[Hiring] Senior Manager, Reimbursement Operations @Veracyte

Role Description

We are seeking a highly skilled and experienced Senior Manager, Reimbursement Operations – Strategic Initiatives to lead high-impact initiatives within the Revenue Cycle Operations. This role will be focused on designing and implementing processes to achieve sustainable operational improvements, drive incremental collections, and ensure the success of key workstreams part of reimbursement operations.

• Develop and implement strategic plans to optimize the revenue cycle process, aligning it with organizational goals and industry best practices.
• Design and deliver scalable, system-based solutions by producing clear problem statements, process maps, business requirements, etc., to facilitate the implementation of new processes or technologies.
• Support the optimization of collections by performing root causes analyses on claims performance issues, identifying ways to solve those issues, and partnering with relevant teams to implement and drive to resolution.
• Take a proactive role in evaluating and implementing revenue cycle technologies (OCR, AI-Enabled workflows, integrations, automations, etc.) to enhance operational effectiveness.
• Leverage expertise in Clinical Coding and Documentation to ensure operational systems/processes are built to reduce risk of erroneous billing and optimize reimbursement.
• Serve as Project Lead on Strategic Revenue Cycle Initiatives (technology or other) to ensure the successful implementation and operationalization is achieved.
• Partner with Reimbursement leaders to re-engineer reimbursement workflow to standardize processes while preserving flexibility for payor-specific nuances.

Qualifications

• 8+ years of experience in healthcare reimbursement, revenue cycle operations, or related financial operations, with progressive leadership responsibility.
• Success in building and leading Revenue Cycle operational teams across various functions.
• Demonstrated success driving process improvement and reimbursement optimization initiatives with measurable financial impact.
• Strong understanding of payor dynamics, prior authorization, claims adjudication, denials, and appeals.
• Experience leading or partnering with automation, AI, or technology-enabled operational transformations.
• Advanced analytical skills with the ability to translate complex data into actionable insights.
• Proven ability to lead cross-functional initiatives in a fast-paced, ambiguous environment.
• CPMA/CPC Certifications.

Requirements

• Clinical Background (BSN, Genetic Counseling) preferred.
• Experience in diagnostics, laboratory services, or complex reimbursement environments.
• Formal training or certification in Lean, Six Sigma, or process improvement methodologies.

Benefits

• Base pay range: $140,000 — $160,000 USD.
• Eligible for additional discretionary bonuses/incentives, and restricted stock units.
• Competitive compensation and benefits.
• Commitment to fostering an inclusive workforce.