Welcome to Ovation Healthcare!
At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.
SUMMARY:
We are seeking a mission-driven, strategic revenue cycle executive to lead and modernize the Central Business Office (CBO) for our rural New York State health system. Our system includes multiple Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), Article 28 facilities, Article 31 mental health clinics, dialysis centers, and comprehensive oncology services.
This senior leader will oversee the full spectrum of revenue cycle operations and drive enterprise-wide transformation that aligns with New York State’s complex healthcare landscape. The ideal candidate has deep expertise in rural and specialty care reimbursement, experience navigating NYS Medicaid and regulatory compliance, and a passion for advancing access and sustainability in underserved communities.
DUTIES & RESPONSIBILITIES:
- Enterprise Revenue Cycle Oversight: Lead all revenue cycle functions including patient access, authorization, coding, charge capture, billing, collections, denials, and revenue integrity across hospitals, RHCs, Article 28 clinics, behavioral health (Article 31), dialysis, and oncology centers.
- New York State Regulatory Expertise: Ensure full compliance with NYS Department of Health (DOH) and Office of Mental Health (OMH) billing guidelines, Article 28/31 regulations, APG billing, Medicaid rate codes, eMedNY requirements, and documentation standards.
- Technology Modernization: Drive modernization of billing platforms and front-end digital tools. Lead optimization of EHR and RCM systems common to NYS providers (e.g., MEDITECH, eClinicalWorks, Athena, NextGen, Epic Community Connect) to enhance accuracy, automation, and reporting.
- Specialty Billing Leadership: Oversee complex reimbursement strategies for OMH behavioral health, Medicare ESRD Prospective Payment System (for dialysis), and oncology infusion/drug billing (e.g., J-code accuracy, 340B eligibility, and carve-outs). Navigate NY Medicaid's specialty service carve-ins and carve-outs.
- Data-Driven Performance Management: Implement dashboards and performance tracking systems to monitor KPIs such as A/R days, denial rates, net revenue realization, Medicaid eligibility conversion, and patient collections. Proactively manage financial risk in a challenging payer mix.
- Transformation & Centralization: Lead the centralization of revenue cycle functions into a high-performing, scalable CBO model. Streamline workflows and resource allocation across geographically dispersed, multi-service facilities.
- Strategic Financial Collaboration: Serve as a key partner to the CFO and executive team in aligning revenue cycle strategy with system-wide financial goals. Support payer contracting strategy and NYS Value-Based Payment (VBP) readiness efforts.
- Workforce & Leadership Development: Build and lead a strong revenue cycle leadership team. Recruit and retain top talent in rural markets while fostering a culture of accountability, innovation, and mission alignment.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Leadership & Transformation: Demonstrated success leading enterprise-wide revenue cycle transformation, workforce centralization, and technology modernization.
- Regulatory Acumen: Strong grasp of NY-specific regulations, cost reporting standards, and payer trends impacting rural health and specialty services.
- Communication & Change Management: Excellent communicator and team builder with the ability to drive alignment and cultural buy-in across clinical, financial, and operational teams.
- Systems Expertise: Proficient with healthcare IT and RCM systems relevant in rural and NYS settings (e.g., MEDITECH, CPSI, Athena, eClinicalWorks, NextGen, Epic). Ability to lead upgrades, integrations, and optimization projects.
WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS:
- Bachelor’s degree in healthcare administration, Business, or Finance required; Master’s degree (MHA, MBA, MPH) strongly preferred.
- Minimum 10 years of progressive revenue cycle leadership experience, with at least 5 years in New York State-based healthcare organizations.
- Direct experience with CAH, RHC, Article 28 and 31 clinics, and specialty care billing preferred.
- Strong knowledge of NYS Medicaid, APG reimbursement, rate codes, OMH billing, and DOH/OMH audits.
- Experience with 340B program compliance and optimization is highly desirable.
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
- Must be able to travel 3 weeks/month to various locations in Upstate New York
TRAVEL
- Up to 75% (3 weeks per month)
- This role will visit clients in Ogdensburg NY, Watertown NY, and Carthage, NY
