Director, Revenue Cycle Operations

🕒 Outubro 29

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $150.000 - $200.000 / ano

⏰ Tempo Integral

🔴 Especialista

⚙️ Operações

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Tempus AI

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2015

🏥 Saúde

🧬 Biotecnologia

🤖 Inteligência Artificial

Healthcare • Biotechnology • Artificial Intelligence

A Tempus AI é uma empresa de tecnologia avançada em saúde que se especializa em medicina de precisão através do uso de IA e perfil genômico. A empresa oferece soluções inovadoras em diversos campos médicos, incluindo oncologia, cardiologia, neurologia e psiquiatria. A Tempus permite que os profissionais de saúde tomem decisões informadas sobre tratamentos integrando dados do mundo real, pareamento de ensaios clínicos e testes algorítmicos para melhorar os resultados dos pacientes e acelerar o desenvolvimento de medicamentos.

Descrição

• Serve as the principal revenue cycle liaison to the Tempus AI Diagnostics business unit • Translate business priorities into operational plans and performance expectations • Advise business leaders on revenue cycle implications of new tests, payor requirements, client arrangements, pricing, coverage policies, and operational changes • Lead cross-functional governance, performance management, risk management, prioritization, and issue resolution • Direct daily diagnostic laboratory revenue cycle operations across intake, eligibility, authorization, charge capture, coding, claims, payment posting, denials, appeals, patient billing, collections, and reporting • Establish and improve revenue cycle KPIs, including clean claim rate, denial rate, accounts receivable days, cash collections, net collection rate, authorization turnaround time, and patient balance outcomes • Identify operational leakage, denials, delayed reimbursement, and billing defects; lead corrective actions • Ensure operational controls, documentation, escalation paths, and audit readiness • Partner with internal teams and vendors to optimize workflows and service-level performance • Manage and improve Quadax workflows, work queues, claims and remittance processes, reporting, and exception handling • Oversee Quadax tools and data for claims management, denial prevention, payment reconciliation, and reporting • Define requirements, prioritize enhancements, validate changes, and manage implementation impacts • Develop standards for Quadax data quality, workflow configuration, user adoption, reporting accuracy, and issue resolution • Apply diagnostic laboratory billing and reimbursement expertise, including CPT/HCPCS, ICD-10, medical necessity, payor edits, coverage requirements, claim rules, and appeals • Monitor reimbursement trends and regulatory or payor-policy changes • Support operational launches of new diagnostic offerings through revenue-cycle readiness, process, system, control, and training planning • Lead, coach, and develop revenue cycle staff and/or vendor partners • Establish service-level agreements, performance reviews, and escalation mechanisms for external partners • Lead complex operational change initiatives through implementation, adoption, measurement, and refinement • Create executive-ready reporting and communicate performance, risks, decisions, and recommendations to senior stakeholders

🎯 Requisitos

• Bachelor’s degree in business, healthcare administration, finance, or a related field; equivalent relevant experience may be considered • 10+ years of progressive revenue cycle operations experience, including substantial experience in diagnostic laboratory, molecular diagnostics, genetic testing, pathology, or a closely related laboratory environment • 5+ years leading teams, programs, or major operational functions at a manager, senior manager, director, or equivalent level • Direct, hands-on operational experience with Quadax, including workflow management, claims and remittance processes, reporting, issue resolution, and/or system optimization • Deep understanding of the end-to-end diagnostic laboratory revenue cycle • Demonstrated expertise in laboratory reimbursement requirements, payor policies, medical necessity, coding, billing edits, and denial prevention • Proven ability to use operational and financial data to identify performance gaps, prioritize action, and deliver measurable improvements • Experience leading cross-functional initiatives involving business, operational, technical, financial, and compliance stakeholders • Strong executive communication, relationship-building, problem-solving, and change-management skills • Preferred: Master’s degree in healthcare administration, business administration, finance, or a related discipline • Preferred: Experience supporting high-complexity, molecular, genomic, oncology, or AI-enabled diagnostic testing • Preferred: Experience managing third-party revenue cycle vendors and defining service-level agreements and performance metrics • Preferred: Familiarity with laboratory information systems, electronic health record integrations, clearinghouses, and revenue cycle analytics tools • Preferred: Lean, Six Sigma, project management, or other process-improvement certification

🏖️ Benefícios

• Incentive compensation may be available • Restricted stock units may be available • Medical and other benefits depending on the position • Remote work arrangement in Illinois

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