Vice President, Revenue Cycle Management

🔥 23 hours ago

🇺🇸 United States – Remote

💵 $261.7k - $337.8k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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Freenome

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2014

🧬 Biotechnology

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

💰 $290M Corporate Round on 2022-01

Biotechnology • Artificial Intelligence • Healthcare Insurance

Freenome is a company focused on advancing early cancer detection through the integration of scientific innovation and artificial intelligence. Their platform uses multiomics technology to identify cancer at its most treatable stages, enabling early intervention. The company emphasizes a standard blood draw method for ease of use, aiming to redefine cancer screening. Freenome is driven by a robust clinical research program and is committed to discovering, developing, and validating early cancer detection tests, employing a multidisciplinary team dedicated to pushing the boundaries of what's possible in cancer diagnostics.

📋 Description

• Develop and implement Freenome’s enterprise-wide revenue cycle strategy. • Build, coach, and develop a high-performing team, fostering a culture of accountability, continuous improvement, and deep customer focus. • Establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management. • Oversee the efficiency and effectiveness of intake services including benefit verification, financial counseling, prior authorization, and customer call center operations. • Partner with Market Access to maintain strong payer relationships, ensuring optimal reimbursement rates and contract compliance. • Ensure adherence to federal, state, and payer-specific regulations, including CMS and value-based care initiatives. • Leverage AI, ML, automation, and analytics to improve revenue cycle performance, reduce denials, intake time and overall cost to collect. • Partner with Sales, Market Access and Commercial Operations leadership to ensure smooth revenue cycle integration with patient care workflows. • Define, track, and analyze revenue cycle KPIs, drive continuous improvement, and present strategic insights and actionable recommendations to executive leadership. • Oversee annual budget, ensuring effective allocation of resources to meet organization objectives. • Build strong relationships with customers by proactively addressing financial challenges and aligning solutions with their operational and clinical needs. • Serve as a trusted and key contributor to the Finance organization and Senior Leadership Team, actively participating in Quarterly Business Reviews (QBRs) and providing strategic insights on revenue cycle performance, reimbursement optimization, and payer trends.

🎯 Requirements

• Bachelor’s degree in finance, healthcare administration, or a related field (MBA or MHA preferred). • 12+ years of progressive experience in revenue cycle management, preferably in molecular diagnostics or precision diagnostics industry. • 6+ years leadership experience in revenue cycle management building and leading high-performance teams. • 4+ years of P&L responsibility. • Extensive expertise in payer contracting, reimbursement methodologies, and healthcare finance. • Proven success in scaling revenue cycle operations for a growing healthcare organization. • Passion for utilizing AI and automation to optimize systems and processes. • Strong planning and cross-functional partnership skills with demonstrated ability to drive continuous improvement. • Deep understanding of compliance (CMS, HIPAA, Stark Law, etc.) and regulatory considerations in infusion services.

🏖️ Benefits

• equity • cash bonuses • full range of medical benefits • financial benefits