Employment Type: Full-Time (Hybrid)

Industry: Behavioral Health / Addiction Services

Job Summary

Our Client is seeking a Chief Revenue Officer (CRO) to lead enterprise-wide revenue strategy and reimbursement performance across a multi-site behavioral health platform. This executive will oversee the full revenue lifecycle, including payer strategy, billing, collections, contracting, credentialing, and revenue integrity, within a highly regulated healthcare environment.

This role is focused on revenue realization, operational excellence, and reimbursement optimization not patient acquisition or growth marketing.

Position Impact

The CRO plays a critical leadership role in strengthening financial performance, enhancing reimbursement integrity, and building scalable revenue infrastructure that supports long-term sustainability, regulatory compliance, and patient access across a growing national healthcare organization.

As Chief Revenue Officer, you will be responsible for:

Enterprise Revenue Strategy

Develop and execute a comprehensive revenue cycle strategy aligned with operational scale and reimbursement optimization.
Optimize payer mix and reimbursement performance across government and commercial payers.
Build scalable infrastructure to support expansion, integrations, and service line growth.

Revenue Cycle Leadership

Oversee end-to-end revenue operations, including coding, billing, collections, denial management, and cash performance.
Improve revenue KPIs such as AR performance, DSO, denial rates, and overall cash realization.
Establish performance dashboards, productivity standards, and operational controls.
Lead and develop a high-performing revenue organization across billing, contracting and credentialing functions.

Payer Strategy & Contracting

Lead payer contracting strategy, including rate negotiations, renewals, and standardization of contract terms.
Strengthen payer relationships and reimbursement positioning in complex managed care environments.
Support reimbursement optimization strategies within behavioral health and substance use treatment services.

Compliance & Revenue Integrity

Ensure revenue operations align with federal, state, and payer regulations.
Partner with Compliance and Legal to mitigate audit risk, recoupments, and revenue exposure.
Implement proactive internal controls and audit processes to maintain reimbursement integrity.

Data & Executive Collaboration

Establish and monitor KPIs related to revenue performance and forecasting.
Use analytics to drive continuous improvement across workflows and reimbursement outcomes.
Partner with Finance, Operations, Clinical Leadership, and Compliance to align financial performance with patient care excellence.

Must-Have Qualifications

10+ years of senior leadership experience in healthcare revenue operations and reimbursement management.
Direct experience within behavioral health, substance use disorder treatment, or similarly regulated healthcare environments.
Deep understanding of Medicaid, Medicare, and commercial reimbursement models.
Proven success leading revenue cycle transformation in multi-site healthcare organizations.
Expertise in denial management, payer contracting, credentialing, compliance, and revenue integrity.
Demonstrated ability to lead large, cross-functional revenue teams.

Preferred Qualifications

Experience in private equity-backed or high-growth healthcare environments.
Experience scaling or professionalizing revenue functions within growing healthcare platforms.
Familiarity with value-based care models or alternative reimbursement structures.
Advanced degree (MBA, MHA, or similar).
Experience optimizing behavioral health EHR and RCM systems.

Support for Your Career and Life

Hybrid work flexibility
Comprehensive executive benefits package
Performance-based incentive opportunity
Relocation assistance available
Opportunity to lead revenue strategy within a mission-driven healthcare organization

Caitlin May Consulting

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