Executive VP of Finance - Laboratory Revenue Cycle

Executive Vice President of Finance – Laboratory Revenue Cycle

Location: Los Angeles, CA Area (Relocation Assistance Available)

Employment Type: Full-Time | Executive Leadership

About the Opportunity

Lighthouse Lab Services is partnering with a growing healthcare organization in the Los Angeles, CA area to recruit an experienced Executive Vice President of Finance with deep expertise in laboratory revenue cycle management and reimbursement strategy.

This executive leadership role is designed for a finance leader with extensive experience supporting laboratory billing, reimbursement, payer contracting, and revenue optimization. The successful candidate will drive financial strategy for laboratory services, improve revenue cycle performance, strengthen payer relationships, and develop initiatives that maximize reimbursement while ensuring regulatory compliance.

Candidates should reside in—or be willing to relocate to—the Tacoma, Washington area. Relocation assistance is available for qualified candidates.

Position Overview

The Executive Vice President of Finance will provide strategic leadership for all aspects of laboratory revenue cycle operations, financial performance, reimbursement strategy, and revenue integrity. This individual will collaborate closely with executive leadership to develop initiatives that improve collections, reduce denials, enhance payer performance, and support the organization's continued growth.

Key Responsibilities

Revenue Cycle Operations

• Direct all aspects of the laboratory revenue cycle, including:

  • Patient registration and demographic validation

  • Insurance verification

  • Charge capture and coding

  • Claims processing and submission

  • Denial management

  • Accounts receivable oversight

  • Patient billing and collections

• Develop performance metrics that improve cash flow and reduce revenue leakage.

• Implement strategies to increase first-pass claim acceptance and decrease claim denials.

• Partner with laboratory operations to ensure accurate documentation, ordering, and billing practices.

Reimbursement & Payer Strategy

• Develop reimbursement strategies across Medicare, Medicaid, commercial insurance, and managed care payers.

• Analyze reimbursement trends and identify opportunities to improve financial performance.

• Lead financial analysis and negotiations related to payer agreements.

• Oversee laboratory pricing strategies and fee schedule management.

• Build and maintain productive relationships with payer organizations.

Revenue Integrity & Regulatory Compliance

• Ensure billing and reimbursement activities comply with applicable CMS, OIG, CLIA, and other regulatory requirements.

• Lead internal reviews and audits related to coding accuracy, reimbursement, and documentation.

• Identify potential compliance risks and implement corrective actions.

• Collaborate with compliance, legal, and operational leadership to maintain strong revenue integrity programs.

Financial Planning & Analytics

• Develop reporting and financial dashboards focused on laboratory reimbursement and revenue performance.

• Monitor revenue by payer, testing category, service line, and client segment.

• Deliver financial forecasts and strategic recommendations to executive leadership.

• Evaluate profitability across testing services and recommend pricing or operational improvements.

• Lead budgeting and forecasting activities related to revenue cycle operations.

Leadership

• Provide leadership and mentorship to billing, collections, reimbursement, and finance teams.

• Establish performance standards, productivity benchmarks, and accountability measures.

• Promote continuous improvement initiatives and professional development within the department.

Qualifications

Education

• Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or a related discipline.

• MBA, MHA, or other advanced degree preferred.

Experience

• At least 10 years of progressive leadership experience in healthcare finance or revenue cycle management.

• Minimum of 5 years leading revenue cycle operations within a clinical laboratory environment.

• Demonstrated success improving laboratory reimbursement performance and financial outcomes.

• Strong knowledge of Medicare, Medicaid, managed care, and commercial payer reimbursement.

• Experience working within clinical laboratory operations and regulatory environments.

Preferred Skills & Expertise

• Extensive knowledge of laboratory billing, coding, and reimbursement methodologies.

• Strong understanding of CPT coding, laboratory fee schedules, and payer reimbursement models.

• Expertise with CMS regulations and laboratory compliance standards.

• Advanced financial modeling, forecasting, and data analysis capabilities.

• Experience utilizing Laboratory Information Systems (LIS), EMR platforms, and revenue cycle software.

• Excellent communication, leadership, negotiation, and strategic planning skills.

Preferred Credentials

• CPA, HFMA, CHFP, CRCR, or comparable professional certification.

• Previous experience within independent clinical laboratories, molecular diagnostics, pathology, toxicology, genetic testing, or specialty laboratory organizations.

• Experience overseeing outsourced billing vendors or revenue cycle service partners.

Success Measures

Performance in this role will be measured through key revenue cycle and financial metrics, including:

• Net collection rate

• Accounts receivable days

• First-pass clean claim rate

• Denial reduction and appeal success

• Cash collections compared to budget

• Reimbursement optimization

• Revenue recovery and leakage prevention

• Compliance and audit outcomes

• Revenue cycle team performance

• Overall laboratory financial growth and profitability

Why Apply?

This is an outstanding opportunity to join the executive leadership team of a growing clinical laboratory organization where you'll have a direct impact on financial strategy, reimbursement optimization, operational performance, and long-term organizational success. If you're passionate about laboratory finance and driving measurable business results, we'd love to speak with you.

About Lighthouse Lab Services

At Lighthouse Lab Services, we offer solutions to help start, grow, and run clinical laboratories. Our recruiting team has over 22 years of proven success placing job seekers in positions ranging from entry-level Medical Technologists to seasoned Laboratory Directors. We recruit nationwide for permanent and travel positions with clients ranging from small hospitals to large reference laboratories.

It is the policy of Lighthouse Lab Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual

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