Director - Revenue Cycle Operations

6 days ago

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Parsley Health

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Supplements • Medical Care • Personalized Health Plans • Health Coaching • In Depth Lab Testing

201 - 500

💰 Series B on 2020-11

Description

• Execute a multigenerational revenue cycle management plan ensuring alignment with Parsley Health’s long term strategy. • Establish key performance indicators (KPIs) and metrics to track payer operations and revenue performance, identifying areas for improvement. • Analyze payer reimbursement patterns, denials, and claims data to identify trends, areas for improvement, and revenue enhancement opportunities. • Cultivate and maintain strong relationships with current partnerships to optimize accurate and timely reimbursements through various payer programs. • Stay abreast of relevant healthcare regulations, billing guidelines, and payer policies to ensure compliance with industry standards and adapt to changes. • Oversee payer operations team and proactively escalate issues to the Executive team when they arise. • Manage Payer Ops Team performance by establishing clear goals and expectations. • Collaborate with other departments to implement strategies that optimize revenue growth and minimize revenue leakage. • Lead large, cross-functional operations projects by gaining executive alignment. • Define and lead the process for leveraging external resources to support payer operations. • Support Payer Sales teams in late stage opportunities as they define integration and operational requirements. • Provide analytical analysis and create written processes to implement a cross functional revenue cycle team. • Develop and implement practice-specific process improvement recommendations.

Requirements

• Proven experience in ambulatory revenue cycle management, payer relations, and healthcare reimbursement processes. • 5-7 years of operational leadership or general management and experience in ambulatory revenue cycle management. • Excellent analytical skills with the ability to interpret data, identify trends, and make data-driven decisions. • Experience with multiple Practice Management Systems. • Software development experience as a SME, operations or product development. • Clear communication style and structured, process-thinking approach. • Professionalism with physicians, executive leadership, and external stakeholders. • Knack for driving thoughtful, complex decision-making. • Ability to convert large strategic ideas into actionable operations. • Strong follow-through and ability to hold teams (and self) accountable.

Benefits

• Equity Stake • 401(k) + Employer Matching program • Remote-first with the option to work from one of our centers in NYC or LA • Complimentary Parsley Health Complete Care membership • Subsidized Medical, Dental, and Vision insurance plan options • Generous 4+ weeks of paid time off • Annual professional development stipend