Revenue Cycle Manager

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

📋 Description

• Take full ownership of the revenue performance lifecycle for a designated region, encompassing enrollment through to payment.

• Supervise Claims Leaders and maintain responsibility for the outcomes within the region.

• Enhance reimbursement results, increase first-pass resolutions, reduce denials, and streamline the authorization-to-payment cycle.

• Direct accounts receivable strategies, decrease aged receivables, and avert revenue losses.

• Ensure adherence to revenue requirements outlined in state contracts.

• Manage payer escalation processes and conduct regular performance evaluations.

• Recognize denial patterns and systemic risks in reimbursement.

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

• Create and oversee regional revenue projections.

• Enhance forecast precision through diligent monitoring and variance assessments.

• Implement standardized practices for revenue governance and reporting.

• Collaborate with Finance on initiatives aimed at expanding margins.

• Unify Enrollment, Authorizations, Billing, Claims, and Accounts Receivable into a seamless revenue workflow.

• Lead the planning of corrective actions and maintain a standardized revenue cycle playbook.

• Develop Claims Leaders by setting clear expectations, fostering accountability, providing training, and enhancing capabilities.

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

⛳️ Requirements

• A minimum of 7 years of progressive leadership experience within the revenue cycle.

• Proven track record of enhancing accounts receivable performance and executing strategies to reduce denials.

• Experience in leading multi-tiered teams within a complex, multi-state framework.

• Strong financial insight and proficiency in forecasting.

• Experience in environments governed by government funding or regulations (preferred).

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

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

🏝️ Benefits

• Flexible time off.

• Competitive salaries and benefits.

• Opportunities for professional growth.

• An inclusive and welcoming workplace culture.

• Flexible remote work options.