VP, Revenue Cycle-Nemours Children's Health, Home Office

Vice President, Revenue Cycle - Nemours Children's Health

Position Overview

Nemours Children's Health seeks a transformational and results-driven Vice President of Revenue Cycle to lead the enterprise-wide revenue cycle strategy across its multi-state pediatric health system.

Reporting to the Chief Financial Officer, this executive will be responsible for optimizing financial performance, enhancing patient and family experience, and driving innovation across all revenue cycle functions.

This leader will play a critical role in advancing Nemours' mission by ensuring sustainable financial performance while supporting equitable access, Medicaid optimization, and value-based care transformation.

Key Responsibilities

Enterprise Revenue Cycle Leadership


* Provide strategic oversight of all revenue cycle functions including:
+ Health Information Management
+ Patient Financial Services (Central Business Office)
+ Revenue Integrity
+ Coding for Hospital and Physician Practices


* Lead a multi-state, integrated revenue cycle model across Delaware, Florida, and affiliated sites of care


* Establish a high-performing, standardized operating model with clear accountability and KPIs

Financial Performance & Optimization


* Drive improvements in key performance metrics:
+ Net patient revenue yield
+ Days in Accounts Receivable (A/R)
+ Cash collections
+ Denial rates and overturn success
+ Cost to collect
+ Discharge Not Final Billed


* Lead enterprise-wide initiatives to reduce revenue leakage and improve margin performance


* Partner with finance leadership on forecasting, budgeting, and long-range financial planning


* Oversight of System Revenue Cycle Committee

Medicaid & Payer Strategy Alignment


* Optimize revenue cycle processes in a high Medicaid payer mix environment (~50%)
+ Partner with payer strategy and managed care teams to:
+ Improve reimbursement accuracy
+ Reduce administrative burden
+ Strengthen payer-provider collaboration


* Ensure readiness for evolving reimbursement models including value-based care and risk arrangements

Digital Transformation & Innovation


* Lead optimization and continuous improvement of EPIC revenue cycle systems


* Drive automation, AI, and analytics capabilities across the revenue cycle:
+ Predictive denials management
+ Intelligent work queues
+ Real-time eligibility and authorization tools


* Advance digital patient financial experience:
+ Transparent pricing
+ Digital billing and payment platforms

Patient & Family Experience


* Ensure a frictionless, compassionate financial journey for patients and families


* Align revenue cycle processes with Nemours' mission of family-centered care


* Reduce financial barriers to care while maintaining strong financial st...