Associate Vice President of Revenue Management Position Available In Richland, South Carolina

Associate Vice President of Revenue Management Your Health Organization – 2.4

Columbia, SC Job Details Full-time Estimated:

$92.8K – $121K a year 13 hours ago Benefits Health savings account 401(k) Paid time off 401(k) matching Qualifications Revenue cycle management Strategic management Management Financial modeling 5 years Healthcare Administration Primary care Revenue management Finance Master’s degree Bachelor’s degree CPT coding Senior level Communication skills Negotiation Analytics Full Job Description About We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health? Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees. Competitive Compensation Package with Bonus Opportunities Employer Matched 401K Free Visit & Prescriptive Services with HDHP Insurance Plan Employer Matched HSA Generous PTO Package Career Development & Growth Opportunities Company Vehicle What Are We Looking For? Your Health is seeking a highly skilled and strategic AVP of Revenue Management to oversee key financial functions that drive revenue optimization within our primary care practice. This individual will play a critical role in revenue cycle management, payer contracting, CPT coding accuracy, and accounts receivable (A/R) oversight. The ideal candidate will have expertise in financial strategies, payer negotiations, and reimbursement methodologies, ensuring that Your Health remains competitive in today’s evolving healthcare landscape

Key Responsibilities:

Revenue Management & Strategy In-tandem with the VP of Revenue Strategy develop and implement revenue opportunities that optimize reimbursement and align with Your Health’s financial objectives. Analyze and improve revenue cycle performance, ensuring efficient billing, coding, and collections processes. Collaborate with clinical and operational leaders to identify opportunities for revenue growth and cost containment. Payer Contracting & Negotiations Lead and manage payer contracting efforts, including negotiating rates and terms to secure competitive reimbursement. Establish and maintain strong relationships with payer organizations to optimize financial performance. Develop a routine schedule for contract renegotiation, ensuring alignment with industry trends and rate benchmarks. Maintain a comprehensive database of all payer agreements, including reimbursement terms and compliance requirements. CPT Coding & Compliance Ensure proper coding practices are followed, maximizing reimbursement while maintaining compliance with regulatory guidelines. Monitor and implement coding updates and changes, providing education to internal teams on best practices. Work closely with billing and clinical teams to reduce denials and enhance claims accuracy. Accounts Receivable (A/R) & Financial Oversight Oversee A/R management, ensuring timely claims processing and collections. Develop key performance indicators (KPIs) to monitor financial health, including days in A/R, denial rates, and payer reimbursement trends. Collaborate with finance leadership on budgeting, financial forecasting, and revenue cycle optimization. Regulatory Compliance & Reporting Ensure all revenue management activities comply with federal, state, and payer-specific regulations. Provide regular financial and operational reports to the Senior Vice President of Finance, highlighting revenue trends, payer performance, and opportunities for improvement.

Qualifications:

Experience:

Minimum of 5+ years of experience in revenue cycle management, payer contracting, or financial operations within a primary care or healthcare setting.

Knowledge:

In-depth understanding of CPT coding, payer negotiations, A/R management, and revenue cycle best practices.

Skills:

Strong negotiation and communication abilities. Expertise in healthcare financial analytics and revenue cycle KPIs. Proficiency in contract management and financial modeling. Detail-oriented with strong problem-solving capabilities.

Education:

Bachelor’s degree in healthcare administration, finance, business, or a related field required. Master’s degree preferred.

Other:

Ability to collaborate cross-functionally with clinical, operational, and financial teams to drive revenue growth.