Who We Are

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

How We Work:

• East Coast Alignment: Our core operational and collaboration hours follow the Eastern Time Zone (ET), keeping our workflows synchronized with our primary clients and systems.

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

Job Requistion:

Work Arrangement: Remote

Compensation Range: $170,000.00 - $300,000.00 per year

The Role/Your Mission:

Our Vice President, Revenue Cycle Strategy and Operations opportunity is not just about running revenue cycle operations—it’s about applying that expertise to drive enterprise-wide and/or client-facing results, blending the discipline of a health system operator with the adaptability, communication skills, and growth mindset of a consulting or vendor leader.

The Vice President of Revenue Cycle Strategy and Operations provides executive leadership for a vendor-delivered portfolio of mid- and back-end revenue cycle solutions, serving hospitals, health systems, and provider organizations.

This role blends deep hands-on health system revenue cycle expertise with a commercial, delivery, and consulting-oriented mindset, ensuring solutions are scalable, outcomes-driven, and aligned to client financial goals. They will be the driver for maximizing the value of Epic EHR investments. The VP is accountable for client performance, service delivery excellence, and contribution to revenue growth, while partnering closely with internal teams.

What You'll Do Day-to-Day:

Client Delivery & Services Leadership

• Provide executive oversight for vendor-delivered services including:

• • Coding (facility and professional)
  • Charge capture and CDM optimization
  • Billing and claims management
  • Accounts receivable (AR) management
  • Denials prevention, appeal, and recovery
  • Payer underpayment and revenue recovery services
  • Revenue integrity and compliance support

• Ensure consistent, high-quality delivery across multiple client engagements.
• Own client financial outcomes, service-level agreements (SLAs), and performance guarantees where applicable.
• Establish standardized delivery models, operating playbooks, and best practices that scale across clients.

Financial Performance & Client Outcomes

• Accountable for measurable client results, including:

• • Cash acceleration
  • Net revenue lift
  • AR days reduction
  • Denial rate reduction and recovery yield
  • Clean claim rate improvement

• Translate operational improvement into defensible ROI and value realization for clients.
• Partner with finance to manage margins, utilization, and profitability of service offerings.
• Identify and mitigate operational and compliance risks that could impact client or vendor performance.

Commercial Enablement & Growth Support

• Serve as a senior subject matter expert supporting:

• • Sales pursuits and executive-level client discussions
  • Solution design and pricing strategies
  • RFP responses and due diligence activities

• Help shape service offerings based on market demand, payer trends, and client feedback.
• Participate in client executive steering committees and governance forums.
• Support account expansion through identification of additional revenue cycle opportunities.

Consulting & Advisory Orientation

• Lead or oversee revenue cycle assessments, performance diagnostics, and transformation initiatives.
• Translate complex operational challenges into clear executive narratives and actionable roadmaps.
• Act as a trusted advisor to CFOs, as well other executives and leaders of clients.
• Balance standardization with customization to meet client-specific needs without compromising scalability.

Payer Strategy & Denials Expertise

• Provide strategic oversight for payer-facing activities, including:

• • Denials root cause analysis and prevention strategies
  • Clinical and technical appeal workflows
  • Underpayment identification and recovery

• Monitor payer behavior trends and regulatory changes to proactively adjust vendor offerings.
• Partner with clinical, compliance, and legal stakeholders to ensure defensible, compliant revenue optimization.

Product, Technology & Innovation Partnership

• Collaborate with product and technology teams to:

• • Inform roadmap decisions using real-world operational insight
  • Validate workflow automation, AI, and analytics solutions
  • Ensure solutions align with client operational realities

• Support implementations and optimizations alongside delivery teams.
• Act as a bridge between client operations and internal product development.

Leadership & Talent Development

• Build and lead high-performing, geographically distributed delivery teams.
• Develop leaders who can operate effectively in client-facing, matrixed environments.
• Establish a culture of accountability, transparency, and continuous improvement.
• Drive change management across diverse client organizations.

Who You Are & What You'll Bring:

• 12+ years of progressive experience in mid- and back-end healthcare revenue cycle, with significant experience in:

• • Revenue cycle services vendors
  • Consulting firms
  • Managed services or outsourcing models

• Demonstrated success owning client outcomes and financial performance in a vendor environment.
• Deep expertise in:

• • Medicare, Medicaid, and commercial reimbursement
  • Coding, CDI, billing, and AR operations
  • Denials management and payer recovery
  • Revenue integrity and compliance risk

• Proven ability to engage credibly with health system CFOs and executive leadership.

Education:

Bachelor’s degree is required.

Preferred:

·       Master’s degree (MBA, MHA, MPH) preferred

·       Experience in a PE-backed or high-growth services organization.

·       Familiarity with performance-based or at-risk service models.

·       Comfort operating with EBITDA, margin, utilization, and profitability targets.

Proven Executive Leadership:

·        Vendor Performance & Service Delivery

·        Client Outcomes, ROI & Accountability

·        Commercial Strategy & Growth Enablement

·        Executive Stakeholder Engagement

·        Scalable Operating Models & Operational Excellence

·        Payer Strategy & Denial Optimization

·        Enterprise Change Leadership

What Success Looks Like:

Success will be measured by the VP’s ability to deliver measurable client financial outcomes, maintain strong service performance across engagements, improve margin and scalability, support client retention and expansion, and translate operational insight into better service, product, and technology solutions.

Physical Readiness: 

Capability for sedentary work, including sitting for extended periods and occasionally exerting up to 10 pounds of force. 

Travel Requirements: 

Quarterly travel expected for team meetings, client engagements, and other business needs.

About Xtensys Connected Health Solutions

We are new but mighty. Xtensys, a recently established managed service provider, delivers cutting-edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We seek talented professionals to join our team of 500 and support our exciting journey. We value people and are building a culture to match. If you're a collaborative, innovative, and strategic leader, we’d love to talk.