Position: System Vice President, Revenue Cycle

Company: Billings Clinic - Logan Health

Location: Billings, MT / Kalispell, MT; with hybrid potential

Reporting Relationship: The System Vice President Revenue Cycle will report to Patti Pilgrim, System Chief Financial Officer, Billings Clinic – Logan Health. 

Website: https://www.logan.org/

https://www.billingsclinic.com/

Organization Background

Billings Clinic and Logan Health are united as one non-profit, Montana based, independent health care system focused on keeping patients and families close to home and connecting care in communities throughout the region. The unified health system serves an area that includes Montana, northern Wyoming, and the western Dakotas and is governed by a board of community members and medical professionals. It encompasses 25 hospitals, which includes 16 regional partnerships with critical access hospitals and clinics. More than 9,000 employees, including 1,200 physicians and advanced practice providers practicing in 80 specialties, work together to provide patients and their families with a positive, proactive, patient-centered experience, through innovative and effective approaches to high quality, safe health care. Combined, Billings Clinic and Logan Health generate annual net revenues of $2 billion.

Billings Clinic and Logan Health have deep commitments to complex care, local access, innovation and health care education. By uniting the two organizations in September 2023, each of which have served Montana and the surrounding region for more than 100 years, Billings Clinic and Logan Health are better together. The one combined system is better positioned to adapt to the rapidly changing health care environment while maintaining a commitment to sustaining and growing services that meet the needs of Montana and Wyoming families.

Billings Clinic

Billings Clinic was designated as the first Magnet organization in Montana in 2006. Billings Clinic is also a member of the Mayo Clinic Care Network, which has provided clinical resources and direct access to Mayo Clinic specialists since 2013. As a regional leader in medical education, Billings Clinic offers Montana’s only medical residencies for Internal Medicine, Psychiatry, and Surgery (rural track), and a Rural Critical Care Fellowship. Last year, Billings Clinic’s cost of Community benefit totaled more than $67.3 million, including $20.2 million in financial assistance provided to more than 14,600 patients.

Billings Clinic’s services to meet our system mission of quality, compassionate care for all include:

