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2 дня назад

Senior Revenue Cycle Strategy and Operations Manager

135 000 - 150 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

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TL;DR
Senior Revenue Cycle Strategy and Operations Manager (Healthcare RCM): Architecting scalable revenue cycle systems, coding frameworks, and hybrid FFS/PEMPM billing models with an accent on pricing strategy, financial analysis, and operational quality. Focus on optimizing commercial agreements, building RCM technology integrations, analyzing denial trends, and improving claim and payment workflows.

Location: Fully remote within the continental United States

Base salary: $135,000–$150,000 annually, plus an annual discretionary bonus and equity.

Company

hirify.global is a virtual medical practice providing 24/7 technology-enabled care for women and children across pregnancy, postpartum, pediatrics, menopause, and perimenopause.

What you will do

  • Partner with Finance to design, evaluate, and implement pricing strategies and hybrid FFS/PEMPM billing models.
  • Lead RCM onboarding for B2B clients and complex new lines of business, including billing workflow implementation across Sales, Customer Success, and Product.
  • Own high-level RCM escalations and optimize the proprietary technology stack across EHRs, clearinghouses, and internal databases.
  • Research healthcare industry, payer, benefit, and regulatory changes and assess their financial impact.
  • Use BI tools and financial models to monitor revenue cycle KPIs, audit billing data, reconcile payments, and track implementation milestones.
  • Establish quality frameworks and SOPs, manage denial strategy, and oversee claim submission, clearinghouse error resolution, and payment posting.

Requirements

  • 5–7 years of healthcare revenue cycle experience, preferably in a healthcare startup, digital health company, or multi-specialty group.
  • Deep knowledge of commercial and Medicaid billing, claim formats, coding discussions, and denial resolution.
  • Experience partnering with Finance, Product, and Tech to build pricing structures and scalable operational tools.
  • Advanced proficiency in Google Sheets or Excel; basic SQL and BI tools such as Metabase, Tableau, or Looker are highly preferred.
  • Experience managing high-impact projects, implementing software configurations, and building cross-functional consensus as a senior individual contributor.

Nice to have

  • Experience with non-traditional or emerging healthcare benefits, including doula care and value-based capitation models.
  • Experience using AI to improve work-product efficiency and effectiveness.

Culture & Benefits

  • Mission-driven startup focused on improving outcomes for mothers and babies.
  • Cross-disciplinary, data-driven, and learning-oriented work environment.
  • Health, dental, and vision coverage for employees and families.
  • High-deductible health plans with HSA options and FSA.
  • Equity participation, 401(k), competitive vacation policy, and 16 weeks of paid parental leave.

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