Senior Manager, Revenue Cycle Operations
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Job Description
Senior manager leading revenue cycle operations, client delivery, and financial analysis for Cotiviti’s healthcare payment integrity business. Overseeing teams, claims inventory, revenue close, automation, and client SLAs.
Responsibilities:
- 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
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