Revenue Cycle Management Senior Manager

What You’ll Do:

• Lead all functions of Revenue Cycle Management (RCM), including billing, coding, QA, AR, denials, and payment compliance.
• Design and execute strategic goals related to RCM that align with our company mission and promote operational efficiency.
• Ensure regulatory compliance with state and federal healthcare laws inclusive of virtual care regulations.
• Collaborate cross-functionally with Finance, Legal, Commercial Sales, and Account Management teams to forecast, budget, and optimize internal controls.
• Oversee payer enrollment processes, manage vendor relationships, and ensure accurate Medicare and commercial enrollment.
• Support client-facing teams with claims education and materials, enabling faster and smoother client set up and revenue recognition support..
• Lead HEDIS-related coding initiatives, technical reviews, and cross-functional reporting coordination.
• Educate internal teams on revenue cycle workflows, insurance processes, and evolving industry standards.
• Evaluate and implement RCM technologies and manage KPIs to ensure operational excellence.
• Play a pivotal role in enabling new telehealth products by collaborating with clinical, product, and network teams.

Who You Are:

• You are a seasoned RCM leader who thrives in high-growth, fast-paced environments and has a passion for driving efficiency and innovation in healthcare operations. 
• You bring a strategic mindset and a hands-on approach to problem solving, while excelling at cross-functional collaboration.
• You are proactive, communicative, and energized by the opportunity to influence both internal operations and client-facing functions.

Skills & Abilities Required:

• 5 to 10+ years of experience in Revenue Cycle Management, preferably within diagnostics, telehealth, or other healthcare services.
• Comfortable with how to apply AI tools and automation to optimize RCM workflows, such as predictive analytics for denials or natural language processing for coding accuracy.
• Demonstrated expertise in claims processing, payer enrollment, Medicare compliance, and HEDIS coding.
• Strong knowledge of state and federal healthcare regulatory requirements.
• Proven ability to lead cross-functional initiatives and manage external vendors.
• Experience with RCM software and KPI development/monitoring.
• Excellent written and verbal communication skills, including client-facing experience.
• Adept at creating training content and educating cross-functional teams.
• Ability to analyze complex datasets and drive actionable insights.
• Experience supporting new healthcare product rollouts, especially in virtual care or telehealth settings.
• Strong project management skills with a focus on stakeholder engagement and process improvement.