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Job Overview
Location
Remote
Job Type
Full-time
Category
Operations
Date Posted
December 13, 2025
Full Job Description
đź“‹ Description
- • Own the entire operational backbone of Terniumrevenuecyclemanagement as our VP of Operations, driving strategic initiatives that directly influence revenue cycle performance for hundreds of healthcare providers nationwide.
- • Architect scalable processes across claims management, patient billing, denial resolution, and payment posting, ensuring every workflow is optimized for speed, accuracy, and compliance with evolving payer rules and federal regulations.
- • Translate high-level company goals into executable quarterly OKRs, then cascade them to five cross-functional teams—Client Success, Coding, AR Follow-Up, Data Analytics, and Customer Support—so every employee sees how their daily work moves the needle on cash flow and client satisfaction.
- • Build and mentor a distributed leadership bench of 6–8 department heads who themselves manage 120+ remote specialists; institute weekly skip-level huddles and monthly “Voice of the Customer” sessions to keep frontline insights flowing straight to executive decision-making.
- • Spearhead the rollout of our next-generation RCM platform by partnering with Engineering and Product to prioritize feature backlogs, pilot new automation bots, and create change-management playbooks that cut client onboarding time from 45 days to under 20.
- • Establish KPI-driven culture where metrics like Days in AR, Clean Claim Rate, and Net Collection Percentage are visible on real-time dashboards; celebrate wins publicly and run blameless post-mortems when targets slip, fostering psychological safety and continuous improvement.
- • Negotiate and manage strategic vendor relationships—clearinghouses, EDI partners, offshore coding firms—leveraging volume discounts and SLA penalties to save $1.2M annually while improving data quality and turnaround times.
- • Lead annual budgeting and quarterly re-forecasting for a $30M P&L, balancing investments in new technology, staff development, and client acquisition to deliver EBITDA growth of 18–22% year-over-year.
- • Serve as escalation point for our top 20 enterprise clients, personally stepping into high-stakes calls when denial rates spike or cash acceleration is needed; convert these moments into case studies that refine our service playbooks and strengthen renewals.
- • Champion diversity, equity, and inclusion initiatives by instituting blind resume reviews, sponsoring employee resource groups, and setting measurable goals for leadership representation, ensuring our remote workforce mirrors the communities we serve.
- • Partner with Compliance and Legal to interpret new CMS rules, state surprise-billing laws, and payer policy bulletins, translating legalese into actionable SOPs that protect clients from audits and clawbacks.
- • Create a culture of relentless curiosity: host bi-monthly “Lunch & Learn” sessions where teams demo AI tools, share payer-specific hacks, and cross-train on adjacent roles, reducing single points of failure and boosting employee engagement scores above 85%.
- • Drive post-merger integration activities as Ternium acquires boutique billing firms, harmonizing tech stacks, unifying SLAs, and retaining key talent so each acquisition achieves 95% client retention within 12 months.
- • Report directly to the CEO and sit on the executive committee, presenting operational insights that shape board-level decisions on market expansion, capital raises, and strategic partnerships.
- • Travel up to 20% for client QBRs, industry conferences, and off-site leadership retreats, using face-to-face time to deepen relationships and gather market intelligence that keeps us two steps ahead of competitors.
🎯 Requirements
- • 10+ years of progressive leadership in healthcare revenue cycle operations, with at least 5 years owning a multi-site, 100+ FTE P&L.
- • Demonstrated expertise in Epic, Cerner, or athena workflows plus advanced Excel, SQL, or Looker for building executive-level dashboards.
- • Bachelor’s degree in Healthcare Administration, Business, or related field; MBA, MHA, or Six Sigma Black Belt strongly preferred.
- • Proven track record of reducing Days in AR by 20%+ and increasing Net Collection Rate to 97%+ within 24 months.
- • Experience leading remote teams across multiple time zones and fostering high engagement without micromanaging.
🏖️ Benefits
- • Fully remote-first culture with quarterly all-expenses-paid team summits in destinations like Austin, Denver, or Nashville.
- • Competitive base salary plus 30% annual performance bonus tied to EBITDA and client retention metrics.
- • 100% employer-paid medical, dental, and vision for you and dependents, plus $2,000 annual HSA contribution.
- • 20 days PTO, 10 paid holidays, and a “Summer Friday” schedule—half-days every Friday from Memorial Day to Labor Day.
Skills & Technologies
Remote
About Ternium Revenue Cycle Management
Ternium Revenue Cycle Management provides specialized consulting and bespoke denial services to healthcare providers, focusing on optimizing accounts receivable and enhancing revenue cycle performance. Leveraging over 50 years of combined founder experience, the company delivers customized solutions for challenging accounts, incorporating legal arguments and clinical support to achieve superior results. Ternium partners directly with client teams, offering education and feedback to improve internal performance and address the most impactful areas of AR. Their expertise has served some of the largest healthcare providers in the country, underscoring their capability in delivering tailored, results-oriented strategies to navigate the complexities of healthcare revenue cycles effectively.
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