Senior Revenue Cycle Leader — Provider Operations (Remote)

name

Dallas (TX)

Remote

USD 122,000 - 160,000

Full time

13 days ago
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Job summary

Oscar Health is seeking a Senior Manager, Revenue Cycle Management to lead OMG's revenue cycle operations from a remote location in the United States, with potential hybrid options in the future.

The role focuses on scalable strategies for professional billing, coding accuracy, and timely reimbursement, partnering with clinical, finance, compliance, credentialing, and product teams to drive measurable improvements and overall financial performance.

Qualifications

  • 7+ years of progressive experience in healthcare revenue cycle.
  • 3+ years leading revenue cycle programs or teams.
  • Advanced knowledge of CPT, ICD-10-CM, HCPCS, and payer requirements.
  • Experience with coding integrity and pre/post-bill review processes.

Responsibilities

  • Own strategy and performance of OMG's revenue cycle, including billing and denials.
  • Lead coding and documentation integrity, including provider queries.
  • Establish KPIs and controls to improve clean claims and reimbursement.
  • Address denial trends with cross-functional teams and sustainable actions.
  • Collaborate with Clinical Ops, Finance, Compliance, and Product for initiatives.
  • Advise OMG leadership on performance, risks, and opportunities.

Skills

Revenue cycle management
Professional billing
Coding expertise
Cross-functional collaboration
Data analysis
Leadership

Tools

CPT coding
ICD-10-CM

Job description

Oscar Health is seeking a Senior Manager, Revenue Cycle Management to lead OMG's revenue cycle operations from a remote location in the United States, with potential hybrid options in the future.

The role focuses on scalable strategies for professional billing, coding accuracy, and timely reimbursement, partnering with clinical, finance, compliance, credentialing, and product teams to drive measurable improvements and overall financial performance.

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