Revenue Cycle Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Take ownership of the complete regional revenue performance from enrollment to payment.

• Enhance reimbursement processes, accelerate cash flow, improve first-pass resolution, reduce denials, and streamline the authorization-to-payment cycle time.

• Direct the accounts receivable strategy to minimize aged receivables and avert revenue loss.

• Ensure adherence to state contract revenue stipulations.

• Manage payer escalations and conduct regular performance assessments.

• Recognize denial patterns and systemic reimbursement threats.

• Collaborate on cross-functional strategies to eliminate payment obstacles.

• Create and oversee regional revenue forecasts.

• Enhance forecast precision through ongoing monitoring and variance evaluations.

• Establish uniform revenue governance and reporting standards across regions.

• Collaborate with Finance on initiatives to expand margins.

• Integrate Enrollment, Authorizations, Billing, Claims, and Accounts Receivable into a unified workflow.

• Address process failures that hinder reimbursement.

• Conduct revenue performance evaluations and implement corrective action plans.

• Develop and sustain a standardized revenue-cycle playbook.

• Lead and mentor Claims Leaders with clear expectations and accountability.

• Supervise claims production through Claims Leaders.

• Foster operational discipline, continuous improvement, and standardized practices.

⛳️ Requirements

• A minimum of 7 years of progressive leadership experience in revenue cycle management.

• Proven track record of enhancing accounts receivable performance and implementing denial-reduction strategies.

• Experience in leading multi-level teams within a complex, multi-state setting.

• Strong financial knowledge and forecasting skills.

• Experience in government-funded or regulated reimbursement settings (preferred).

• Background in scaling revenue operations in rapidly growing organizations (preferred).

• Proficiency with business intelligence and reporting tools, such as Power BI (preferred).

🏝️ Benefits

• Flexible time off.

• Competitive wages and benefits.

• Opportunities for professional growth.

• Support for structured training and capability enhancement.

• An inclusive and welcoming workplace culture.

• The autonomy to succeed without micromanagement.