Senior Manager, Revenue Cycle Operations

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $115k - $145k / year

⏰ Full Time

🟠 Senior

💹 Revenue Operations

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Lead a team of Business Operations Analysts and Revenue Cycle Specialists supporting Clinical Chart Validation operations and client delivery • Coach, lead, develop, hire, and retain a team of 6–10 employees • Oversee revenue cycle management, month-end close activities, inventory management, client SLA delivery, and financial analysis for assigned clients • Drive revenue, conversion, and waste-reduction targets • Develop strategies for payment processing, cash-flow improvement, invoicing, paybacks, and accounts receivable health • Assess the iCMS invoicing automation system and support troubleshooting • Oversee the end-to-end lifecycle of inventory after audit findings, including turnaround-time management, escalations, due-diligence research, and financial evaluation • Partner with Finance IT, Accounting, and Billing to execute the revenue close cycle and deliver monthly invoices • Perform quarterly revenue evaluations to identify unrealized value and apply revenue according to client contractual terms • Communicate financial headwinds, perform financial health assessments, interpret revenue data, and conduct operational analysis • Partner with client service, client engagement, technical engineering, and audit operations leadership to address client concerns • Serve as an escalation point for customer issues and lead coordinated corrective actions through closure • Lead ingestion, transformation, refinement, analysis, and reconciliation of client-provided inventory datasets • Serve as a revenue cycle subject matter expert and establish reporting and insights on claims lifecycle conversion • Coordinate meetings with senior clients and internal stakeholders • Manage multiple projects, support revenue cycle tool upgrades, and adopt technical efficiencies • Lead the offshoring of revenue cycle work to global workforce counterparts where appropriate • Complete special projects and other assigned duties

🎯 Requirements

• Bachelor’s degree in accounting, finance, actuarial science, or business administration • 8+ years of direct people leadership experience in a finance, accounting, revenue cycle, or healthcare technology-oriented role • Working knowledge of accounting principles and revenue cycle practices • Demonstrated experience partnering directly with clients • Advanced Excel skills, including PivotTables, macros, VLOOKUP/XLOOKUP, queries, and complex formulas • Experience with business intelligence tools such as Power BI and Tableau • Strong analytical skills and ability to work with large, unstructured datasets • Proven experience leading process improvement initiatives • Ability to thrive in a fast-paced environment, pivot quickly, and reprioritize as needed • Ability to learn and apply new concepts, software, and technologies • Strong analytical and problem-solving skills • Excellent written and verbal communication skills • Comfortable presenting to groups, engaging with clients, and working cross-functionally • Demonstrated ability to handle confidential information appropriately • Ability to work independently and within a team environment • Ability to motivate employees and manage conflict • Ability to manage multiple tasks, prioritize effectively, meet deadlines, mentor staff, and enhance performance • Experience working with large volumes of medical claims data • Familiarity with claims processing platforms, the healthcare value chain, and common healthcare datasets • Knowledge of medical reimbursement/payment policies, audit reviews and analysis, and medical terminology • Familiarity with agentic AI, machine learning, robotic process automation (RPA), natural language processing (NLP), and/or advanced statistical methods • Prior experience in billing or accounts receivable • Certified Public Accountant (CPA) • Ability to provide a dedicated, secure work area • Ability to provide high-speed internet access / connectivity and office setup and maintenance • Must be able to perform duties with or without reasonable accommodation

🏖️ Benefits

• Discretionary bonus consideration • Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance coverage • 401(k) savings plan • Paid family leave • 9 paid holidays per year • 17–27 days of Paid Time Off (PTO) per year, depending on specific level and length of service • Remote work arrangement • Dedicated, secure work area and high-speed internet / connectivity and office setup and maintenance required