Chief Revenue Officer (CRO)

Location: Hannibal, MO | On-site

Position Overview

The Chief Revenue Officer (CRO) is a senior corporate officer responsible for the strategic direction, performance, and integration of all revenue‑generating and revenue‑supporting functions across the enterprise. Reporting to the Chief Financial Officer (CFO), the CRO will unify strategy, operations, and technology across the full revenue lifecycle, including revenue cycle management, payer contracting, credentialing, onboarding, billing, collections, and value‑based payment models.

This role is accountable for optimizing revenue performance across a $1B+ multi‑state healthcare system, ensuring sustainable growth, regulatory compliance, and strong payer relationships in an increasingly complex reimbursement environment.

Position Perks & Benefits:

• 29 Days of PTO

• Eligibility for HRSA Loan Repayment *eligibility requirements

• Employee benefits package - health, dental, vision, retirement, life, & more**

• Competitive 403(b) Retirement Savings Plan – up to 5% match for Part-Time and Full-Time employees

• Company-paid basic life insurance

• Emergency Medical Leave Program

• Flexible Spending Accounts – healthcare and dependent child-care

• Health & Wellness Program

• Employee Assistance Program (EAP)

• Employee Discount Program

• Mileage Reimbursement (when applicable)

Key Responsibilities

Enterprise Revenue Strategy

• Develop and execute a comprehensive, enterprise‑wide revenue strategy aligned with organizational growth and financial objectives.

• Lead payer negotiation strategy across Medicaid, Medicare, and commercial contracts, including complex and value‑based reimbursement models.

• Partner with executive leadership to support long‑term revenue forecasting, market expansion, and service line growth initiatives.

Revenue Cycle & Operations

• Provide executive oversight of end‑to‑end revenue cycle operations, including patient access, centralized onboarding, billing, collections, reimbursement analytics, and revenue integrity.

• Standardize workflows and drive performance optimization across multiple EHR and revenue cycle platforms.

• Deliver measurable improvements in clean claims rates, denial management, days in AR, cash flow, and overall revenue performance.

• Ensure audit readiness and compliance with federal, state, and payer regulations across all states of operation.

Managed Care & Payer Relations

• Lead and manage strategic relationships with managed care organizations and state Medicaid agencies.

• Analyze payer performance trends and implement targeted corrective strategies.

• Strengthen enterprise positioning for network participation, reimbursement competitiveness, and contract sustainability.

Growth, Marketing & Market Position

• Align revenue strategy with organizational capacity planning, service line development, and evolving market demand.

• Collaborate with executive leadership on business development, sales strategy, and client retention efforts.

• Support growth initiatives through data‑driven insights and payer‑aligned expansion strategies.

Leadership & Governance

• Build, lead, and mentor a high‑performing, enterprise‑level revenue organization.

• Serve as a key member of the senior leadership team, contributing to executive‑level and board‑level strategy discussions.

• Foster a culture of accountability, transparency, operational excellence, and continuous improvement.

• Champion change management initiatives and effectively lead the implementation of new strategies and technologies.

Knowledge, Skills, and Abilities

• Proven success leading enterprise‑scale revenue operations (experience with organizations exceeding $500M in revenue strongly preferred).

• Deep expertise in Medicaid reimbursement, value‑based contracting, and multi‑state regulatory environments.

• Strong operational command of EHR‑integrated revenue cycle platforms and analytics.

• Demonstrated ability to negotiate complex payer contracts and improve financial performance.

• Strategic thinker with the ability to align clinical, operational, and financial priorities across diverse stakeholders.

Education & Experience Qualifications

• Bachelor’s degree in Business Administration, Management, Organizational Development, or a related field from an accredited institution required.

• Advanced degree (MBA, MHA, or related) strongly preferred.

• 10+ years of progressive executive leadership experience in revenue cycle management, managed care, or payer strategy within a large health system or multi‑site healthcare organization.

Supervisory & Management Expectations

• Communicate and reinforce the organization’s strategic direction while encouraging engagement at all levels.

• Provide leadership and oversight across all assigned departments and functions.

• Actively monitor and guide the development and execution of strategic objectives.

• Foster collaboration and solicit input from team members to achieve organizational goals.

• Communicate departmental and organizational updates clearly and effectively.

• Address complex team member situations with professionalism, discretion, and in collaboration with Human Resources.

• Reinforce a team‑based approach and continuous improvement mindset across the organization.

Employment Requirements

• Successful completion of required background checks, including criminal, driving record, abuse/neglect, and fingerprint checks.

• Valid driver’s license with acceptable driving record and current auto insurance.