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The Revenue Cycle Optimization Supervisor serves as a leader managing several finance related functions, including but not limited to accounts payable, staff and non-staff expense management, vendor management, contract management, budget preparation, and financial analytics. This position provides useful, organized, updated, and maintained reportable data on expenditures in compliance with company, state, and federal regulations. The Revenue Cycle Optimization Supervisor frequently and in a professional manner problem-solves across multiple internal and external departments, including accounts payable, finance, payroll, human resource, budgeting, vendor management, procurement, and contracting. This position assists the VP Revenue Cycle and other Revenue Cycle leaders on multiple projects that include advanced analytical skill for analyzing operational expenses, establishing annual budget, and reconciling year-end expense variances. This position requires expert skills in technical reporting and analytic tools, such as Excel, Tableau, Strata, and other applications, to query and analyze financial transactions, prepare financial reports, and audit accounting practices. The Revenue Cycle Optimization Supervisor operationalizes relationships and manages staff affiliated with multiple revenue cycle vendors ensuring relationships are effective, productive, and aligned with the company's goals.
Essential Job Statements Management of Vendor Relationships and Supervision of Vendor Staff
Supervise staff across multiple vendors contracted to perform revenue cycle functions, including setup/termination of contingent employees and routinely monitoring staff compliance with employment policies, regulatory guidelines, and contractual obligations. Regularly monitor vendor staff performance, identifying areas for improvement, and working with vendors, VCU Health System, and Ensemble to address and resolve issues. Build and maintain collaborative and positive staff relationships between vendors, VCU Health System, and Ensemble through regular communication and feedback. Serve as the primary point of contact between the vendor, VCU Health System, and Ensemble, ensuring effective communication and collaboration. Establish methods and workflows to partition accounts between vendors, VCU Health System, and Ensemble, maintaining secure data exchange of accounts partitioned for vendor; and maintaining IT/Epic design ensuring effective integration of vendor and Ensemble workflows. Closely evaluate and monitor monthly invoicing and revenues generated as a result of vendor staff functions and performance ensuring positive return for vendor contract.
Financial Management
Serve as subject matter expert for all labor, vendor, general ledger, and operational expenses related to revenue cycle operations. Ensure staff and non-staff expenses are properly transacted in accordance organizational policies. Ensure accurate allocation of expenses to funding source, cost classification and payment terms. Take lead serving as Cost Center Owner for multiple Revenue Cycle Cost Centers with responsibility for accurately processing expense approvals, resubmissions, and/or denials. Reconcile supply orders and invoices to P-Card statements. Respond timely and in a professional manner to expense inquiries and concerns.
Third-Party Revenue Cycle Vendor and Labor Agreement
Manage multi-million vendor and labor expense agreements between VCUHS and third-party revenue cycle vendor. Identify and compile monthly vendor, general ledger, and labor expenses and submit monthly to third party vendor for reimbursement. Reconcile third-party vendor reimbursement ensuring accurate amounts according to expenses submitted the prior month. Frequently meet with VCUHS and third-party vendor management, finance, strategic sourcing, accounts payable and human resources to problem-solve expense or reimbursement issues in a timely manner.
Contract Management
Manage all product and service contracts applicable to revenue cycle operations. Monitor contract life cycle including defining scope of work or product, developing business case for vendor or capital requests, initiating purchase requisition, respond to redlined recommendations, coordinate IT risk assessments, participate in contract negotiations, and facilitating contract approvals. Ensure contract renewal/term dates and funding allocation remain current to avoid disruption to service or payments. Organize and maintain contract records and files, tracking all contract signatures in accordance with organizational policies, respond to requests for contract data, and performing monthly operational metrics. Work closely with operational leaders across VCUHS and Ensemble ensuring requests to terminate contract or serve is agreed to by all stakeholders and terminated notice executed with vendor. Problem-solve contract related issues, including speaking with internal and external stakeholders to discuss business and compliance matters to ensure common understanding of contract language meaning and expectations.
Financial Analysis
Assist VP of Revenue Cycle and other revenue cycle leaders on multiple projects requiring advanced skills for analyzing operational expenses, establishing annual budget, and reconciling expense variances. Assist with preparation of monthly financial and/or revenue cycle report package, year-end audit, and other financial reporting. Use of technical reporting and analytic tools, such as Excel, Tableau, Strata, and other applications, to query and analyze financial transactions, prepare financial reports, and audit accounting practices. Serve as leader for financial and budgeting processes, developing systems that promote increased efficiency and productivity.
Budget Analysis/Planning
Manage budgets for multiple VCUHS Revenue Cycle cost centers demonstrating strong budgeting skills and application of accounting principles. Proactively monitor staff and non-staff expense trends indicating action is necessary to remain within budget projections. Take prompt and effective actions to communicate and resolve over and under budget variances. Prepare monthly budget reports ensuring accuracy of financial transactions. Participate in budget preparation discussions providing adequate detail to support budget projections. Take lead preparing and submitting budget data for fiscal year budget. Serve as subject matter expert and provide end user support for Strata Budgeting, Management, and Analytics applications.
Supply Chain
Support revenue cycle leaders with ordering supplies and products. Verify receipt of items by comparing items received to items ordered. Resolve shipment errors directly with suppliers. Facilitate team member access to ordering portals, such as Office Max, ensuring no disruption to ordering or receiving supplies or products.
Miscellaneous Responsibilities
Patient Population Not applicable to this position. Employment Qualifications Required Education: Bachelor's degree in accounting, financial management, business management or another related field Preferred Education: Licensure/Certification Required: Licensure/Certification Preferred: Minimum Qualifications Years and Type of Required Experience: Three (3) years experience in accounts payable, budgeting, vendor management, financial analysis One (1) year experience overseeing and optimizing relationships with vendor service providers ensuring efficient and effective operations Other Knowledge, Skills and Abilities Required:
Experience with operationalizing new workflows, staff functions, and technologies. Demonstrated problem-solving skills addressing challenges and finding innovative solutions. Strong knowledge of accounts payable processes, financial principles, and relevant regulations. Expert technical skills in use of financial reporting and analytic tools, such as Excel, Tableau, Strata, and other applications, to query and analyze financial transactions, prepare financial reports, and audit accounting practices. Strong analytical skills with ability to collect, organize, and disseminate significant amounts of information with attention to detail and accuracy. Extensive abilities in data retrieval, manipulation, import and interpretation from multiple systems and conversion of datainto an understandable format Strong proficiency in MS Office Suite (Excel, Word, etc.) Must be adept at working autonomously, balancing multiple projects, and problem-solving
Cultural Responsiveness Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. Other Knowledge, Skills and Abilities Preferred: Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment.
May have periods of constant interruptions. Prolonged periods of working alone. Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.), Stoop, Kneel, Squat Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Hear alarms/telephone/tape recorder, Repetitive arm/hand movements, Finger Dexterity, Acuity - near Hazards: Mental/Sensory -Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Able to Handle Multiple Priorities, Able to Adapt to Frequent Change
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
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Virginia Commonwealth University Health Systems
Nov 18, 2025