Remote Senior Revenue Cycle Lead – Provider Operations

Oscar Health; Dallas (TX); Remote; USD 122,000 - 160,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Job summary

Oscar Health is seeking a Senior Manager, Revenue Cycle Management to lead the Revenue Cycle function within Provider Operations. The role focuses on scalable strategies, accurate coding, compliant billing, timely reimbursement, and strong financial performance.

You will partner with clinical, operations, finance, compliance, credentialing, and product teams to identify risks and opportunities, drive improvements, and guide OMG leadership on performance and strategy.

Qualifications

• 7+ years of progressive experience in healthcare revenue cycle, professional billing, coding, or related operations.
• 3+ years of experience leading revenue cycle programs, teams, or functions with accountability for outcomes.
• Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, CCI/NCCI edits, and payer requirements.
• Experience with coding/clinical documentation integrity and provider documentation reviews.

Responsibilities

• Own strategy and performance of OMG's revenue cycle function, including billing, coding, claims management and denials.
• Serve as senior SME for coding and billing, CPT/ICD-10-CM/HCPCS and payer requirements.
• Establish KPIs and controls to improve clean claims, reimbursement, denial rates, and financial performance.
• Lead documentation integrity and provider education to address gaps.
• Lead denial prevention and resolution strategies across teams.
• Partner with clinical ops, finance, compliance, credentialing, product to resolve issues.
• Develop scalable revenue cycle policies, workflows, and vendor oversight.
• Advise leadership on performance, risks, and opportunities.

Skills

Revenue cycle

Coding

Billing

Denials management

Analytics

Executive communication

Job description

Oscar Health is seeking a Senior Manager, Revenue Cycle Management to lead the Revenue Cycle function within Provider Operations. The role focuses on scalable strategies, accurate coding, compliant billing, timely reimbursement, and strong financial performance.

You will partner with clinical, operations, finance, compliance, credentialing, and product teams to identify risks and opportunities, drive improvements, and guide OMG leadership on performance and strategy.