Ovation Healthcare

Compensation

Full Description

Key Responsibilities Strategic Leadership & Vision: Develop and execute the overall vision and strategy for the Revenue Recovery service line, ensuring alignment with corporate goals. Serve as the company's foremost subject matter expert on denial management and underpayment recovery, advising executive leadership on market trends, strategic opportunities, and emerging technologies. Drive a culture of accountability, continuous improvement, and high performance within the team, fostering individual motivation and professional development. Establish and own the service line's P&L, developing and managing operating budgets, forecasting revenue, and ensuring profitability. Operational Oversight & Performance Management: Provide executive leadership and oversight for the Clinical Nurse Manager and the Revenue Recovery Manager, ensuring their teams meet and exceed all operational and financial targets. Define, monitor, and report on Key Performance Indicators (KPIs), including denial rates, appeal success rates, recovery velocity, A/R days, and cost-to-collect. Lead the continuous optimization of workflows within the Health Innovas "Pulse" platform and our selected AI partner's tools to maximize efficiency and effectiveness. Analyze performance data to identify systemic root causes of revenue leakage and lead the development of enterprise-level prevention strategies. Client & Stakeholder Collaboration: Serve as the primary executive liaison for the Revenue Recovery service, building and maintaining strong, collaborative partnerships with Insource client leadership, including hospital CFOs and VPs of Finance. Prepare and deliver executive-level presentations and business reviews to clients, translating complex operational data into clear financial impact and strategic recommendations. Collaborate effectively with internal leaders, including the Business Enablement team, IT, and Sales, to ensure seamless service delivery and strategic alignment. Technology & Innovation: Lead the strategy for leveraging technology to create a competitive advantage, including the full optimization of the Pulse platform and the integration of agentive and generative AI tools. Develop and maintain a roadmap for automation to improve processes, reduce administrative burden, and lower the overall cost-to-collect. Qualifications and Skills Required: Bachelor’s Degree in Healthcare Administration, Business, Finance, or a related field. Master’s Degree (MHA, MBA) is highly preferred. A minimum of 10 years of progressive experience in healthcare revenue cycle management, with deep expertise in back-end operations, including denial management, underpayment recovery, and AR management. At least 5 years of experience in a senior leadership role (Director level or above) with a proven track record of building and leading high-performing teams and managing a P&L. Strong financial acumen and exceptional analytical skills, with the ability to analyze complex data sets, identify trends, and make data-driven strategic decisions. Excellent communication, presentation, and interpersonal skills, with the ability to build trusted relationships and communicate effectively with C-suite executives, clinical leaders, and internal teams. Preferred: Experience in an outsourced RCM, vendor, or consulting environment. Demonstrated experience implementing and optimizing revenue cycle technologies, including workflow management platforms and AI/automation tools. Industry certifications such as HFMA-CRCR or FHFMA. Experience with LEAN, Six Sigma, or other process improvement methodologies. Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.