Senior Revenue Operations Manager

This is a fully remote position, open to applicants in California, +8 more states.

📋 Description

• Take charge of designing and overseeing the complete revenue cycle operations, which includes charge capture, claims submission, denial management, payer follow-up, patient billing, and accounts receivable collections.

• Monitor and manage essential revenue cycle metrics, such as clean claim rate, AR days, denial rate, and write-off rate, providing monthly reports to leadership.

• Collaborate with Clinical to develop and document billing and coding protocols, ensuring consistent implementation across all payer types.

• Lead processes for denial prevention and appeals, track root causes, identify patterns, and address systemic gaps.

• Ensure billing compliance and operational readiness for every new insurance plan accepted by Hey Jane; this role focuses on establishing the billing infrastructure before care delivery, rather than negotiating contracts.

• Work alongside Product and Engineering teams to assess RCM and AI tools, optimizing EHR and billing system configurations, including automations, reporting, and integrations.

• Facilitate state expansion by operationalizing billing for new Medicaid programs and payer launches.

• Identify and address operational gaps within the revenue cycle, creating scalable processes that minimize manual work and enhance accuracy.

• Supervise a team of 2-3 billing specialists.

⛳️ Requirements

• Over 7 years of experience in healthcare revenue cycle or billing operations, with a minimum of 2 years in a management or leadership role.

• Strong preference for candidates with Medi-Cal/Medicaid billing experience; multi-state Medicaid experience is a significant advantage.

• Preferred background in telehealth, reproductive health, or women's health.

• Proficient understanding of clearinghouse workflows, ERA/EOB reconciliation, and CPT/ICD-10 coding for reproductive and virtual care.

• Practical experience in configuring and managing billing systems and EHRs; must be comfortable acting as the internal subject-matter expert.

• Possess an analytical mindset with a proven history of leveraging data to identify trends, monitor KPIs, and drive process improvements—actively engaging with the data rather than merely reporting it.

• Strong cross-functional collaborator, capable of working effectively with Clinical, Business Development, Finance, Product, and Clinical Operations without requiring intermediaries.

• Exceptional written and verbal communication skills; able to simplify complex billing issues into clear escalations, documentation, and updates for leadership.

• Thrives in dynamic, ambiguous environments; must be adaptable, resourceful, and solution-focused.

• A strong passion for Hey Jane’s mission and a dedication to enhancing access to essential healthcare services.

🏝️ Benefits

• Compensation: $140-150k + equity.

• Unlimited vacation policy.

• Comprehensive health, dental, and vision insurance with FSA.