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.

• Supervise Claims Leaders and manage claims production effectively.

• Enhance reimbursement results, improve first-pass resolutions, reduce denials, and optimize the authorization-to-payment cycle time.

• Direct accounts receivable strategy, minimize aged receivables, and avert revenue leakage.

• Ensure adherence to state contract revenue standards.

• Manage payer escalations and conduct regular performance reviews with payers.

• Recognize denial patterns and systemic reimbursement vulnerabilities.

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

• Create and oversee regional revenue forecasts.

• Increase forecast precision through monitoring, variance analysis, and alignment with operational drivers.

• Implement standardized revenue governance and reporting practices.

• Collaborate with Finance on initiatives aimed at margin expansion.

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

• Conduct revenue performance reviews and develop corrective action plans.

• Create and maintain a standardized revenue cycle playbook.

• Establish performance expectations and accountability for Claims Leaders.

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

• Support structured training and capability enhancement within the claims team.

⛳️ Requirements

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

• Proven track record of enhancing accounts receivable performance and managing strategies for denial reduction.

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

• Strong financial insight and forecasting skills.

• Preferred experience in government-funded or regulated reimbursement environments.

• Preferred experience in scaling revenue operations within high-growth organizations.

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

🏝️ Benefits

• Flexible time off.

• Competitive salaries and benefits.

• Opportunities for professional growth.

• Flexible work arrangements, including remote work options.

• A welcoming and inclusive workplace community.

• Professional training and capability development.