Director, Revenue Cycle Operations

Summary

Join Parsley Health as the Director, Revenue Cycle Operations, a pivotal role in maximizing revenue from payer channels. You will develop and execute strategic plans, analyze payer data, cultivate strong relationships with partners, and ensure compliance. This position requires operational expertise, strategic thinking, and strong leadership skills to manage a team and collaborate across departments. You will oversee payer operations, establish KPIs, and lead cross-functional projects. The role reports to the VP, Finance and offers a competitive salary and benefits package.

Requirements

• You have a proven experience in ambulatory revenue cycle management, payer relations, and healthcare reimbursement processes. Ideal candidate will have experience with multiple payment models, such as FFS, Value Based Care, Medicaid Encounter Rates, etc. and will have direct experience managing teams across the entire revenue cycle
• You have 5-7 years of operational leadership or general management and experience in ambulatory revenue cycle management
• Excellent analytical skills with the ability to interpret data, identify trends, and make data-driven decisions
• Experience with multiple Practice Management Systems
• Software development experience as a SME, operations or product development - ability to articulate complex needs to a product team enabling designs tailored to scale and efficiency
• Clear communication style and structured, process-thinking approach
• Professionalism with physicians, executive leadership, and external stakeholders
• Knack for driving thoughtful, complex decision-making
• Ability to convert large strategic ideas into actionable operations
• Strong follow-through and ability to hold teams (and self) accountable

Responsibilities

• Execute a multigenerational revenue cycle management plan ensuring alignment with Parsley Health’s long term strategy
• Establish key performance indicators (KPIs) and metrics to track payer operations and revenue performance, identifying areas for improvement
• Analyze payer reimbursement patterns, denials, and claims data to identify trends, areas for improvement, and revenue enhancement opportunities
• Cultivate and maintain strong relationships with current partnerships to optimize accurate and timely reimbursements through various payer programs
• Stay abreast of relevant healthcare regulations, billing guidelines, and payer policies to ensure compliance with industry standards and adapt to changes
• Oversees payer operations team, including staff managing third party billing relationships and claims management, and proactively escalates issues to the Executive team when they arise
• Manages Payer Ops Team performance by establishing clear goals and expectations and develops team members on their career goals
• Collaborate with other departments, such as Operations, Finance, Sales, Customer Success and Product teams, to implement strategies that optimize revenue growth and minimize revenue leakage
• Lead large, cross-functional operations projects by gaining executive alignment, establishing clear timelines and outlining key requirements
• Define and lead the process for leveraging external resources (e.g., vendors, contractors) to support payer operations
• Support Payer Sales teams in late stage opportunities as they define integration and operational requirements
• Provide analytical analysis, create written processes, and train others in implementing a cross functional revenue cycle team
• Develop and implement practice-specific process improvement recommendations to secure positive results, monitor performance and improve resolution plans for unfavorable trends

Benefits

• Equity Stake
• 401(k) + Employer Matching program
• Remote-first with the option to work from one of our centers in NYC or LA
• Complimentary Parsley Health Complete Care membership
• Subsidized Medical, Dental, and Vision insurance plan options
• Generous 4+ weeks of paid time off
• Annual professional development stipend