Director/Senior Manager of Revenue Cycle Management (Remote/Hybrid)
claritypediatrics · San Francisco
Job description
About the role
Clarity Pediatrics is scaling a virtual platform for pediatric chronic care and needs a senior leader to own and grow its revenue cycle engine. Reporting to the Head of Finance, you will set strategy and oversee payer contracting, billing, denials, collections and reconciliation while leading the RevOps team.
Key responsibilities
- Lead and develop the RevOps team, setting priorities and coaching on complex cases.
- Design and execute payer contracting strategy, negotiate rates, manage contract lifecycle and ensure accurate contract terms in billing systems.
- Establish billing accuracy standards, oversee claim submission, coding integrity and clean‑claim rates.
- Own end‑to‑end denial management, track trends, conduct root‑cause analysis across credentialing, contracting and eligibility.
- Build cross‑functional mechanisms with Patient Support, Provider Operations, Growth and Product to resolve systemic denial drivers.
- Direct reconciliation of payer remittances and claims‑related bank activity, and manage collections and A/R aging.
- Partner with Finance during month‑end close, delivering reconciliation, A/R and denial reporting.
- Act as subject‑matter expert on revenue cycle performance, translating data into actionable recommendations.
Required profile
- 5‑7+ years of revenue cycle experience, including 2‑3+ years managing a billing/RCM team.
- Obsessed with root‑cause analysis and improving processes across credentialing, contracting and eligibility.
- Proven ability to work cross‑functionally and build relationships that align contracting, credentialing and patient access.
- Strong analytical rigor; comfortable building trackers and reports on collections, denial trends and A/R aging.
- Trusted partner who can explain reconciliation discrepancies to both team members and senior finance leaders.
- Comfortable in a fast‑moving startup environment, handling ambiguity and evolving processes.
- Experience with commercial, Medicaid and self‑pay payer types.
What we offer
- Salary range $140K–$180K, based on experience.
- Competitive equity package in an early‑stage, well‑funded company.
- Medical, dental, vision, plus 12 free therapy appointments per year.
- Free One Medical membership and 20% off Kindbody fertility services.
- 401(k) plan.
- Flexible PTO with a full week off for December holidays.
- Remote‑friendly work culture.
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Published 2 weeks ago
Expires 1 month from now
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claritypediatrics
San Francisco