Director/Senior Manager, Revenue Cycle Management

Job not on LinkedIn

🔥 7 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $140k - $180k / year

⏰ Full Time

🟠 Senior

💹 Revenue Operations

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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UCSF Pediatrics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

UCSF Pediatrics is a prominent department within the University of California San Francisco School of Medicine, dedicated to enhancing child health through exceptional patient care, groundbreaking research, and top-tier medical education. The department encompasses a wide range of specialties, including neonatology, cardiology, and pediatric oncology, and is recognized as a world leader in pediatric research and treatments. UCSF Pediatrics aims to provide high-quality care to all children, while also training the next generation of pediatric leaders in a diverse and inclusive environment.

📋 Description

• Own strategy, systems, and execution across payer contracting, billing, denials, collections, and reconciliation • Lead and develop the RevOps Lead and Associates • Set priorities, coach on complex cases, and build a scalable team structure • Negotiate payer rates and terms and manage the contract lifecycle • Ensure contract terms are accurately loaded and enforced across billing systems • Own billing strategy, claims submission accuracy, coding integrity, and clean-claim rates • Track denial trends by payer and reason code • Lead root-cause analysis spanning credentialing, contracting, and patient eligibility • Build cross-functional mechanisms with Patient Support, Provider Operations, Growth, and Product teams • Lead reconciliation of payer remittances (ERA/EOB) and claims-related bank activity against contracted terms • Oversee collections and A/R management to maintain low aging balances and predictable cash flow • Support the Head of Finance during month-end close • Own reconciliation deliverables, A/R and denial reporting, and collections-risk analysis • Serve as the revenue cycle performance subject-matter expert across operational and finance stakeholders • Translate billing and denial details into actionable recommendations • Optimize billing processes and codes • Implement process, tooling, and documentation improvements for scalable, accurate billing, denials, and reconciliation • Partner with Product and Engineering on improvements • Maintain controls for audit readiness and compliance

🎯 Requirements

• 5-7+ years of total revenue cycle experience • 2-3+ years managing a team in a billing/RCM or similar operations function • More extensive, progressively responsible experience, including payer contract negotiation, considered for the Director-level title • Ability to trace claims back to credentialing, contracting, or eligibility and fix root causes • Experience owning cross-functional outcomes involving contracting, credentialing, and patient access • Ability to build and maintain trackers and reports monitoring collection rates, denial trends, and A/R aging • Ability to use data to drive operational fixes • Ability to clearly explain reconciliation discrepancies to associates and the Head of Finance • Comfort with ambiguity, evolving processes, and startup environments • Experience across commercial, Medicaid, and self-pay payer types • Understanding of differing billing, denial, and collections practices across payer types

🏖️ Benefits

• Competitive equity package in an early-stage, well-funded company • Medical, dental, vision, and ancillary benefits • 12 therapy appointments per year at no cost to the employee • Free One Medical membership • 20% off Kindbody fertility services • 401(k) • Flexible PTO • Full week off for the December holidays • Remote-friendly work culture