Revenue Cycle Optimization Manager

Summary

Join Guardant Health as a Revenue Cycle Optimization Manager and play a pivotal role in enhancing financial performance and operational excellence. This leadership position involves driving innovation across the revenue cycle using data and process improvement techniques. You will lead cross-functional initiatives, reduce inefficiencies, and contribute to the advancement of cancer treatment. The ideal candidate possesses a deep understanding of healthcare revenue cycle management and proven experience in applying process improvement methodologies. This role requires collaboration with cross-functional teams to eliminate bottlenecks, strengthen compliance, and improve the end-to-end revenue cycle experience. The position offers a hybrid work model with a defined schedule for in-person and remote work.

Requirements

• Bachelor's degree required; Master's 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)
• 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

Responsibilities

• 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

Preferred Qualifications

PMP or Lean Six Sigma certification preferred

Benefits

• 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
• For positions based in Palo Alto, CA or Redwood City, CA, the base salary range for this full-time position is $133,900 to $180,810