Director/Senior Director of Revenue Cycle Management

Job not on LinkedIn

🕒 September 4

🏄 California – Remote

infoinfo

💵 $150k - $185k / year

⏰ Full Time

🟠 Senior

👔 Director

Where this job comes from

Posted on UCSF Pediatrics's careers page, not through a job board

First seen by Remote Rocketship September 4

Logo of UCSF Pediatrics

UCSF Pediatrics

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

• Manage and develop the RevOps Lead and Associates, setting priorities and coaching on complex cases • Own payer contracting strategy, including negotiating rates and terms and managing the contract lifecycle • Ensure contract terms are accurately loaded and enforced across billing systems • Set the billing function’s strategy and quality standards • Ensure claims submission accuracy, coding integrity, and benchmark-level clean-claim rates • Own denials end to end, tracking denial trends and leading root-cause analysis across credentialing, contracting, and eligibility • Build cross-functional mechanisms with Patient Support, Provider Operations, Growth, and Product teams to resolve systemic denial drivers • Lead reconciliation of payer remittances and claims-related bank activity against contracted terms • Oversee collections and A/R management • Support month-end close with reconciliation deliverables, A/R and denial reporting, and collections-risk analysis • Serve as the subject-matter expert on revenue cycle performance and translate billing and denial details into actionable recommendations • Optimize billing processes and codes • Implement scalable process, tooling, and documentation improvements while maintaining audit-readiness and compliance controls

🎯 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 • Experience working across commercial, Medicaid, and self-pay payer types • Understanding of differing billing, denial, and collections practices across payer types • Ability to trace claims issues to credentialing, contracting, or eligibility and fix underlying processes • Experience building and maintaining trackers and reports for collection rates, denial trends, and A/R aging • Experience at a virtual care or telemedicine startup preferred

🏖️ 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, including a full week off for the December holidays • Remote-friendly work culture

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