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Modivcare

Vice President, Revenue Cycle Management

Modivcare

. Develop and implement the strategic direction for the billing and claims department in alignment with company goals and objectives .

Posted 10/26/2026full-timeRemote • United StatesLead💰 $202,300 - $250,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in billing and claims management, with a strong focus on compliance, process optimization, and strategic leadership. Proven ability to manage budgets, lead teams, and enhance operational performance through effective communication and relationship management.

Highest-signal resume keywords
Billing And Claims ManagementLeadership ResponsibilityIndustry Regulations ComplianceAnalytical And Problem-Solving SkillsBilling And Claims Management Software

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Billing And Claims ManagementProcess OptimizationBudget ManagementQuality AssuranceFinancial ReportingData AnalysisPerformance ManagementProject ManagementKPI DevelopmentClaims Resolution
Soft Skills
Leadership SkillsCommunication SkillsInterpersonal SkillsNegotiation SkillsOrganizational Skills
Tools & Technologies
Billing And Claims Management SoftwareFinancial Analysis ToolsProject Management ToolsCompliance Management Systems
Industry Keywords
HIPAA ComplianceClaims SubmissionThird-Party BillingChange ManagementEmployee Relations

About the role

Key responsibilities & impact
  • Develop and implement the strategic direction for the billing and claims department in alignment with company goals and objectives
  • Assess and optimize billing and claims processes to enhance efficiency, accuracy, and compliance, and ensure timely claim submissions
  • Ensure billing and claims activities adhere to industry regulations and company policies, including HIPAA
  • Implement quality assurance measures to reduce errors, denials, and rejections, and oversee resolution of complex billing and claims issues
  • Prepare and present comprehensive financial reports and analysis to the CFO, Business Unit Leader, and stakeholders
  • Manage relationships with third-party billing and claims service providers and ensure optimal performance
  • Develop and manage the department's budget, optimizing resources while maintaining high service levels
  • Collaborate with legal, compliance, internal stakeholders, and external partners to resolve complex claims issues
  • Stay abreast of emerging technologies and trends in billing and claims management and lead integration of innovative tools and systems
  • Lead projects and perform other duties as assigned
  • Determine appropriate staff resourcing to achieve goals and objectives
  • Build an effective senior leadership team through mentoring and formal education focused on management and project management principles
  • Define annual Key Performance Indicators aligned with corporate goals
  • Direct and mentor senior leaders on performance gaps, career development opportunities, and strategies
  • Direct and coach senior leaders on onboarding, performance management, succession planning, employee relations, selection, terminations, compensation, and rewards
  • Own strategic design, execution, collective results, and others' successful contributions
  • Drive employee satisfaction and retention through programs and initiatives
  • Direct and influence cross-functional change management initiatives to drive improvements and efficiencies
  • Collaborate and communicate effectively with external and internal customers and stakeholders to address issues and ensure organizational alignment
  • Prepare and manage budgets, analyze variances, and initiate corrective actions to maximize operational performance
  • Travel occasionally for business as required

Requirements

What you’ll need
  • Bachelor's Degree required; Master's Degree preferred
  • Fifteen (15) plus years progressive experience in billing and claims management
  • Ten (10) plus years leadership responsibility leading teams
  • Strong knowledge of industry regulations, compliance, and best practices
  • Exceptional leadership and people management skills
  • Excellent analytical, problem-solving, and decision-making abilities
  • Outstanding communication, negotiation, and interpersonal skills
  • Proven ability to build and maintain productive relationships with internal and external stakeholders
  • Proficiency in using billing and claims management software and systems
  • Highly organized and results-oriented with a keen eye for detail
  • Occasional business travel may be required
  • Ability to perform primarily seated work with extensive computer and telephone use, and occasional standing, walking, reaching, bending, and lifting up to 10 lbs.

Benefits

Comp & perks
  • This role is bonus eligible based on individual and company performance
  • Medical, Dental, and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts
  • Pre-Tax and Post-Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)