develop and implement innovative strategies to enhance mid-cycle performance, encompassing Clinical Documentation Improvement (CDI), IP, OP and professional medical coding accuracy and compliance, charge capture optimization, utilization review and care management, clinical denial prevention & resolution, and continuous optimization of coding and CDI technologies. Assure quality data extraction for UNC quality programs is achieved. Partner with the Health Alliance to provide supportive documentation and leadership regarding HCC/RAF and coding elements in support of alternative payment models. Focus on maximizing revenue capture while ensuring compliance and accuracy. Adhere to principles of coding standards, regulatory requirements, and legal mandates in all operations.Leading People : Lead people toward meeting the organization's vision, mission, and goals. Provide an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Encourage workforce engagement by building a commitment to excellence and by promoting the organization's vision internally and externally. Delegate responsibility, clarify expectations, and hold others accountable for achieving results related to their area of responsibility. Lead in a deliberate and predictable way and operate with transparency. Treat sensitive or confidential information appropriately. Develop the ability of others to perform and contribute to the organization by providing ongoing feedback and opportunities to learn through formal and informal methods. Manage and resolve conflicts and disagreements in a constructive manner.Leading Change : Act as a catalyst for organizational change. Influence others to translate vision into action. Bring about strategic change, both within and outside the organization, to meet organizational goals. Establish an organizational vision and implement it in a continuously changing environment. Be open to change and new information and rapidly adapt to new information, changing conditions, or unexpected obstacles. Deal effectively with pressure and remain optimistic and persistent, even under adversity. Recover quickly from setbacks. Formulate objectives and priorities, and implement plans consistent with the long-term interests of the organization. Capitalize on opportunities and manage risks. Take a long-term view and build a shared vision with others.Results Driven : Exceed organizational goals and customer expectations. Make decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. Hold self and others accountable for measurable, high-quality, timely, and cost-effective results. Deliver high-quality services and commit to continuous improvement. Foster a culture of safe and compassionate patient care. Make well-informed, timely decisions, even when data are limited, or solutions produce unfavorable results. Position the organization for success by identifying new opportunities and build the organization by developing and improving services. Lead the budgeting process. Use cost-benefit thinking to set priorities, monitor expenditures in support of programs and policies, and identify cost-effective approaches.Education RequirementsRequires Master’s degree in healthcare administration, Accounting, Finance or related field.Licensure/Certification RequirementsNone required.Professional Experience RequirementsRequires twelve (12) years of progressively responsible revenue ops experience, including ten (10) years of people management experience.Knowledge, Skills, and Abilities RequirementsDeep 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.

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