Director, Revenue Cycle Operations - Tempus AI Diagnostics

Tempus AI, Inc.; Illinois; Hybrid; USD 150,000 - 200,000; Full time

Benefits offered by this job

Incentive compensation

RSUs

Medical benefits

Job summary

Tempus AI Diagnostics in the United States seeks a senior revenue-cycle leader to drive end-to-end labs billing, coding, denials, and collections. You will partner across laboratory operations, finance, commercial, and technology to optimize performance, tooling, and compliance.

You will guide strategic initiatives, manage vendor relationships, and ensure audit-readiness while delivering measurable improvements in key metrics. This role is based in the U.S.

Qualifications

• Bachelor’s degree in business, healthcare administration, finance, or related field.
• 10+ years of progressive revenue cycle operations experience in diagnostic laboratories.
• 5+ years leading teams at manager/senior manager/director level.
• Direct experience with Quadax workflow, claims/remittance, reporting, and optimization.
• Deep understanding of end-to-end diagnostic laboratory revenue cycle (eligibility, authorization, coding, denials, collections).
• Experience with payer policies, medical necessity, coding, and denial prevention.
• Proven ability to use data to diagnose gaps, prioritize actions, and deliver measurable improvements.
• Experience leading cross-functional initiatives with business, operational, technical, financial, and compliance stakeholders.

Responsibilities

• Serve as principal revenue cycle liaison to Tempus AI Diagnostics, translating priorities into operational plans and performance expectations.
• Advise leadership on revenue cycle implications of new tests, payor requirements, pricing, and operational changes.
• Lead cross-functional governance and operating rhythms for revenue cycle performance, risks, priorities, and issue resolution.
• Build strong working relationships across laboratory operations, billing, finance, commercial, medical affairs, compliance, legal, product, and technology teams.
• Direct daily operational performance of the diagnostic laboratory revenue cycle across patient intake, eligibility, prior authorization, charge capture, coding, claims submission, payment posting, denials, appeals, patient billing, collections, reporting.
• Establish, monitor, and improve KPIs (clean claim rate, first-pass yield, denial rate, DSO, cash collections, net collection rate).
• Identify root causes of operational leakage, denials, and delayed reimbursement; lead corrective actions through improvements.
• Ensure controls, documentation, escalation paths, and audit readiness across revenue cycle.
• Partner with internal teams and vendors to optimize workflows, service levels, and accountability.
• Oversee the effective use of Quadax tools and data to support claims management, follow-up, denial prevention, and payment reconciliation.
• Define requirements, prioritize enhancements, validate changes, and manage implementation impacts with technology and operations teams.
• Develop standards for data quality, workflow configuration, user adoption, and reporting accuracy.
• Apply deep knowledge of diagnostic laboratory billing and reimbursement (CPT/HCPCS, ICD-10, medical necessity, payor edits, rules).
• Monitor reimbursement trends and regulatory/payor policy changes affecting Tempus AI Diagnostics revenue cycle performance.
• Partner with compliance and legal to align workflows with billing, privacy, and regulatory requirements.
• Support launch of new diagnostic offerings by assessing revenue-cycle readiness and defining required processes.
• Team, Vendor & Change Management: coach and develop revenue cycle staff and vendor partners; foster data-driven, continuous-improvement culture.
• Establish SLAs, performance reviews, and escalation mechanisms for external partners.
• Lead complex operational change initiatives from assessment to implementation and refinement.
• Create executive-ready reporting and communicate performance, risks, decisions, and recommendations.

