Manager, Revenue Cycle Management

Cardinal Health; Fresno (CA); On-site; USD 98,000 - 126,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

401k savings plan

Paid time off

Health savings account (HSA)

Payday advances via myFlexPay

Job summary

Cardinal Health is seeking a Senior Manager for Revenue Cycle Enhancement within its oncology-focused operations. You will lead a team of financial counselors, embed counseling into clinical workflows, and partner with care teams to accelerate access and treatment starts.

Qualifications include a healthcare administration background, 5+ years in healthcare revenue cycle or financial counseling, and 3+ years in leadership.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or related field (or equivalent experience).
• 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology.
• 3+ years of people management or team leadership experience.
• Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility.
• Experience working with clinical teams in fast-paced care environments.
• Experience in a large MSO, multi-site oncology practice, or complex specialty setting.
• Familiarity with EHR and RCM systems (Epic, Aria/Mosaiq, OncoEMR, or similar).
• Deep understanding of oncology drug reimbursement models (buy-and-bill, etc.).
• Knowledge of ASP, WAC, AWP, and drug pricing methodologies and their impact on charge capture.
• Familiarity with Medicare Part B vs Part D, commercial payer variations, and site-of-care reimbursement differences.

Responsibilities

• Lead a team of financial counselors providing real-time support to patients, physicians, nurses, and care coordinators throughout the oncology care continuum
• Serve as escalation point for complex or urgent patient financial issues that could delay or disrupt care
• Ensure financial counseling services are embedded into clinical workflows to support same-day decisions and treatment starts
• Promote a patient-centered approach that balances financial clarity, empathy, and access to care
• Oversee front-end revenue cycle functions, including insurance verification, benefits interpretation, prior authorization support, and patient cost estimation
• Ensure timely identification and resolution of coverage issues prior to treatment initiation
• Collaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle
• Monitor KPIs related to access, counseling timeliness, authorization turnaround, point-of-service collections, and financial clearance rates
• Manage processes for screening and enrolling patients into financial assistance programs, including manufacturer assistance, charity care, grants, and foundation support
• Maintain expertise in oncology-specific reimbursement, benefit designs, and emerging payer policies
• Ensure compliant and consistent application of financial assistance guidelines and documentation
• Recruit, train, mentor, and evaluate financial counseling staff across multiple sites or service lines
• Establish standard operating procedures and best practices for immediate patient and provider support
• Foster strong communication, accountability, and service excellence within the team
• Act as a trusted operational partner to physicians, APPs, nursing leaders, and practice administrators
• Translate financial and coverage information into clear, actionable guidance for care teams
• Participate in clinic leadership meetings and cross-functional initiatives focused on access, growth, and patient experience
• Ensure all financial counseling activities comply with regulatory, payer, and organizational requirements
• Support internal and external audits related to financial clearance, authorizations, and assistance programs
• Continuously improve processes to reduce administrative burden on clinical teams and patients

Skills

Healthcare leadership

People management

Financial counseling

Oncology knowledge

EHR/RCM systems knowledge

Education

Bachelor’s degree in healthcare administration

Tools

Epic

Aria/Mosaiq

OncoEMR

Job description

About Navista__

We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 40 sites, Navista provides the support community practices need to fuel their growth—while maintaining their independence.

What Revenue Cycle Management (RCM) contributes to Cardinal Health

Practice Operations Management oversees the business and administrative operations of medical practices.

The Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

Responsibilities

Patient & Care Team Support

• Lead a team of financial counselors providing real ‑ time support to patients, physicians, nurses, and care coordinators throughout the oncology care continuum
• Serve as an escalation point for complex or urgent patient financial issues that could delay or disrupt care
• Ensure financial counseling services are embedded into clinical workflows to support same‑day decisions and treatment starts
• Promote a patient‑centered approach that balances financial clarity, empathy, and access to care

Revenue Cycle Leadership

• Oversee front‑end revenue cycle functions, including insurance verification, benefits interpretation, prior authorization support, and patient cost estimation
• Ensure timely identification and resolution of coverage issues prior to treatment initiation
• Collaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle
• Monitor KPIs related to access, counseling timeliness, authorization turnaround, point‑of‑service collections, and financial clearance rates

Financial Assistance & Access Programs

• Manage processes for screening and enrolling patients into financial assistance programs, including manufacturer assistance, charity care, grants, and foundation support
• Maintain expertise in oncology‑specific reimbursement, benefit designs, and emerging payer policies
• Ensure compliant and consistent application of financial assistance guidelines and documentation

Team Leadership & Development

• Recruit, train, mentor, and evaluate financial counseling staff across multiple sites or service lines
• Establish standard operating procedures and best practices for immediate patient and provider support
• Foster strong communication, accountability, and service excellence within the team

Provider & Operational Partnership

• Act as a trusted operational partner to physicians, APPs, nursing leaders, and practice administrators
• Translate financial and coverage information into clear, actionable guidance for care teams
• Participate in clinic leadership meetings and cross‑functional initiatives focused on access, growth, and patient experience

Compliance & Quality

• Ensure all financial counseling activities comply with regulatory, payer, and organizational requirements
• Support internal and external audits related to financial clearance, authorizations, and assistance programs
• Continuously improve processes to reduce administrative burden on clinical teams and patients

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or a related field (or equivalent experience) preferred
• 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology preferred
• 3+ years of people management or team leadership experience preferred
• Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility preferred
• Demonstrated ability to work directly with clinical teams in fast‑paced care environments
• Experience in a large MSO, multi‑site oncology practice, or complex specialty setting
• Familiarity with EHR and RCM systems (e.g., Epic, Aria/Mosaiq, OncoEMR, or similar)
• Deep understanding of oncology drug reimbursement models, including buy‑and‑bill, specialty pharmacy carve‑outs, and alternate funding pathways
• Knowledge of ASP, WAC, AWP, and other drug pricing methodologies and their impact on charge capture and margin
• Familiarity with Medicare Part B vs. Part D, commercial payer variations, and site‑of‑care reimbursement differences

What is expected of you and others at this level

• Manages department operations and supervises professional employees, front line supervisors and/or business support staff
• Participates in the development of policies and procedures to achieve specific goals
• Ensures employees operate within guidelines
• Decisions have a short-term impact on work processes, outcomes and customers
• Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management
• Interactions normally involve resolution of issues related to operations and/or projects
• Gains consensus from various parties involved

Anticipated salary range: $98,200.00 - $126,270.00
Bonus Eligible: No
Benefits:

Benefits:

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

#LI-TB1

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.