Senior Manager, Revenue Cycle Denial Prevention & Predictive Analytics - Remote

Overview

A healthcare organization is seeking a Senior Manager to lead the Denials Prevention strategy through predictive analytics and operational excellence. This role involves partnering across Revenue Cycle, Clinical, and Payer Relations teams to identify denial risks early, translate complex data into actionable insights, and drive sustainable process improvements that protect revenue and enhance the patient financial experience.

Responsibilities

• Provide leadership and direction to professional and supervisory staff within the Revenue Cycle.
• Ensure the integrity of revenue and billing information to secure appropriate reimbursement for all billable services.
• Participate in strategic planning with Revenue Cycle leadership.
• Translate organizational and departmental vision into effective responses and measurable results.
• Establish key performance indicators to manage staff and outcomes effectively.
• Delegate responsibilities and manage multiple functions, potentially across multi-site operations.
• Operate effectively through complexity and ambiguity, applying technical and professional management knowledge.
• Identify and facilitate process improvements, acting as a catalyst for change.
• Recruit, develop, and manage performance of staff within areas of responsibility.
• Maintain awareness of external environment issues affecting the department.
• Participate in enterprise projects, task forces, councils, and committees related to Revenue Cycle management.
• Serve as a liaison between departments and external agencies.
• Foster collaboration with physician and administrative colleagues to build teamwork.
• Participate in retention planning initiatives.
• Travel as required for assignments.

Qualifications

• Bachelor's degree in business, healthcare, finance, or fraud/risk management with 10 years of relevant experience, including at least 5 years of leadership experience managing people, projects, and programs; or 14 years of relevant experience without a bachelor's degree.
• Demonstrated analytical experience and strong skills in personal computing, communication, project management, leadership, problem solving, continuous improvement, customer service, and team building.
• Strong knowledge of financial and information technology and business planning.
• Proven ability to develop constructive and cooperative working relationships with physician and administrative leaders.
• Preferred: Master's degree.
• Advanced interpersonal skills capable of engaging executive leadership and driving consensus.
• Ability to work independently with good judgment and foster respectful communication.
• Experience in change management, including effective communication and proactive implementation.
• High integrity, vision, and problem-solving skills with a focus on teamwork and employee development.
• Excellent communication and customer service skills.
• Experience making and implementing decisions in complex, consensus-oriented environments.
• Sensitivity to the unique aspects of the patient care environment.
• Preferred: Healthcare Financial Management Association (HFMA) Certification.
• Authorization to work and remain in the United States without sponsorship.

Compensation & Benefits

• Salary range: $141,024 - $204,526 per year.
• Benefits include multiple medical plan options, dental coverage or reimbursement accounts, affordable vision plans, pre-tax savings accounts (HSA and FSAs), and a competitive retirement package.
• Full-time position, exempt status.
• Work schedule: Monday through Friday, 8:00 am to 4:30 pm Central Time.

Location

The organization has multiple campuses including locations in Arizona, Florida, Minnesota, and various Midwestern communities. Employees thrive in these diverse settings that support both professional and personal growth.

Equal Opportunity

All qualified applicants will receive consideration without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status. The organization participates in E-Verify to confirm work authorization.