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Lingraphica is seeking a Sr. Manager, Revenue Strategy & Recovery to own the full payor revenue engine—from contract negotiation and pricing strategy to billing, collections, and cash posting.
You will lead a team including Payor Strategy Manager, Reimbursement Manager, and Cash Posting & Reconciliation Manager, aligning payor strategy with billing operations to optimize AR health and cash flow. The role reports to the Director of Operations and requires strong leadership, negotiation, and
Lingraphicais a mission-driven organization that provides speech-generating devices tohelp improve communication, speech, and quality of life for people with communication impairments. Welook for candidates who enjoyworking in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey.
About the role:
The Sr. Manager,Revenue Strategy & Recovery ownsLingraphica'sfull payor revenue engine, end to end - from maximizing every dollar through contract negotiation and payor strategy on the front end, to billing, collections, cash posting, and reconciliation on the back end. This role sets ourminimumallowable contract pricing and drives ASP performance through negotiation, then ensures that value is fully realized once a claim issubmittedthrough thepointcash lands and is applied correctly. The Sr. Manager directly manages the Reimbursement Manager, Cash Posting & Reconciliation Manager, and Payor Strategy Manager; sets strategy and standards for the department; and owns AR health and cash performance at a strategic level - bringing payor strategy and contracting together with billing, collections, and cash operations under a single, dedicated leader. The role reports directly to theDirector,Operations.
Responsibilities:
Set and drive the strategy for payor access and expansion, prioritizing markets and payors that advance Lingraphica's growth plan.
Lead negotiation of payor contract terms and reimbursement rates, directly or through the Payor Strategy Manager, to strengthenLingraphica'srate position.
Own payor policy tracking and payor analytics, translating payor trends and performance data into pricing, contracting, and access strategy.
Build and lead the Payor Strategy Manager,ensuring contracting has the staffing and analytical support to scale.
Revenue Cycle Operations – Billing and Collections
Overseethe Reimbursement Manager and billing/collections team to ensuretimely,accurateclaims submission and follow-up.
Owncollectionsperformance, aging, and denial-management workflows,identifyingand resolving systemic issues at the root cause.
Partner with the Senior Manager,PayorReadinessto ensure a clean handoff from funding/authorization into billing.
Drives cash flow performance across the revenue cycle, includingpreparationand ongoing management of the cash forecast to supportaccuratefinancial planning.
Oversee the Cash Posting & Reconciliation Manager to ensure cash received is accurately posted and reconciled against contracted rates.
Establishreconciliationprocesses that flag underpayments or rate discrepancies against negotiated contract terms, closing the loop back to payor strategy.
Build and report on KPIs spanning payor access, contract rates, billing/collections performance, and cash reconciliation accuracy.
Bring a data-driven business case topayornegotiations and prioritization decisions.
General
Maintains current, expert-level knowledge of payor reimbursement terms, billing regulations, and collections compliance requirements
May berequiredto perform other duties as assigned
Minimum Qualifications:
Bachelor's degree or equivalent combination of education and experience
7+ years of experience in healthcare revenue cycle management, including direct experience with payor contracting or reimbursement rate negotiationwith at least 5 years of management experience
Proven people-leadership experience managing managers and multi-team departments.
Strong knowledge of billing, collections, and cash reconciliation workflows in a healthcare or DME/HME environment.
Demonstrated experience building or owning acash forecast or AR/revenue model
Track recordof using data and analytics to inform payor and contracting strategy.
Excellent negotiation, communication, and cross-functional influence skills.
Ability and willingness to travel within the U.S. (including airline travel) isrequiredup to 2 times per year for in-person team and all-company meetings
Preferred Qualifications:
Experience in speech-generating devices, durable medical equipment, orrelatedhealthcare technology space.
Experience building or scaling a dedicatedpayorstrategy or managed caredepartment.
Familiarity with payor policy analytics and reimbursement modeling tools.
Work Environment & Physical Demands
Work is performed remotely from a home office. The individual is expected tomaintaina safe, productive workspace with reliable and secure internet access.This role requires the ability tooperatea computer, with or without reasonable accommodation.
Accommodations
At Lingraphica, we are committed to creating an inclusive and accessible environment for all employees. To perform this job successfully, an individual must be able to complete each essential duty and physical demand. The requirements listed above represent the knowledge, skills, and abilitiesrequired, as well as the physical demands associated with the role. We recognize that everyone’s needs are unique, and we are happy to provide reasonable accommodations to support individuals with disabilities in performing the essential functions of the job.
If you requireaccommodation, please reach out to Human Resourcesat [emailprotected] for assistance. We are here to help!
Lingraphica and Pay Transparency
At Lingraphica, we are committed to fair and equitable compensation practices. The starting salary range for this position is $91,600 - 110,000 per year. Placement in the starting pay is based on factors such as experience, skills, education, and internal equity. We regularly review our compensation structures to ensure they align with industry standards, promote fairness, and support career growth. In addition to competitive base pay, we offer a comprehensive benefits package and a commitment to fostering an inclusive and supportive workplace. We encourage open conversations about compensation and are dedicated to maintaining transparency throughout the hiring process.
This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
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