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cms analytics machine learning ai revenue cycle managementπ Description
- Strategic Leadership: Develop enterprise-wide revenue cycle strategy.
- People Leadership: Build, coach, and develop a high-performing team.
- Billing & Collections: Oversee coding, claims submission, reimbursement, and AR management.
- Patient Intake Services: Oversee intake, benefit verification, financial counseling, prior authorizations, and call center ops.
- Payer & Contracting Relations: Partner with Market Access to maintain payer relationships and contracts.
- Compliance & Risk Management: Ensure CMS/HIPAA and payer-specific regulatory adherence.
- AI, Technology & Process Optimization: Leverage AI, ML, automation, and analytics to improve performance.
π― Requirements
- Bachelor's degree in finance, healthcare administration, or related field (MBA or MHA preferred).
- 12+ years of revenue cycle management experience, preferably in molecular/precision diagnostics.
- 6+ years of leadership in revenue cycle management building high-performing teams.
- 4+ years of P&L responsibility.
- Extensive expertise in payer contracting, reimbursement methodologies, and healthcare finance.
- Proven success scaling revenue cycle operations for a growing healthcare organization.
- Passion for utilizing AI and automation to optimize systems and processes.
π Benefits
- Equity and cash bonuses; competitive benefits.
- Full medical, financial, and other benefits depending on position.
- Career page: freenome.com/job-openings/.
- Freenome is an equal opportunity employer.
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