Description
Chief Revenue Officer (CRO)
Behavioral Health & Addiction Services
Reports to: CFO
Scope: National Multi-site Opioid Treatment Programs (MAT/OTP) and IOP
Position Summary
The Chief Revenue Officer (CRO) is a senior executive responsible for enterprise-wide revenue cycle strategy and reimbursement performance across a highly regulated behavioral health and addiction services platform. This role oversees the full revenue lifecycle—including payer strategy, billing, collections, contracting, credentialing, and reimbursement optimization—while ensuring strict compliance with federal, state, and payer requirements.
This role is primarily focused on revenue realization, operational excellence, and reimbursement integrity, rather than patient acquisition or admissions growth.
The CRO partners closely with the CFO, Managed Care, clinical leadership, compliance, and operations to align financial performance with patient access, clinical quality, and long-term organizational sustainability.
Core Responsibilities
Revenue Cycle Strategy & Performance
- Develop and execute an enterprise revenue cycle strategy aligned with organizational growth, operational scale, and reimbursement optimization across Residential, IOP, and MAT/OTP services.
- Optimize payer mix and reimbursement performance across Medicaid, Medicare, Commercial, Private Pay, and grant-funded programs.
- Support de novo site launches, acquisitions, integrations, and service expansions through scalable revenue infrastructure.
Revenue Cycle Management Leadership
- Oversee all revenue cycle functions, including verification of benefits, coding, billing, collections, denial management, and cash acceleration.
- Ensure timely, accurate reimbursement while improving AR days, DSO, denial rates, and overall cash collections performance.
- Implement scalable RCM processes, productivity standards, operational controls, and performance dashboards.
- Lead and develop a high-performing revenue organization of approximately 60 team members across billing, collections, credentialing, and contracting.
Payor Contracting & Reimbursement Optimization
- Professionalize and strategically evolve the payer contracting function, including rate negotiations, renewals, standardization of contract terms, and payer relationship management.
- Manage OTP-specific billing and reimbursement requirements, including MAT bundled services, methadone (H0020), and J-code billing.
- Leverage clinical and outcome data to support value-based or outcome-driven reimbursement models where applicable.
Compliance, Audit & Revenue Integrity
- Ensure revenue practices comply with all applicable federal and state regulations, including SAMHSA, DEA, CMS, Medicaid, OIG, Joint Commission, and ASAM criteria.
- Partner with Compliance and Legal teams to mitigate audit exposure, recoupment risk, and payer clawbacks.
- Maintain revenue integrity through internal audits, strong controls, and proactive risk management.
Data, Analytics & Performance Management
- Establish, monitor, and continuously refine KPIs related to revenue performance, forecasting, and operational efficiency.
- Use analytics to drive continuous improvement across reimbursement workflows, operational execution, and payer performance.
Leadership & Cross-Functional Collaboration
- Build, lead, and mentor high-performing teams across revenue cycle operations, credentialing, contracting, and payer relations.
- Collaborate with clinical and operational leaders to align revenue execution with patient-centered care and regulatory excellence.
- Serve as a strategic advisor to executive leadership, supporting enterprise financial performance, scalability, and long-term sustainability.
Qualifications
Required:
- 10+ years of senior leadership experience in healthcare revenue operations and reimbursement management.
- Direct experience in behavioral health, substance use disorder treatment, and/or opioid treatment programs.
- Deep understanding of Medicaid, Medicare, and commercial reimbursement models, including managed Medicaid complexity.
- Proven success leading revenue cycle performance in multi-site, regulated healthcare environments.
- Strong expertise in denial management, compliance, credentialing, payer contracting, and revenue integrity.
Preferred
- Experience professionalizing or transforming payer contracting functions in scaling healthcare platforms.
- Experience in PE-backed or rapidly growing multi-site healthcare organizations.
- Familiarity with value-based care, bundled payments, or alternative reimbursement models.
- Bachelor’s degree required; MBA, MHA, or equivalent advanced degree preferred.
- Experience with behavioral health EHRs (e.g., Methasoft, Kipu, ZenCharts) and RCM technology optimization.
Key Competencies
- Strategic and analytical leadership in regulated reimbursement environments
- Revenue cycle transformation and operational execution at scale
- Payer negotiation, contracting, and relationship management
- Data-driven performance management and KPI discipline
- Collaborative, mission-driven leadership aligned to addiction treatment outcomes
- Ability to balance financial performance with clinical integrity and compliance excellence
Job Or State Requirements
Business Administration, Accounting, or related degree.
- 10+ years of senior leadership experience in healthcare revenue operations and reimbursement management.
- Direct experience in behavioral health, substance use disorder treatment, and/or opioid treatment programs.
- Deep understanding of Medicaid, Medicare, and commercial reimbursement models, including managed Medicaid complexity.
- Proven success leading revenue cycle performance in multi-site, regulated healthcare environments.
- Strong expertise in denial management, compliance, credentialing, payer contracting, and revenue integrity.
