Staff VP Revenue Cycle Management at Elevance Health

Chandler, Arizona, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, PharmacyIndustries

Requirements

Bachelor’s degree in Accounting, Finance, or Business Administration (BA/BS) is required
Minimum of 10 years of experience in healthcare revenue cycle management and/or patient financial services
Master of Business Administration (MBA) is preferred
Strong strategic planning and organizational skills
Excellent leadership and team management abilities
In-depth knowledge of healthcare regulations and compliance standards

Responsibilities

Direct and oversee all operations related to Revenue Cycle Management, including billing, collections, handling patient inquiries, managing payor audits, and overseeing patient copay accounts
Develop and implement strategies for Revenue Cycle Management to support and drive overarching organizational business goals
Manage structures and processes to achieve company objectives related to accounts receivable, write-offs, cash collection, cash posting, and net billing revenue
Ensure compliance with state and federal regulations, as well as adherence to Medicare and private insurance guidelines
Lead and oversee the department responsible for the system maintenance of existing revenue cycle applications
Provide oversight for system implementations, conversions, and upgrades related to revenue cycle applications

Skills

Revenue Cycle Management

Billing

Collections

AR Management

Patient Financial Services

Payor Audits

Healthcare Compliance

Medicare Guidelines

Strategic Planning

Leadership

Team Management

System Maintenance

System Implementations

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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