drjobs Revenue Cycle Optimization Manager (Remote)

Revenue Cycle Optimization Manager (Remote)

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Job Location drjobs

Palo Alto, CA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Are you a strategic thinker with a passion for solving revenue cycle challenges Do you want to be part of an organization that is conquering cancer with new diagnostic products Join us as a Revenue Cycle Optimization Manager and play a pivotal role in reshaping how we deliver financial performance and operational excellence. In this high-impact leadership position youll drive innovation across the entire revenue cycle using data and process improvement techniques. If youre ready to lead cross-functional initiatives reduce inefficiencies and make a difference in the future of cancer treatment we want to hear from you!

The Revenue Cycle Optimization Manager is a key leader responsible for identifying developing and implementing strategic initiatives that drive operational efficiency and reimbursement effectiveness across all functions of the healthcare revenue cycle. This role will focus on continuous improvement within reimbursement operations including prior authorization billing coding claims follow-up and collections.

The ideal candidate brings a deep understanding of healthcare revenue cycle management combined with proven experience applying process improvement methodologies (e.g. Lean Kaizen Six Sigma) to achieve measurable gains in financial performance reduce denials and streamline workflows. This role collaborates cross-functionally to eliminate bottlenecks strengthen compliance and improve the end-to-end revenue cycle experience for both patients and providers.

  • Collaborate across reimbursement teams (billing prior auth coding A/R) to assess processes and implement improvements that accelerate revenue realization and reduce claim denials.
  • Develop and execute targeted process improvement initiatives that optimize key revenue cycle metrics such as Days in A/R first-pass resolution rate and cash collections.
  • Lead root cause analysis and performance audits to identify inefficiencies reduce rework and improve reimbursement timelines and payer compliance.
  • Build and manage a framework for continuous quality improvement leveraging Lean Six Sigma or Kaizen techniques to establish standard workflows and operational excellence.
  • Provide guidance and hands-on support to revenue cycle teams mentoring staff in improvement methodology and project execution.
  • Monitor and report on performance KPIs developing dashboards and tracking mechanisms to evaluate initiative impact and sustain improvements.
  • Partner with cross-functional teams in Client Services Payer Relations Finance and IT to align process improvements with broader business and system initiatives.
  • Stay current with industry trends payer changes and regulatory requirements to proactively adapt reimbursement strategies.

 


Qualifications :

  • Bachelors degree required; Masters degree preferred.
  • Minimum of 5 years of experience in healthcare revenue cycle operations with a focus on reimbursement billing or claims management.
  • Proven success implementing process improvement frameworks (Lean Six Sigma Kaizen) to increase operational efficiency and financial outcomes.
  • Strong knowledge of healthcare reimbursement processes payer requirements and RCM metrics (e.g. DSO denial rate net collections).
  • PMP or Lean Six Sigma certification preferred.
  • Exceptional analytical and problem-solving skills; advanced proficiency in data tools (e.g. Excel Tableau or similar platforms).
  • Strong interpersonal and leadership skills with the ability to influence cross-functional teams and drive change.
  • Clear effective communication with internal stakeholders including operations clinical teams and executive leadership.


Additional Information :

Hybrid Work Model: At Guardant Health we have defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays Tuesdays and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.

For positions based in Palo Alto CA or Redwood City CA the base salary range for this full-time position is $133900 to $180810 The range does not include benefits and if applicable bonus commission or equity.

Within the range individual pay is determined by work location and additional factors including but not limited to job-related skills experience and relevant education or training. If you are selected to move forward the recruiting team will provide details specific to the factors above.

Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however there may be exposure to high noise levels fumes and biohazard material in the laboratory environment. Ability to sit for extended periods of time.

Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities long-term conditions mental health conditions or sincerely held religious beliefs. If you need support please reach out to 

Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin or protected veteran status and will not be discriminated against on the basis of disability.

All your information will be kept confidential according to EEO guidelines.

To learn more about the information collected when you apply for a position at Guardant Health Inc. and how it is used please review our Privacy Notice for Job Applicants.

Please visit our career page at:  Work :

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Employment Type :

Full-time

Employment Type

Remote

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