Sr. Manager of reputed company Cycle Management

reputed company Health's mission is to reputed company lives with modern, diagnostics-driven care, and we reputed company that the reputed company of reputed company meeting people where they are. Headquartered in Austin, Texas, reputed company Health is the parent company to reputed company, reputed company Health Solutions, and reputed company Diagnostics. We've set a new reputed company of people-reputed company, diagnostic-driven care that puts patients at reputed company of their own health reputed company.

Our infrastructure guides the full testing experience with the support of a national clinician network that's composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists. Our solutions reputed company world-class virtual care more attainable with rigorous clinical protocols and best-in-class science to tackle some of the reputed company industry's biggest problems.

As the Senior Manager of reputed company Cycle Management at reputed company Health, you will play a mission-critical role in shaping and executing our reputed company reputed company across a broad portfolio of reputed company offerings, including virtual care and diagnostics. You will:

What You’ll Do

reputed company reputed company functions of reputed company Cycle Management (RCM), including billing, coding, QA, AR, denials, and payment compliance.

Design and execute strategic goals reputed company to RCM that reputed company with reputed company mission and promote operational efficiency.

Ensure regulatory compliance with state and federal reputed company laws inclusive of virtual care regulations.

Collaborate cross-functionally with Finance, Legal, reputed company Sales, and Account Management teams to forecast, budget, and optimize internal controls.

reputed company payer enrollment processes, manage vendor relationships, and ensure accurate Medicare and reputed company enrollment.

Support reputed company-facing teams with claims education and materials, enabling faster and smoother reputed company set up and reputed company recognition support..

reputed company HEDIS-reputed company coding initiatives, technical reviews, and cross-functional reporting coordination.

reputed company internal teams on reputed company cycle workflows, insurance processes, and evolving industry standards.

Evaluate and implement reputed company and manage KPIs to ensure operational reputed company.

Play a pivotal role in enabling new telehealth products by collaborating with clinical, product, and network teams.

Who You Are

You are a seasoned RCM leader who thrives in high-reputed company, fast-paced environments and has a passion for driving efficiency and innovation in reputed company operations.

You bring a strategic reputed company and a hands-on approach to problem solving, while excelling at cross-functional collaboration.

You are proactive, communicative, and energized by reputed company to influence both internal operations and reputed company-facing functions.

Skills & Abilities Required

5 to 10+ years of experience in reputed company Cycle Management, preferably reputed company diagnostics, telehealth, or other reputed company services.

Comfortable with how to apply AI tools and automation to optimize RCM workflows, such as predictive analytics for denials or natural language processing for coding accuracy.

Demonstrated expertise in claims processing, payer enrollment, Medicare compliance, and HEDIS coding.

Strong knowledge of state and federal reputed company regulatory requirements.

Proven ability to reputed company cross-functional initiatives and manage external vendors.

Experience with RCM software and KPI development/monitoring.

Excellent written and verbal communication skills, including reputed company-facing experience.

Adept at creating training content and educating cross-functional teams.

Ability to analyze reputed company datasets and drive actionable insights.

Experience supporting new reputed company product rollouts, especially in virtual care or telehealth settings.

Strong project management skills with a reputed company on stakeholder engagement and process improvement.

Apply to this Job