AVP Corporate Reimbursement & Net Revenue Optimization

AVP Corporate Reimbursement & Net Revenue Optimization

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The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership and oversight of reimbursement and net revenue functions across Henry Ford Health. This role will lead two directors over Net Revenue Reporting and Cost Reporting who will be responsible for driving accuracy, transparency, and performance in net revenue results for all acute care hospitals, behavioral services, and employed providers.

In addition to overseeing traditional reimbursement functions, this role will lead a systemwide transformation of Reimbursement and Net Revenue operations. The AVP will redesign team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care, System Analytics, and the Mosaic CIN. This leader plays a central role in telling the “story” of revenue performance while building durable processes that protect and optimize system revenue.

Principal Duties & Responsibilities

• Lead monthly net revenue modeling, forecasting, and variance analysis, ensuring accuracy and timely delivery of systemwide results.
• Optimize net revenue reporting tools, methodologies, and analytic capabilities.
• Direct the development of annual net revenue budgets in partnership with operational, financial, and contracting teams.
• Coordinate with Value-Based Enterprise (VBE) leadership to ensure value-based revenues are accurately modeled and recorded.
• Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue assumptions.
• Oversee balance sheet contractual reserve analyses and communicate financial drivers and trends to Finance leadership.
• Direct third-party cost report filings, audit responses, and settlement calculations.
• Lead systemwide redesign of Reimbursement and Net Revenue operations, establishing integrated team structures that support accuracy, efficiency, and proactive revenue management.
• Monitor regulatory and payer policy changes, assessing financial and operational impacts in coordination with Revenue Cycle, Managed Care, Government Affairs, and Policy.
• Lead the development and execution of a comprehensive Reimbursement Playbook aligned with system priorities.
• Evaluate and implement technologies and automation that improve efficiency, increase accuracy, and support scalable reimbursement operations.
• Foster a collaborative, high-performing work environment focused on accountability, service excellence, and staff development.
• Provide education and consultation to internal stakeholders on reimbursement methodologies, regulatory changes, and revenue impacts.
• Manage multiple projects and priorities in a fast-paced environment while driving execution and measurable improvement.

Education & Experience Required

Additional Information

Seniority level

Associate

Employment type

Full-time

Job function

Finance and Sales

Industries

Hospitals and Health Care, Insurance, and Wellness and Fitness Services

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