[Hiring] Manager - Denials Mitigation Services @R1 RCM

Role Description

As the Manager of Denials Mitigation Services, you will lead denial prevention, root cause analysis, and mitigation strategies across multiple facilities. In this critical role, you will partner with the Client Service Delivery team, internal R1 operations, and hospital stakeholders to reduce preventable denials by:

• Proactively identifying issues
• Developing strategic remediation plans
• Optimizing workflows
• Implementing industry best practices

Your leadership will drive clear, actionable communication to operational leaders and client executives, acting as a catalyst for organizational alignment and improved revenue cycle performance. To excel in this position, you must possess expertise in:

• Denial reason code analysis
• Payer policy interpretation
• Workflow redesign
• Advanced proficiency in reporting tools such as Excel, PowerBI, and Tableau

Qualifications

• 5+ years of operational experience, including 3+ years in Revenue Cycle with direct exposure to front-end denials
• Proficient in denial reason code analysis, interpreting payer policies, and redesigning workflows for optimal results
• Exceptional analytical skills with a proven ability to communicate complex drivers and actionable recommendations to executives and operational teams
• Demonstrated strength in analyzing data and trends, and the ability to convey information clearly and effectively to diverse audiences

Requirements

• Base pay range: $70,921.24 - $116,747.20 per year
• Eligible to participate in our annual bonus plan at a target of 10.00%

Benefits

• Competitive benefits package
• Opportunity to constantly learn and collaborate across groups
• Chance to contribute, think boldly, and create meaningful work