Senior Director, Revenue Cycle Operations — Diagnostics

Tempus AI, Inc.; Illinois; Hybrid; USD 150,000 - 200,000; Full time

Benefits offered by this job

Incentive compensation

RSUs

Medical benefits

Job summary

Tempus AI Diagnostics in the United States seeks a senior revenue-cycle leader to drive end-to-end labs billing, coding, denials, and collections. You will partner across laboratory operations, finance, commercial, and technology to optimize performance, tooling, and compliance.

You will guide strategic initiatives, manage vendor relationships, and ensure audit-readiness while delivering measurable improvements in key metrics. This role is based in the U.S.

Qualifications

• Bachelor’s degree in business, healthcare administration, finance, or related field.
• 10+ years of progressive revenue cycle operations experience in diagnostic laboratories.
• 5+ years leading teams at manager/senior manager/director level.
• Direct experience with Quadax workflow, claims/remittance, reporting, and optimization.
• Deep understanding of end-to-end diagnostic laboratory revenue cycle (eligibility, authorization, coding, denials, collections).
• Experience with payer policies, medical necessity, coding, and denial prevention.
• Proven ability to use data to diagnose gaps, prioritize actions, and deliver measurable improvements.
• Experience leading cross-functional initiatives with business, operational, technical, financial, and compliance stakeholders.

Responsibilities

• Serve as principal revenue cycle liaison to Tempus AI Diagnostics, translating priorities into operational plans and performance expectations.
• Advise leadership on revenue cycle implications of new tests, payor requirements, pricing, and operational changes.
• Lead cross-functional governance and operating rhythms for revenue cycle performance, risks, priorities, and issue resolution.
• Build strong working relationships across laboratory operations, billing, finance, commercial, medical affairs, compliance, legal, product, and technology teams.
• Direct daily operational performance of the diagnostic laboratory revenue cycle across patient intake, eligibility, prior authorization, charge capture, coding, claims submission, payment posting, denials, appeals, patient billing, collections, reporting.
• Establish, monitor, and improve KPIs (clean claim rate, first-pass yield, denial rate, DSO, cash collections, net collection rate).
• Identify root causes of operational leakage, denials, and delayed reimbursement; lead corrective actions through improvements.
• Ensure controls, documentation, escalation paths, and audit readiness across revenue cycle.
• Partner with internal teams and vendors to optimize workflows, service levels, and accountability.
• Oversee the effective use of Quadax tools and data to support claims management, follow-up, denial prevention, and payment reconciliation.
• Define requirements, prioritize enhancements, validate changes, and manage implementation impacts with technology and operations teams.
• Develop standards for data quality, workflow configuration, user adoption, and reporting accuracy.
• Apply deep knowledge of diagnostic laboratory billing and reimbursement (CPT/HCPCS, ICD-10, medical necessity, payor edits, rules).
• Monitor reimbursement trends and regulatory/payor policy changes affecting Tempus AI Diagnostics revenue cycle performance.
• Partner with compliance and legal to align workflows with billing, privacy, and regulatory requirements.
• Support launch of new diagnostic offerings by assessing revenue-cycle readiness and defining required processes.
• Team, Vendor & Change Management: coach and develop revenue cycle staff and vendor partners; foster data-driven, continuous-improvement culture.
• Establish SLAs, performance reviews, and escalation mechanisms for external partners.
• Lead complex operational change initiatives from assessment to implementation and refinement.
• Create executive-ready reporting and communicate performance, risks, decisions, and recommendations.

Skills

Revenue cycle leadership

Cross-functional leadership

Executive communication

Change management

Analytical rigor

Strategic partnership

Problem solving

Data-driven decisions

Education

Bachelor’s degree in business/healthcare/finance

Tools

Quadax

Laboratory LIS

EHR integrations

Clearinghouses

Revenue cycle analytics

Job description

Tempus AI Diagnostics in the United States seeks a senior revenue-cycle leader to drive end-to-end labs billing, coding, denials, and collections. You will partner across laboratory operations, finance, commercial, and technology to optimize performance, tooling, and compliance.

You will guide strategic initiatives, manage vendor relationships, and ensure audit-readiness while delivering measurable improvements in key metrics. This role is based in the U.S.