Revenue Cycle Optimization Manager

aa067; Duarte (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

City of Hope is seeking a Program Manager to lead Oncology Care Coordination initiatives, focusing on documentation, billing, and auditing processes across multiple services.

The role requires developing standardized workflows, monitoring performance metrics, and driving system-wide improvements in revenue capture while collaborating with clinical, operational, IT, and revenue cycle teams.

Qualifications

• Bachelor's Degree in Business, Healthcare Administration, or related field; 3 additional years of experience may substitute for minimum education.
• Minimum of five (5) years of experience in the healthcare industry
• At least three (3) years of experience in professional billing
• Strong knowledge of coding systems including CPT-4, HCPCS, and ICD-10
• AAPC and/or CPC certification preferred
• Demonstrated ability to lead cross-functional initiatives and drive process improvements

Responsibilities

• Lead the strategic development, implementation, and continuous improvement of documentation, billing, and audit processes
• Analyze denials and reimbursement trends to identify payor patterns and optimization opportunities
• Design and implement standardized workflows to ensure consistent and accurate revenue capture
• Establish and monitor key performance metrics to drive program success and improvements
• Identify gaps in documentation, billing processes, or EMR functionality and lead enhancements
• Develop tools, training materials, and resources to improve documentation quality and billing accuracy
• Build strong cross-functional relationships to advance Oncology Care Coordination initiatives
• Represent revenue optimization efforts in system-wide committees and planning forums
• Lead project management efforts, ensuring timelines, milestones, and deliverables are achieved
• Oversee implementation of new processes and evaluate outcomes against strategic goals

Skills

Healthcare billing

Cross-functional leadership

Project management

Data analysis

Revenue cycle

Education

Bachelor’s Degree in Business/Healthcare Administration or related field

Tools

EMR systems

Job description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Position Summary

The Program Manager will lead the strategic development and implementation of key initiatives supporting Oncology Care Coordination. This role provides program-level oversight of processes related to the review and auditing of documentation, charges, claims, and denials across services such as Principal Illness Navigation, Chronic Care Management, Health Assessments, Social Determinants of Health, and Advance Care Planning.

You will design standardized workflows, establish performance metrics, and drive system-wide tracking and reporting to ensure accurate and comprehensive revenue capture. This highly collaborative role partners across clinical, operational, IT, and revenue cycle teams to optimize documentation, billing, and program effectiveness while aligning with organizational priorities.

As a successful candidate, you will:

• Lead the strategic development, implementation, and continuous improvement of documentation, billing, and audit processes
• Analyze denials and reimbursement trends to identify payor patterns and optimization opportunities
• Design and implement standardized workflows to ensure consistent and accurate revenue capture
• Establish and monitor key performance metrics to drive program success and improvements
• Identify gaps in documentation, billing processes, or EMR functionality and lead enhancements
• Develop tools, training materials, and resources to improve documentation quality and billing accuracy
• Build strong cross-functional relationships to advance Oncology Care Coordination initiatives
• Represent revenue optimization efforts in system-wide committees and planning forums
• Lead project management efforts, ensuring timelines, milestones, and deliverables are achieved
• Oversee implementation of new processes and evaluate outcomes against strategic goals

Your qualifications should include:

• Bachelor’s Degree in Business, Healthcare Administration, or other relevant area of study; 3 additional years of experience plus the minimum experience requirement may substitute for minimum education.
• Minimum of five (5) years of experience in the healthcare industry
• At least three (3) years of experience in professional billing
• Strong knowledge of coding systems including CPT-4, HCPCS, and ICD-10
• AAPC and/or CPC certification preferred
• Demonstrated ability to lead cross-functional initiatives and drive process improvements

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.