Chief Revenue Officer

Chief Revenue Officer (CRO)

Sector: Behavioral Health & Addiction Services

Scope: National Multi-site (MAT, OTP, and IOP)

Reporting to: Chief Financial Officer (CFO)

Position Summary

The Chief Revenue Officer (CRO) is a high-level strategic leader responsible for the enterprise-wide revenue cycle and reimbursement performance of a multi-site behavioral health platform. This is a technical and operational revenue role, focused on reimbursement integrity, payer strategy, and operational excellence rather than marketing or patient volume growth.

The CRO will oversee the full lifecycle of revenue—from credentialing and contracting to billing and collections—ensuring the organization remains compliant within the highly regulated landscape of Opioid Treatment Programs (OTP) and Medication-Assisted Treatment (MAT).

Core Responsibilities

1. Revenue Cycle Strategy & Scalability

• Strategic Roadmap: Design and execute a scalable RCM infrastructure that supports rapid growth, including de novo site launches and M&A integrations.
• Reimbursement Optimization: Maximize performance across a complex payer mix of Medicaid, Medicare, Commercial, Private Pay, and grants.
• Service-Line Alignment: Adapt revenue strategies to the unique requirements of Residential, IOP, and MAT/OTP service lines.

2. Operational RCM Leadership

• Team Management: Lead and mentor a 60+ person department encompassing billing, collections, credentialing, and contracting.
• Efficiency Metrics: Drive best-in-class performance in AR days, DSO, and denial rates while accelerating cash flow.
• Process Engineering: Implement standardized workflows, productivity benchmarks, and real-time performance dashboards.

3. Payer Strategy & Contracting

• Professionalized Contracting: Modernize the contracting function through aggressive rate negotiations, term standardization, and relationship management.
• Specialized Billing: Manage the technical nuances of OTP billing, including bundled services, Methadone (H0020), and J-code requirements.
• Innovative Models: Transition the organization toward value-based care and outcome-driven reimbursement models where applicable.

4. Compliance & Revenue Integrity

• Regulatory Adherence: Ensure all practices meet SAMHSA, DEA, CMS, and ASAM criteria.
• Risk Mitigation: Partner with Legal and Compliance to defend against payer audits, recoupments, and clawbacks.
• Internal Controls: Maintain rigorous internal audit processes to ensure total revenue integrity.

Qualifications

Experience

10+ years of senior leadership in healthcare revenue operations.

Domain Expertise

Direct experience in Behavioral Health, SUD, or OTP environments.

Technical Knowledge

Deep mastery of Medicaid/Medicare (including Managed Medicaid) and commercial models.

Leadership

Proven track record in multi-site, highly regulated healthcare platforms.

Education

Bachelor’s degree in Business, Accounting, or Healthcare Admin; MBA/MHA preferred.

Systems

Proficiency in Behavioral Health EHRs (e.g., Methasoft, Kipu, ZenCharts).