• Level I Trauma Center provides emergency and critical care, with support from MedFlight advanced life support fixed-wing aircraft and helicopter air ambulance service to transport critically ill or injured patients from rural communities. Specialty MedFlight teams include trauma, neonatal (infant) and maternal (childbirth) care. Already the busiest trauma center in the region, Billings Clinic was designated as the region’s first Level I Trauma Center in a 500-mile radius in 2023.
• Primary Care is available at multiple locations, with NCQA-certified patient-centered medical homes where a team of health professionals work together to provide all of your health care needs in convenient locations.
• Clinic locations include Billings (Downtown, Heights and West), Bozeman, Miles City, and West Yellowstone, Montana; and Cody, Wyoming.
• Rural outreach includes 145 specialty care clinics per month at 23 different regional locations for residents of rural Montana, Wyoming and North Dakota.
• PatientConnect offers personal online access 24/7 to your medical records and to online bill payment.
• BillingsClinicConnect allows providers immediate access to shared patient information that facilitates improved patient care.
• Billings Clinic is home to Eastern Montana Telemedicine Network, a collaboration with regional health care facilities to provide health care and education through private video conferencing.
• Billings Clinic is dedicated to the pursuit of new medical knowledge with research that benefits current and future patients with diseases such as diabetes and cancer.
• Billings Clinic Cancer Center has an outstanding team of cancer specialists, and the only stem cell transplant program in the region. Cancer site-specific teams of physicians and patient care navigators work together in this Commission on Cancer Accredited Comprehensive Cancer Program.
• Billings Clinic’s John R. Burg MD Cardiac Center provides state of the art patient-centered care in all aspects of cardiology and cardiac surgery. This excellence in cardiac care has been recognized with multiple awards and recognitions including Platinum recognition for treatment of Chest Pain and Heart Attack.
• Billings Clinic Orthopedics & Sports Medicine has specialists in upper and lower extremities, pediatrics and trauma surgery. They are certified by the DNV and are awarded its Disease-Specific Care Certification for hip and knee replacement. They are also designated as a BlueDistinction Center for Knee and Hip Replacement by Blue Cross and Blue Shield of Montana.
• Women’s health services include specialists in obstetrics, gynecology, maternal-fetal medicine, reproductive medicine, fertility care, and urogynecology. Services also include a high-risk breast clinic.
• Children’s health care is provided by a comprehensive team of 20+ pediatricians and pediatric specialists in the specialties of cardiology, dermatology, diabetes, gastroenterology, hematology/oncology, hospital care, neonatology, neurology, ophthalmology, orthopedics, psychology, pulmonology, rehabilitation, and urology. The state-of-the-art Bob & Penni Nance Inpatient Pediatric Unit offers a safe, healing, high-tech environment for children who require pediatric in-hospital care for injury or illness and specialty medicine. Billings Clinic is a partner in the Children’s Hospital Colorado Care Alliance, giving families across our region access to some of the nation’s best care close to home.
• The only board-certified reproductive endocrinologists and In Vitro Fertilization Program in Montana, Wyoming and the western Dakotas are at Billings Clinic in Billings and Bozeman.
• The Billings Clinic Family Birth Center staff cares for approximately 1,000 newborns per year, offering private suites, family-centered single room maternity care, and a Level III Neonatal Intensive Care Unit (NICU).
• The Neurosciences Program includes an outstanding multidisciplinary team for neurology and neurosurgery, offers 24/7 interventional neurosurgery and has the Region’s only neurohospitalist program. Billings Clinic offers the highest level of stroke care available in the region and is certified by DNV as Montana and Wyoming’s first and only Comprehensive Stroke Center, the highest stroke certification level a health care organization can achieve.
• Billings Clinic is the only location within a five-state region to offer Gamma Knife® radiosurgery for noninvasive treatment of brain tumors and other conditions.
• Surgical Services include cardiac, thoracic and vascular surgery, general surgery, gynecologic oncology, metabolic surgery, neurosurgery, OB/GYN, ophthalmology, orthopedics, otolaryngology head and neck surgery (ear, nose, throat), facial plastics and reconstructive surgery, podiatry, urology, and urogynecology. Billings Clinic offers minimally-invasive surgery, including robotic-assisted surgery with the da Vinci surgical system, and advanced surgical facilities including a hybrid operating room.
• Billings Clinic Surgery Center is an outpatient facility for same-day procedures and operations.
• The 44-bed inpatient unit at the Psychiatric Center is the only inpatient psychiatric care unit for youth and adults in Eastern Montana. Billings Clinic is a leader in clinical care and health care policy design for mental health services in the state of Montana, and offers the most comprehensive department of psychiatry in the state.
• Dermatology Center specialists offer comprehensive medical dermatology care for children and adults, and skin cancer detection and treatment services, including Mohs surgery.
• Billings Clinic Gastroenterology is recognized by the American Society for Gastrointestinal Endoscopy for promoting quality in endoscopy. Our gastroenterologists provide screening, diagnosis and treatment of digestive tract diseases.
• Through a multi-disciplinary approach, the Diabetes, Endocrinology & Metabolism Center team provides individualized care for endocrine system disorders, diabetes management, and medical and surgical weight loss.

VISION: Reimagine health care through connection, service and innovation.

Logan Health

Logan Health is a nonprofit, 590-bed health system located in the iconic Flathead Valley of northwest Montana. While the main medical campus is located in Flathead County, Logan Health draws from a total service area covering 13 counties, nearly 40,000 square miles and a population of more than 600,000. The health system consists of six hospitals, more than 68 provider clinics, a medical fitness center, skilled nursing facility and a host of other health care services, including the nation’s first rural air ambulance service (A.L.E.R.T.), which it has maintained for more than 45 years. More than 4,500 physicians, nurses, health care professionals and support staff work together to provide patients and their families with a positive, proactive, patient-centered experience. Founded in 1910, Logan Health has provided exceptional care for more than 100 years to the communities it serves. Throughout its history, the organization has continued to grow and evolve with the growth and changing needs of the communities it serves.

Mission: Quality, compassionate care for all.

Position Summary

• Reports to the System Chief Financial Officer (CFO) and partners closely with entity and affiliate CFOs and senior leaders to ensure alignment of revenue cycle strategy and performance across the integrated system.
• Develops and provides final decisions on strategic plans and objectives for the revenue cycle division, ensuring alignment with system mission, values, and organizational goals.
• Encourages innovation and continuous improvement, working with complex variables and enterprise-wide considerations.
• Partners with executive leadership, entity CFOs, affiliate leaders, and clinical/operational teams to align strategy across the system.
• Provides strategic oversight for operating and capital budgets, division performance, sustainability, and long-term financial outcomes.
• Demonstrates in-depth knowledge of the healthcare industry, the system’s financial strategies, and their interdependencies across all business units.
• Serves as the final decision-maker for policies impacting the revenue cycle across the system.

