Region VP Revenue Cycle, Northwest

VMFH Division Support Services
Tacoma, Washington

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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $96.59 - $135.23 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID: 2026-463548
Employment Type: Full Time
Department: Administration
Hours/Pay Period: 80
Weekly Schedule: Monday - Friday
Shift: Day
Remote: No
Category: Executive

Job Summary and Responsibilities

The Region VP Revenue Cycle NW is responsible for providing strategic and operational executive leadership for all Virginia Mason Franciscan Health (VMFH) administrative and clinical support functions that contribute to the capture, management and collection of patient services revenues from all payors in accordance with strategic business objectives, professional standards, and all applicable regulatory requirements. Work is strongly focused on maintaining and enhancing optimally-functioning end-to-end revenue cycle management (RCM) processes to maximize VMFH reimbursement/revenue, and facilitate achievement of overarching business and financial targets. This leader also plays a key role in RC management throughout the Pacific Northwest (PNW) Physician Enterprise Division, including business operations in Washington and Oregon. Revenue cycle functions include:

Charge description master, charge review, identification of missed revenue;
Provider audits/assessments and appropriate training to maximize revenue and minimize risk;
Claims submission; customer service;
Cash applications (posting, reconciliation, patient/insurance credits/refunds, etc);
Insurance follow-up/denials management, including legacy Accounts Receivable (AR);
Contract negotiation/management with third-party payors;
Revenue cycle integrity and advanced revenue analytics;
Regulatory compliance/governance;
Specialized billing, including employer services and DME/Rx RC in support of VMFH hospitals.

An incumbent provides ongoing executive leadership and oversight in the prioritization, development, implementation and
evaluation of initiatives/processes that produce optimal financial performance/productivity, maximize effective utilization
of resources, reduce operational vulnerability and strengthen the focus on RC accountability and generate a competitive
advantage for the organization. Work is performed through subordinate management who are responsible for the day-to-
day operations of assigned RC department(s), ensuring quality and staff productivity standards are met, accurate claims
submission, timely resolution of denials/denials mitigation, and maximum revenue is realized within compliant billing
processes.

As a key member of the VMFH executive leadership team, the Region VP Revenue Cycle NW participates in long-range planning, budget administration, and the formulation and implementation of systemic and operational approaches, tactics, standards and policies to facilitate achievement of strategic business objectives relating to RC operations. Work also includes: 1) leading the implementation of integrated VMFH operational metrics, controls and standards, evaluating on-going operations/results and adjusting resources and priorities to meet changing conditions; 2) Leading VMFH revenue cycle performance monitoring and improvement initiatives to create a high performing revenue cycle across front-end, middle and back-end functions; 3) partnering with Payer Strategy and Contracting to ensure contracts are optimized for revenue opportunities and that payer contractual commitments are met; 4) Standardizing and integrating transparent revenue cycle processes and reporting to include benchmarks and key performance indicators for all phases of the revenue cycle; 5) Reviewing/interpreting key indicator reports and identifying corrective actions and/or performance improvement opportunities in response to variance and trends; 6) Maximizing VMFH relationships with external vendors, identifying revenue optimization opportunities and advocating CSH’s revenue cycle position on key decisions.

An incumbent participates in multidisciplinary teams, working with VMFH/CSH Leadership/management and external officials/vendors, and requiring the ability to use effective persuasion, negotiation and change management techniques to
achieve common understanding, facilitate compromise and arrive at satisfactory solutions to highly complex issues/problems.

Work requires thorough knowledge of the specialized principles and practices related to healthcare finance/revenue cycle
management, including Medicare, DSHS, Third-party payers and other agencies, as well as a comprehensive
understanding of coding/charging practices, payer contracting, billing requirements, claims processing, cost structure, patient accounting systems and other interface systems impacting these functions. Also requires the application of strong
communication/change management skills and the ability to work effectively in ambiguous/stressful situations and effectively prioritize multiple changing and conflicting demands/priorities.

Essential Job Functions:

OPERATIONS ACCOUNTABILITY

Provides strategic direction/oversight and directs/evaluates, through subordinate management, the programs, systems, operations and resources of the VMFH RC functions to ensure that all activities are conducted in a timely
and cost-effective manner and in compliance with organizational values, professional standards, internal policies/standards/procedures and applicable regulatory requirements; ensures effective collaboration with other internal departments or external entities to address and resolve problems, share information and enhance overall effectiveness/productivity in RC processes.
Ensures the application of consistent standards/practices relating to the function across VMFH; directs the modification of work-flow processes and/or auditing functions as necessary to improve performance/productivity and
customer service; addresses emergent issues that require executive management attention and resolves per established guidelines; ensures that RC activities, productivity, and/or quality indicators are fully documented in
accordance with VMFH guidelines and that RC systems adequately safeguard the integrity of financial transactions and reporting.
Directs the production and distribution of reports on key performance indices and other significant benchmarking metrics to VMFH Leadership as necessary to promote awareness, address/facilitate resolution of issues and support/inform future planning activities; collaborates with other internal departments to address and resolve problems, share information and enhance overall RC effectiveness/productivity.
Works in partnership with Payer Strategy/Contracting to keep abreast of contract specifics and to assure development/execution of beneficial contracting strategies that support optimized revenue capture; ensures processes are in place to support payer contract negotiations and to maximize incentive payments to the best advantage of the organization.
Leads or oversees complex cross-function RC-related projects, working with key stakeholders across the organization to facilitate projects through all phases; coordinates and implements specific RC initiatives, including identifying and assembling resources as necessary; monitors ongoing progress, delivers periodic status reports, addresses issues and ensures that projects are completed in accordance with approved project plan; communicates updates and progress on long-term initiatives and projects to key leadership.
Drives effective vendor relations and contract coordination with both revenue cycle operations and CSH National and works to ensure that revenue cycle vendors are fulfilling their roles and working on conjunction with CSH’s mission and philosophy.
Oversees the transition/blending of the RC functions of future system acquisitions/physician groups into the VMFH RC model/structure as appropriate; reviews current organizational structure of acquired entities, identifies potentially overlapping business functions, recommends effective staff/system integration approaches and facilitates economies of scale as appropriate; ensures timely, efficient and compliant transition to current VMFH RC structure and departments.
Partners with CommonSpirit Health (CSH) national leadership on RC strategy, objectives, process improvement, training, technology innovation, analytics, compliance and vendor management; refines/customizes, in collaboration with the VMFH senior leadership team, the overall revenue cycle strategy for VMFH.
Supports coordination with the PNW Physician Enterprise (e.g. Washington and Oregon) RC council which is designed to share/implement best practices, ensure consistency of compliant billing policies/procedures and optimize key RC metrics; serves as the “lead” RC representative to organizational leadership to ensure adoption and maintenance of innovative best practice processes across the PNW region.