Skills

Revenue cycle leadership

Cross-functional leadership

Executive communication

Change management

Analytical rigor

Strategic partnership

Problem solving

Data-driven decisions

Education

Bachelor’s degree in business/healthcare/finance

Tools

Quadax

Laboratory LIS

EHR integrations

Clearinghouses

Revenue cycle analytics

Job description

Key Responsibilities

• Business Unit Partnership & Leadership Serve as the principal revenue cycle liaison to the Tempus AI Diagnostics business unit, translating business priorities into clear operational plans and performance expectations.
• Advise business leaders on revenue cycle implications of new tests, payor requirements, client arrangements, pricing, coverage policies, and operational changes.
• Lead cross-functional governance and operating rhythms for revenue cycle performance, risks, priorities, and issue resolution.
• Build strong working relationships across laboratory operations, billing, finance, commercial, medical affairs, compliance, legal, product, and technology teams.
• Revenue Cycle Operations Direct the daily operational performance of the diagnostic laboratory revenue cycle across patient intake, eligibility and benefits verification, prior authorization support, charge capture, coding, claims submission, payment posting, denials, appeals, patient billing, collections, and reporting.
• Establish, monitor, and continuously improve key performance indicators, including clean claim rate, first-pass yield, denial rate, days in accounts receivable, cash collections, net collection rate, authorization turnaround time, and patient balance outcomes.
• Identify root causes of operational leakage, denials, delayed reimbursement, and billing defects; lead corrective actions through sustainable process, system, and workflow improvements.
• Ensure appropriate operational controls, documentation, escalation paths, and audit readiness across the revenue cycle.
• Partner with internal teams and vendors to optimize workflows, service-level performance, and accountability.
• Quadax Oversight Bring direct operational expertise with Quadax to manage and improve revenue cycle workflows, work queues, claim and remittance processes, reporting, and exception handling.
• Oversee the effective use of Quadax tools and data to support claims management, follow-up, denial prevention, payment reconciliation, and operational reporting.
• Partner with technology, laboratory operations, and revenue-cycle stakeholders to define requirements, prioritize enhancements, validate changes, and manage implementation impacts.
• Develop standards for Quadax data quality, workflow configuration, user adoption, reporting accuracy, and issue resolution.
• Diagnostic Laboratory Reimbursement Expertise Apply deep knowledge of diagnostic laboratory billing and reimbursement practices, including CPT/HCPCS coding, ICD-10 diagnosis coding, medical necessity, payor edits, coverage requirements, laboratory-specific claim rules, and appeals.
• Monitor reimbursement trends and regulatory or payor-policy changes that may affect Tempus AI Diagnostics revenue cycle performance.
• Partner with compliance and legal stakeholders to ensure workflows and practices align with applicable billing, reimbursement, privacy, and regulatory requirements.
• Support the operational launch of new diagnostic offerings by assessing revenue-cycle readiness and defining required processes, systems, controls, and training.
• Team, Vendor & Change Management Lead, coach, and develop revenue cycle operations staff and/or vendor partners, fostering a high-accountability, data-driven, continuous-improvement culture.
• Establish clear service-level agreements, performance reviews, and escalation mechanisms for external partners.
• Lead complex operational change initiatives from assessment through implementation, adoption, measurement, and refinement.
• Create executive-ready reporting and communicate performance, risks, decisions, and recommendations to senior stakeholders.

Required Qualifications

• Bachelor’s degree in business, healthcare administration, finance, or a related field; equivalent relevant experience may be considered.
• 10+ years of progressive revenue cycle operations experience, including substantial experience in diagnostic laboratory, molecular diagnostics, genetic testing, pathology, or a closely related laboratory environment.
• 5+ years leading teams, programs, or major operational functions at a manager, senior manager, director, or equivalent level.
• Direct, hands‑on operational experience with Quadax, including workflow management, claims and remittance processes, reporting, issue resolution, and/or system optimization.
• Deep understanding of the end‑to‑end diagnostic laboratory revenue cycle, including eligibility, authorization, charge capture, coding, claims, denials, appeals, payment posting, patient billing, and collections.
• Demonstrated expertise in laboratory reimbursement requirements, payor policies, medical necessity, coding, billing edits, and denial prevention.
• Proven ability to use operational and financial data to identify performance gaps, prioritize action, and deliver measurable improvements.
• Experience leading cross‑functional initiatives involving business, operational, technical, financial, and compliance stakeholders.
• Strong executive communication, relationship-building, problem‑solving, and change‑management skills.

Preferred Qualifications

• Master’s degree in healthcare administration, business administration, finance, or a related discipline.
• Experience supporting revenue cycle operations for high‑complexity, molecular, genomic, oncology, or AI‑enabled diagnostic testing.
• Experience managing third‑party revenue cycle vendors and defining service‑level agreements and performance metrics.
• Familiarity with laboratory information systems, electronic health record integrations, clearinghouses, and revenue cycle analytics tools.
• Lean, Six Sigma, project management, or other process‑improvement certification.

Leadership Competencies

• Operational ownership: Takes accountability for outcomes and drives issues through resolution.
• Strategic partnership: Connects detailed revenue-cycle operations to business-unit priorities and financial performance.
• Analytical rigor: Uses data to diagnose problems, measure impact, and guide decisions.
• Cross-functional influence: Builds alignment across diverse teams without relying solely on direct authority.
• Continuous improvement: Creates scalable, compliant processes that improve the experience for patients, providers, payors, and internal partners.

Working Relationships

This role will partner closely with leadership and teams across Tempus AI Diagnostics, including Revenue Cycle, Laboratory Operations, Finance, Commercial, Technology/Product, Medical Affairs, Compliance, Legal, and external revenue-cycle vendors.

#LI-DA1 USA: $150,000 - $200,000 The expected salary range may vary for other locations. Actual salary may vary based on qualifications and experience.

Benefits

• incentive compensation
• restricted stock units
• medical and other benefits

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Tempus was founded in August of 2015 by Eric Lefkofsky, after his wife was diagnosed with Breast Cancer. Shortly after he founded the company in an effort to bring the power of technology and artificial intelligence to cancer care, he convinced Ryan Fukushima to join as the company’s first employee. Ryan and Eric began assembling a world class team, focused on building the first version of a platform capable of ingesting real time healthcare data in an effort to personalize diagnostics. We built the platform for oncology and have expanded it to neuropsychiatry, cardiology, infectious disease (through COVID), and radiology. Despite our rapid growth, our mission remains the same—to help make sure patients are on the right drug at the right time, so they can live longer and healthier lives.

We’re looking for people who can change the world. Who question the status quo and don’t shy away from tough problems. For the builders who are never done building and the learners who are never done learning. We’re looking for passionate people with undying curiosity. Those who want to attack one of the most challenging problems mankind has ever faced. Head on.