• Directs and integrates revenue cycle operations across all entities, including patient access, HIM, billing, collections, and denial management.
• Establishes systemwide performance standards and monitors key performance indicators (KPIs).
• Leads operational transformation efforts, applying Lean principles and best practices to drive workflow optimization, accuracy, and service excellence.

• Ensures compliance with all regulatory, contractual, and audit requirements.
• Partners with department leaders and entity CFOs to ensure accurate and compliant charge capture practices, pricing methodology, and revenue integrity efforts systemwide.
• Utilizes analytics, forecasting, and financial modelling to optimize net revenue and reduce avoidable financial loss.
• Collaborates with Managed Care, Legal, and Compliance functions to support contracting, regulatory adherence, and payer relations.
• Responsible for divisional budget management and financial outcomes.

• Provides executive leadership for revenue cycle technology, including Oracle Health and associated financial platforms.
• Partners with Information Technology and Analytics to drive interoperability, automation, efficiency, and accurate billing workflows.
• Leverages digital tools to enhance patient financial engagement and transparency.

• Leads, mentors, and develops leaders and teams across the revenue cycle division, ensuring efficient operations and promoting performance excellence.
• Leads and directs major corporate functions related to the revenue cycle across Billings Clinic – Logan Health.
• Interacts internally and externally with executive-level management, negotiating extremely critical matters and system-level initiatives.
• Identifies, mentors, and develops future leaders within the organization, ensuring leadership continuity and succession planning.
• Builds a collaborative, inclusive, and high-performing culture grounded in accountability and service excellence.

• Builds relationships with key customers (including senior administrative and medical staff leaders) from across the organization; gains an understanding of their particular needs for programmatic development, functionality, and design; promotes open communication with customers and vendors regarding needs, timetables, mutual responsibilities, and accountabilities.
• Ensures patient financial interactions are compassionate, transparent, and supportive of equitable access to care.
• Promotes community stewardship through responsible billing and patient assistance practices aligned with nonprofit healthcare standards.
• Supports and models behaviours consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization

• Minimum of ten (10) years of progressive and effective leadership experience in healthcare revenue cycle management, including multi-entity or regional systems.
• Experience leading integration across multi-entity or regional healthcare systems is strongly preferred.
• Extensive knowledge of healthcare revenue cycle operations, reimbursement methodologies, payer contracting, and regulatory compliance.
• Advanced knowledge of EHR functionality and financial/revenue cycle integration; Oracle Health experience is strongly preferred.
• Strong understanding of healthcare finance, budgeting, forecasting, and analytics.
• Knowledge of national and regional market trends affecting healthcare reimbursement.
• Familiarity with audit processes, internal controls, and risk management.
• Strategic and conceptual thinking, with the ability to navigate complex, systemwide issues.
• Strong financial acumen and data interpretation skills for decision-making.
• Exceptional leadership and communication skills that promote engagement and collaboration.
• Proficiency in process improvement and change management methodologies.
• Highly skilled in negotiation and stakeholder management with executive and external partners.
• Advanced organizational and analytical problem-solving skills.
• Ability to lead through influence across a multi-entity healthcare system.
• Ability to assess complex operational and strategic variables and provide decisive guidance.
• Ability to inspire innovation and continuous improvement across teams and departments.
• Ability to model Billings Clinic – Logan Health’s values in all actions and decisions.
• Ability to represent the organization credibly at the community, industry, and national levels.
• Leading the alignment of people, processes, and technology across the Billings Clinic – Logan Health system.
• Balancing local operational needs with systemwide standardization.
• Navigating changing payer and regulatory environments.
• Making strategic decisions with significant, long-term financial and operational implications.

• A bachelor’s degree is required. An advanced degree in Business Administration, Healthcare Administration, Finance, or related field is strongly preferred.
• CRCE, Lean, Six Sigma, or equivalent performance improvement certification preferred.

• Salary will be competitive and commensurate with the skills and experience of the selected candidate.