Senior Manager, Reimbursement Operations

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

📋 Description

• Oversee impactful projects within Revenue Cycle Operations

• Develop and execute processes aimed at achieving sustainable operational enhancements

• Enhance collections and minimize denials

• Assess and integrate revenue cycle technologies

• Maximize collections by conducting root cause analyses on claims performance issues

• Collaborate with Reimbursement leaders to standardize processes while maintaining flexibility

⛳️ Requirements

• A minimum of 8 years of experience in healthcare reimbursement, revenue cycle operations, or similar financial operations

• Proven track record in establishing and leading Revenue Cycle operational teams across diverse functions

• Demonstrated success in advancing process improvements and reimbursement optimization initiatives that yield measurable financial results

• Strong knowledge of payor dynamics, prior authorization, claims adjudication, denials, and appeals

• Experience in leading or collaborating on automation, AI, or technology-driven operational transformations

• Advanced analytical abilities with the capacity to convert complex data into actionable insights

• Established capability to spearhead cross-functional initiatives in a fast-paced, uncertain environment

• CPMA/CPC Certifications

🏝️ Benefits

• Competitive salary and benefits package

• Significant career advancement opportunities

• An inclusive workforce that values diverse backgrounds

• Acknowledgment as a Great Place to Work