Senior Manager – Provider RCM Business Development, Strategy

🔥 13 hours ago

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Turquoise Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

☁️ SaaS

🤝 B2B

📋 Compliance

💰 $30M Series B - Turquoise Health on 2024-01

SaaS • B2B • Compliance

Turquoise Health is a healthcare transparency platform and SaaS company that aggregates, standardizes, and publishes hospital and health plan pricing data to make healthcare costs accessible and actionable. It provides machine-readable price files, patient cost-estimate tools, contracting and analytics software, and compliance solutions to hospitals, health systems, payers, employers, and life sciences organizations. The company’s products help organizations meet regulatory price-transparency requirements, compare provider costs, and enable consumers and enterprise customers to make cost-conscious healthcare decisions.

📋 Description

• Partner with Sales and Customer Success to identify, scope, and win new engagements, shaping RFPs, proposals, statements of work, and value based pricing that reflect the value delivered. • Convert one-off projects into durable, multi-year partnerships across people, process, and technology by spotting adjacent opportunities across new and within existing accounts. • Act as a thought partner to senior leadership on how Turquoise packages, prices, and positions its solution based offerings. • Serve as a trusted advisor to senior leaders such as VPs of Revenue Cycle and Managed Care, CFOs, and their teams at hospitals and health systems, framing ambiguous problems and translating them into structured, data-driven engagements across strategic pricing, payer contracting, charge capture, CDI, and other initiatives supporting net revenue improvement. • Own engagements end to end: scoping, work planning, execution, and delivery, holding yourself accountable for measurable client outcomes • Lead with expert subject matter and analytical methodology for each engagement. Pull and analyze price transparency, contracts, claims, and reimbursement data directly, pressure-test findings, and synthesize them into executive-ready narratives that withstand scrutiny. • Present findings and insights to client executives and help influence decisions on pricing strategy, contracting strategy, payer negotiations. • Partner with Customer Success to align engagement outcomes with the broader account relationship and deliver a seamless customer experience. • Work with Solutions Engineering to source, structure, and validate the novel datasets that power customer work. • Coordinate with Finance, Legal, and Revenue Operations on contracting, engagement economics, and compliance. • Feed structured insight back to Product, surfacing recurring client needs, defining requirements for productization, and helping reduce cost-to-serve and improve scalability.

🎯 Requirements

• Bachelor's degree from a top tier institution required; MBA/MPH strongly preferred. • 8+ years in RCM-focused management consulting, digital health, or provider-side revenue cycle strategy & operations, with a track record of owning senior client relationships and delivering measurable financial impact. • Deep, current command of the revenue cycle end to end: patient access, coding, charge capture, CDI, billing, claims adjudication, denials, and payer contracting/negotiations and how each connects to a provider's realized net revenue. • Demonstrated ability to build and deliver executive-level presentations, distilling complex analyses into clear, board-ready narratives and presenting them with confidence to C-suite and senior client leadership. • Comfortable and curious, adopting AI tools to work faster and sharper, forward-leaning on the technology without needing deep AI/ML expertise. • Strong grasp of reimbursement mechanics and payment methodology across care settings (hospital outpatient vs. ASC vs. physician), and how payer coverage and contract terms translate into revenue. • Genuine technical fluency: comfortable pulling and manipulating data directly in SQL (or equivalent), building your own analyses, and identifying and resolving data discrepancies without waiting on an analyst. • A structured, hypothesis-driven problem solver who can decompose ambiguity, form a point of view, and revise it as the evidence changes • A proven ability to build consensus and drive decisions among senior internal and external stakeholders.

🏖️ Benefits

• Competitive pay with equity options • Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options • Company-sponsored disability & life insurance • Unlimited PTO • 401(k) + 4% Matching • Fully remote work + flexible working hours • $750 work-from-home setup budget • Paid quarterly in-person co-working weeks • Quarterly $150 co-hanging stipend to meet up with coworkers • Monthly $100 health and wellness benefit • Generous paid family leave