Manager, Revenue Cycle CBO

Commonwealth of VA Careers; Charlottesville (VA); Remote; USD 84,000 - 144,000; Full time

Benefits offered by this job

Primarily remote work environment

Flexible scheduling

Opportunity to lead a highly skilled,専

Job summary

UVA Health is seeking an experienced revenue cycle leader to head our Professional Billing organization as Manager, Revenue Cycle. This role leads a small team focused on denials, underpayments, payer policy analysis, and proactive revenue recovery, partnering with clinical and operational leaders to drive improvements.

You will guide escalation on complex reimbursement issues, align workflows with payer requirements (Epic), and advance denial-prevention initiatives across the health system,

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Management and/or supervisory experience in healthcare or a similar customer-focused environment.
• Professional billing experience.
• Experience with insurance claims, denials, reimbursement, or revenue cycle operations.
• Demonstrated leadership and team development abilities.

Responsibilities

• Lead and develop a team focused on denial management and underpayment resolution.
• Monitor and oversee underpayment and low-pay work queues.
• Research and resolve complex reimbursement and payer escalation issues.
• Analyze payer policies, reimbursement methodologies, and coding guidelines.
• Review payer contracts and identify operational impacts.
• Collaborate with Epic teams to ensure payer requirements and reimbursement changes are reflected in system workflows.
• Partner with physician groups, operational leaders, and stakeholders across the health system.
• Represent the department in payer meetings and serve as an escalation resource.
• Drive accountability and follow-through on complex reimbursement initiatives.
• Support denial prevention efforts through proactive policy review and operational improvements.
• Identify opportunities to improve workflows, processes, and financial performance.

Skills

Leadership

Strategic thinking

Payer policy analysis

Denials management

Team development

Revenue cycle knowledge

Education

Bachelor's degree or equivalent

Healthcare management experience

Tools

Epic

Job description

Join UVA Health and Help Shape the Future of Revenue Cycle Excellence

UVA Health is seeking an experienced and strategic revenue cycle leader to join our Professional Billing organization as our Manager, Revenue Cycle. This role offers a unique opportunity to lead a specialized team focused on insurance denials, underpayments, payer policy analysis, and revenue recovery while helping drive a proactive denial-prevention strategy across the organization.

If you enjoy solving complex reimbursement challenges, partnering with operational and physician leaders, interpreting payer policies, and leading teams through process improvement, this is an opportunity to make a measurable impact on the financial health of a nationally recognized academic health system.

Why UVA Health?

At UVA Health, our mission is to transform health and inspire hope. As part of our Revenue Cycle team, you'll work alongside dedicated professionals who support clinical operations and patient care through outstanding financial stewardship and operational excellence.

This position offers:

• Primarily remote work environment
• Flexible scheduling
• Opportunity to lead a highly specialized team
• Significant visibility and influence across the organization
• Direct engagement with payer organizations and contract interpretation
• The ability to build and improve emerging processes and programs
• A leadership role that combines strategy, analytics, operations, and people leadership

About the Role

This manager will lead a small team responsible for identifying, researching, and resolving complex reimbursement issues within Professional Billing. The role serves as the primary escalation point for difficult denial, underpayment, and payer policy issues that extend beyond routine claim follow-up activities.

Success in this role requires a combination of leadership, analytical thinking, payer expertise, relationship building, and a commitment to accountability and continuous improvement.

Key Responsibilities

• Lead and develop a team focused on denial management and underpayment resolution.
• Monitor and oversee underpayment and low-pay work queues.
• Research and resolve complex reimbursement and payer escalation issues.
• Analyze payer policies, reimbursement methodologies, and coding guidelines.
• Review payer contracts and identify operational impacts.
• Collaborate with Epic teams to ensure payer requirements and reimbursement changes are accurately reflected within system workflows.
• Partner with physician groups, operational leaders, and stakeholders across the health system.
• Represent the department in payer meetings and serve as an escalation resource.
• Drive accountability and follow-through on complex reimbursement initiatives.
• Support denial prevention efforts through proactive policy review and operational improvements.
• Identify opportunities to improve workflows, processes, and financial performance.

Essential Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Management and/or supervisory experience in healthcare or a similar customer-focused environment.
• Professional billing experience.
• Experience with insurance claims, denials, reimbursement, or revenue cycle operations.
• Demonstrated leadership and team development abilities.

Preferred Qualifications

• Certified Professional Coder (CPC) credential.
• AHIMA certification or equivalent coding certification.
• Professional Billing (PB) denial management experience.
• Epic experience.
• Experience researching payer policies and reimbursement guidelines.
• Experience reviewing payer contracts.
• Strong understanding of coding guidelines and claim adjudication processes.
• Revenue Cycle leadership experience.
• Prior collections experience.

What Makes Someone Successful in This Role?

The ideal candidate is:

• Self-motivated and highly accountable.
• Analytical and naturally curious.
• Comfortable working through ambiguity and complex payer issues.
• Skilled in root-cause analysis and problem solving.
• Patient and effective when leading experienced teams.Able to build strong relationships across departments and stakeholder groups.
• Focused on both identifying problems and driving resolution.
• Passionate about continuous process improvement and operational excellence.

What You'll Love About This Opportunity

This is not a transactional denial management role.

• Influence organizational strategy.
• Help build and mature an evolving specialty team.
• Create sustainable processes and documentation.
• Improve payer performance and reimbursement outcomes.
• Support proactive denial prevention initiatives.
• Develop strong relationships with clinical, operational, and revenue cycle leaders across the health system.

For candidates looking to move beyond routine claims work and into a leadership role with broad organizational impact, this position provides the opportunity to shape the future of Professional Billing operations at UVA Health.

Join UVA Health and help transform complex reimbursement challenges into opportunities for operational excellence and financial success.

MINIMUM REQUIREMENTS

Education: Bachelor’s Degree required or obtain within 4 years of hire date.

Significant (4+ years) experience beyond the required experience indicated below may be accepted in lieu of the Bachelor's degree.

Experience: 3-5 years of management and/or supervisory experience in healthcare or similar customer oriented business. Prior collections’ experience preferred

Licensure: CPC or AHIMA Coding certification strongly preferred.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

The pay range for this role is $84,364.80 - $144,025.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retirement Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts
• Certification and Education Support

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer.