Program Manager - Revenue Integrity

Universal Health Services; Tredyffrin Township (Chester County); On-site; USD 110,000 - 150,000; Full time

Job summary

Universal Health Services, headquartered in King of Prussia, PA, seeks a seasoned Revenue Cycle Program Manager to optimize charge capture, audits, denials management, and cash flow across facilities. You will lead end-to-end processes, coordinate with registration, billing, coding, and denials teams, and drive data-driven improvements in compliance and performance.

The role emphasizes leadership, expert knowledge in revenue integrity, and mentoring junior staff, with domestic travel up to 15%.

Qualifications

• Minimum 8–10 years of relevant experience in Revenue Cycle management.
• College degree in business, finance, healthcare administration, health information management or similar.
• Experience in patient accounting systems, coordinating diverse stakeholders, and using analytics to enhance operations.
• Healthcare compliance, health information, inpatient medical billing and coding, and regulatory operations preferred.

Responsibilities

• Assess current revenue cycle processes and workflows to identify efficiency improvements.
• Collaborate with registration, billing, charging, coding, collections, and denials management teams to streamline processes.
• Analyze and monitor revenue cycle metrics to identify trends, variances and improvement opportunities.
• Lead audits and coordinate remediation efforts to ensure policy and regulatory adherence.
• Provide guidance and mentorship to junior team members and generate reports on metrics such as CDM accuracy and denials.

Skills

Revenue Cycle

Stakeholder coordination

Pattern analytics

Microsoft Excel

Communication skills

Education

Bachelor's degree in business/finance/healthcare administration/health information management

Tools

Patient accounting system

Microsoft Office

Job description

Responsibilities

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500 corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

The Corporate Revenue Cycle Department is seeking a dynamic and talented Program Manager - Revenue Cycle - Revenue Integrity.

As a Revenue Cycle Program Manager, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement.

Revenue Cycle Program Managers are experts in the subject matter and possess a comprehensive understanding of Revenue Cycle operations. Program Managers operate independently to analyzes accounts receivable and ensure maximization of net revenue realization, stable cash collections, avoidance of denials and measured reduction to bad debt. Program Managers act as liaisons between central billing offices, facilities, and other stakeholders.

The Revenue Integrity Program Manager serves as a leader and subject matter expert for revenue integrity operations by optimizing revenue, supporting clinical and other colleagues in optimizing accurate charge capture, interpreting government regulations and payer requirements, and maintaining the chargemaster. The Revenue Integrity Program Manager oversees projects, implements best practices, educates users on processes and vendor products, and recommends actionable improvements. Revenue Integrity Program Managers also serve as a liaison to the Central Business Offices and facilities to support continuous process improvement and compliant revenue maximization.

Key responsibilities include:

• Monitors, reads, interprets, and disseminates regulatory and payer requirements to identified parties timely through the creation of communications, trainings, and policies
• Performs and/or coordinates revenue integrity audits to verify adherence to policy, regulatory guidance and industry standards, analyzes audit findings to create action plans, and coordinates efforts for remediation as needed
• Supports the implementation and maintenance of revenue cycle management software and tools based on end user requests and regulatory guidance
• Communicates CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing
• Responds to internal and external audit requests in a timely manner
• Provide guidance, coaching, and mentorship to junior team members
• Generates reports related to revenue cycle metrics, such as CDM accuracy, charge capture, claim denials, write-offs, and payment delays, and assist in analyzing trends
• Performs all other duties as assigned/required

Qualifications

Experience & Knowledge:

A Revenue Cycle Program Manager should have a minimum of 8-10 years of relevant experience and a college degree in business, finance, healthcare administration, health information management, or similar. A Program Manager should have demonstrated experience working in a patient accounting system, coordinating diverse stakeholders, improving Revenue Cycle operations, and utilizing pattern analytics and industry best practices to enhance systems and operations.

A highly qualified candidate should have experience with healthcare compliance, health information, inpatient medical billing and coding, and healthcare regulatory operations. Medical coding certification (e.g., CPC, CCS) is strongly preferred.

Significant Revenue Cycle experience (i.e., 5+ years in addition to the minimum) might be accepted in lieu of certain college education requirements.

A qualified candidate should have strong professional written and verbal communication skills, proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.), and the ability to meet deadlines and multitask.

Travel Requirements

Up to 15% domestic travel dependent on business need

This opportunity provides the following:

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.