Senior Manager, Revenue Strategy – Recovery

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Take complete ownership of Lingraphica's payor revenue engine, overseeing all aspects from contract negotiation and payor strategy to billing, collections, cash posting, and reconciliation.

• Establish minimum allowable contract pricing and enhance ASP performance through effective negotiation.

• Ensure that the value of submitted claims is realized through proper cash application.

• Directly supervise the Reimbursement Manager, Cash Posting & Reconciliation Manager, and Payor Strategy Manager.

• Define departmental strategy and establish standards.

• Manage AR health and cash performance at a strategic level.

• Develop a strategy for payor access and expansion, focusing on markets and payors that align with Lingraphica's growth objectives.

• Lead negotiations for payor contract terms and reimbursement rates.

• Monitor payor policies and analyze performance data related to payors.

• Create and lead the Payor Strategy Manager role.

• Ensure timely and accurate claims submission and follow-up processes.

• Oversee collections performance, aging, and the management of denial workflows.

• Collaborate with the Senior Manager, Payor Readiness to facilitate funding and authorization transitions into billing.

• Drive cash-flow performance and manage cash forecasts.

• Supervise cash posting and reconciliation to ensure alignment with contracted rates.

• Implement processes to identify underpayments and discrepancies in rates.

• Develop and present KPIs related to payor access, contract rates, billing/collections, and cash reconciliation.

• Provide data-driven business cases to support payor negotiations and prioritization.

• Maintain expert-level knowledge of payor reimbursement terms, billing regulations, and compliance requirements in collections.

• Report directly to the Director of Operations.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor's degree or an equivalent combination of education and experience.

• Over 7 years of experience in healthcare revenue cycle management.

• Direct experience in payor contracting or negotiating reimbursement rates.

• At least 5 years of managerial experience.

• Proven leadership ability with experience managing managers and multi-team departments.

• Strong understanding of billing, collections, and cash reconciliation workflows in a healthcare or DME/HME context.

• Demonstrated experience in building or owning a cash forecast or AR/revenue model.

• Proven track record of leveraging data and analytics to guide payor and contracting strategies.

• Exceptional negotiation, communication, and cross-functional influencing skills.

• Willingness and ability to travel within the U.S., including airline travel, up to 2 times per year for in-person team and all-company meetings.

• Preferred: Experience in speech-generating devices, durable medical equipment, or related healthcare technology sectors.

• Preferred: Experience in building or scaling a dedicated payor strategy or managed care department.

• Preferred: Familiarity with payor policy analytics and reimbursement modeling tools.

• Must be authorized to work in the U.S.

🏝️ Benefits

• Paid Time Off (sick, personal, and vacation).

• Paid Company Holidays.

• 401(k) Retirement Plan with contributions.

• Medical, Dental, and Vision benefits with FSA, HSA, and Dependent care options.

• Employer-paid Life Insurance.

• Voluntary benefits including Short and Long Term Disability, Critical Illness, Hospital Indemnity, and AD&D insurance.

• Stipends for health and wellness, home office setup, and professional development.

• Paid Family Leave.

• Annual bonus program.

• Annual merit increases.

• Year-Round Flex Fridays.

• Discounts on travel, entertainment, home/pet/car insurance.

• Remote work options from a home office.