VANESSA L. MACKAY
Westchester Medical Center Health Network
Pearl River
1
Certification
21
years of professional experience
Transformational healthcare operations executive with 25 years of experience in leading multi-hospital systems through growth and performance improvement. Strengthened financial outcomes and optimized revenue cycle operations while aligning organizational strategy with people, processes, and technology. Collaborated effectively with Boards and C-suite executives to drive data-driven decision-making and develop high-performing leadership teams.
Work History
Network Vice President, Revenue Cycle
2 Years 5 Months- Provide enterprise leadership for Patient Access, Patient Accounts, and Financial Counseling across a 12-hospital academic and community health system encompassing more than 1,600 beds and $2B+ in annual net revenue.
- Serve as senior operational leader accountable for revenue integrity, cash acceleration, patient financial experience, and workforce performance.
- Led and mentored management team of 400 FTEs, including AVPs, regional directors, senior directors, managers, and supervisors, fostering leadership development and operational excellence.
- Established and chaired post–Phase 2 Cerner go-live steering committee, stabilizing workflows and standardizing processes across the system.
- Partnered with finance, IT, clinical operations, and executive leadership to align revenue cycle strategy with system-wide objectives, enhancing operational synergy.
Vice President, Revenue Cycle
4 Years 11 Months- Directed revenue cycle operations for a five-hospital network totaling more than 1,200 beds and $1.5B+ in annual net revenue.
- Led enterprise implementation of Cerner Millennium, enhancing operational continuity and clinician adoption, resulting in performance improvements across the network.
- Increased emergency department point-of-service collections by 10%, strengthening cash flow and patient accountability.
- Designed and deployed a standardized revenue cycle training and leadership development program aligned with strategic performance goals.
- Designed and deployed standardized revenue cycle training and leadership development program, aligning team capabilities with strategic performance goals and driving overall revenue cycle effectiveness.
- Achieved or exceeded annual patient net revenue targets set by Finance and Executive Leadership, demonstrating consistent fiscal responsibility and strategic alignment.
Assistant Vice President, Central Business Office
3 Years 4 Months- Oversaw financial clearance operations for inpatient admissions, surgical services, and high-cost ancillary procedures across 13-hospital integrated delivery system, ensuring compliance and efficiency.
- Drove a 60% increase in staff productivity within three months through operational redesign, targeted training, and analytics-enabled work distribution.
- Achieved Tier 1 Press Ganey employee engagement scores, reflecting strong leadership culture and workforce stability.
- Led and developed management team for 120 FTEs, enhancing team capabilities and operational effectiveness.
Senior Director, Patient Financial Services
3 Years 8 Months- Held executive accountability for Patient Access and Patient Accounts operations, ensuring alignment with organizational financial goals.
- Implemented system-wide point-of-service collections, accelerating cash flow and reducing bad debt exposure.
- Led vendor strategy redesign and introduced performance scorecards to improve accountability and outcomes.
- Led vendor strategy redesign, implementing performance scorecards to enhance accountability and drive measurable outcomes.
Director, Patient Financial Services
6 Years 8 Months- Directed registration, insurance verification, financial counseling, CDM oversight, and management of denials and appeals to enhance patient financial processes.
- Increased Medicare Secondary Payer compliance from 35% to 90% within six months.
- Collaborated with Case Management and Physician Leadership to recover revenue from overturned denials, contributing to overall financial health.
- Managed RAC and OMIG audits, ensuring compliant and timely responses to uphold regulatory standards.
Education
Master of Science - Healthcare Administration
Bachelor of Science - Healthcare Administration
Skills
Operations leadership
Health strategy execution
Financial performance improvement
Workforce leadership
EMR technology enablement
Revenue cycle optimization
Change management
Governance and compliance
Executive communication
Revenue Cycle Innovations
Executive & Board-Level Communication
Certification
- Certified Healthcare Access Manager (CHAM)
- Certified Revenue Cycle Representative (CRCR)
- Certified Healthcare Financial Professional (CHFP)
Timeline
Network Vice President, Revenue Cycle
Westchester Medical Center Health Network
02.2024 - CurrentRead More
Vice President, Revenue Cycle
Westchester Medical Center Health Network
03.2019 - 02.2024Read More
Assistant Vice President, Central Business Office
Northwell Health
10.2015 - 02.2019Read More
Senior Director, Patient Financial Services
Staten Island University Hospital
01.2012 - 09.2015Read More
Director, Patient Financial Services
Staten Island University Hospital
05.2005 - 01.2012Read More
Capella University
Master of Science from Healthcare Administration
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University of Phoenix
Bachelor of Science from Healthcare Administration
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