Revenue Cycle Manager

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

📋 Description

• Take full ownership of revenue performance for a designated region, overseeing the entire process from enrollment to payment.

• Enhance reimbursement results, minimize denial risks, expedite cash realization, and reinforce revenue governance across various states.

• Spearhead efforts to improve first-pass resolution rates, decrease denials, and streamline the authorization-to-payment cycle.

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

• Ensure adherence to state contract revenue requirements.

• Manage payer escalations and facilitate ongoing performance reviews.

• Identify trends in denials and systemic reimbursement challenges.

• Collaborate cross-functionally to develop resolution strategies that eliminate payment obstacles.

• Create and oversee regional revenue forecasts.

• Enhance forecast precision through diligent monitoring and variance analysis.

• Establish uniform revenue governance and reporting standards.

• Partner with Finance on initiatives aimed at margin enhancement.

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

• Lead regular revenue performance reviews and formulate corrective action plans.

• Develop and sustain a standardized revenue cycle playbook.

• Mentor and develop Claims Leaders with well-defined performance expectations and accountability.

• Supervise claims production through Claims Leaders while maintaining accountability for regional outcomes.

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

• Facilitate structured training and capability building within the claims department.

⛳️ 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-tiered teams within a complex, multi-state environment.

• Strong financial acumen and adept forecasting skills.

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

• Experience in scaling revenue operations for high-growth organizations (preferred).

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

🏝️ Benefits

• Flexible time off.

• Competitive wages and benefits.

• Opportunity for professional growth.

• Flexible work arrangements (remote).