QUALITY IMPROVEMENT & PROCEDURES DEVELOPMENT/IMPLEMENTATION

From an executive management perspective, maintains awareness of current operations/services to identify performance gaps and prioritize areas of opportunity for re-engineering processes to improve RCM and cash flow; keeps abreast of RC strengths and weaknesses to better understand/identify future needs and challenges; reviews/analyzes recommendations from subordinates on how to improve processes/performance and creates plans for improvement; approves changes within scope of position and ensures that stakeholders receive the necessary on-site training and consultation to enhance their understanding of quality/performance improvement initiatives.
Drives the development, integration/implementation and evaluation of new/revised VMFH standards, policies, procedures, guidelines, workflows, training materials and/or general communications in support of the RC function to assure alignment with the strategic direction/objectives, positive impact on net revenue cash flow, compliance with applicable regulatory/accreditation.

SHORT AND LONG-TERM PLANNING

Participates, as a key member of the VMFH executive management team for RCM, in short- and long-term planning activities, including the development/implementation of RC plans/projects to address current and future needs and to
support achievement of business objectives; creates accountability and visibility of RC performance/results and assures that RCM objectives are understood and integrated into general business planning activities; presents and gains support for recommendations and communicates progress on long-term initiatives/projects to key leadership and other stakeholders.
Interprets VMFH business plans and organizational goals relating to RC functions/processes and develops/revises performance standards (quantitative/qualitative) and organizational goals to ensure they support and are in proper alignment with overarching organizational strategies and priorities; collaborates with senior VMFH/CSH leadership to develop/implement methodologies for resolving complex RC issues.
Consults with Epic IT and various system vendors to ensure optimal system functionality; advises on revenue flows to ensure complete capture of revenue through appropriate system interfaces.

STAFF AND MANAGEMENT AND DEVELOPMENT

Plans, directs and evaluates the work of subordinate VMFH management staff in accordance with the content, spirit
and intent of applicable internal/external regulations and standards for human resource management; in conjunction
with subordinate management, coordinates/approves the development/implementation of departmental
goals/objectives and ensures that staff are held accountable for achievement of established targets.
Ensures subordinate management and VC teams are adequately trained and prepared to meet current and future
demands of an evolving healthcare industry being impacted by healthcare reform and other factors.
Makes employment decisions, evaluates employee performance; educates, guides, counsels and develops staff and
addresses performance management concerns and technical issues elevated by subordinates as beyond their scope of
authority.
Clearly defines, establishes and communicates revenue cycle performance expectations to staff in order to achieve
VMFH goals in the areas of patient access, HIM as relates to billing and coding, rapid and complete collections and
customer satisfaction.

REGULATORY COMPLIANCE

Ensures full compliance with internal/external legal and regulatory standards and requirements, and that effective
control procedures are in place and fully functioning to preclude improprieties from occurring; monitors the
effectiveness of practices in meeting expectations and producing desired results.
Keeps abreast of changing regulatory requirements/regulations, professional standards and competitive industry practices impacting the RC function, as well as organizational initiatives/changes with potential to impact current programs and resources; determines nature/scope of impact and determines effective response/solution while maintaining acceptable service levels and work quality.
Serves as liaison with organization leadership to ensure service level agreement compliance and facilitate issue(s) resolution on behalf of the organization, including ensuring necessary staff audits are completed.

BUDGET DEVELOPMENT & ADMINISTRATION

Oversees preparation and administration of annual operating/capital budgets for VMFH RC departments and implements related budgetary objectives; exercises effective cost control by monitoring and adjusting expenses as needed to stay within budget; approves expenditures within defined scope of responsibility; identifies negative variances and develops action plans to document, address and effectively resolve in a timely manner; keeps senior leadership apprised of all issues with potential for budgetary impact.

Job Requirements

Education/Work Experience Requirements:

Master’s degree in Business Administration, Healthcare Administration, Economics, Accounting, Finance or other related field.
Seven (7) years of progressively responsible related work experience, preferably in healthcare financing, internal auditing, financial management, and/or compliance that would demonstrate attainment of the requisite job knowledge/abilities.
Five (5) years in a leadership/management capacity.

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.