Sr. Manager, Revenue Strategy & Recovery

Lingraphica is a mission-driven organization that provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey. About the role: The Sr. Manager, Revenue Strategy & Recovery owns Lingraphica's full payor revenue engine, end to end - from maximizing every dollar through contract negotiation and payor strategy on the front end, to billing, collections, cash posting, and reconciliation on the back end. This role sets our minimum allowable contract pricing and drives ASP performance through negotiation, then ensures that value is fully realized once a claim is submitted through the point cash lands and is applied correctly. The Sr. Manager directly manages the Reimbursement Manager, Cash Posting & Reconciliation Manager, and Payor Strategy Manager; sets strategy and standards for the department; and owns AR health and cash performance at a strategic level - bringing payor strategy and contracting together with billing, collections, and cash operations under a single, dedicated leader. The role reports directly to the Director, Operations. Responsibilities: Payor Strategy & Contracting - Set and drive the strategy for payor access and expansion, prioritizing markets and payors that advance Lingraphica's growth plan. - Lead negotiation of payor contract terms and reimbursement rates, directly or through the Payor Strategy Manager, to strengthen Lingraphica's rate position. - Own payor policy tracking and payor analytics, translating payor trends and performance data into pricing, contracting, and access strategy. - Build and lead the Payor Strategy Manager, ensuring contracting has the staffing and analytical support to scale.

Revenue Cycle Operations – Billing and Collections - Oversee the Reimbursement Manager and billing/collections team to ensure timely, accurate claims submission and follow-up. - Own collections performance, aging, and denial-management workflows, identifying and resolving systemic issues at the root cause. - Partner with the Senior Manager, Payor Readiness to ensure a clean handoff from funding/authorization into billing. - Drives cash flow performance across the revenue cycle, including preparation and ongoing management of the cash forecast to support accurate financial planning. Cash Posting & Reconciliation - Oversee the Cash Posting & Reconciliation Manager to ensure cash received is accurately posted and reconciled against contracted rates. - Establish reconciliation processes that flag underpayments or rate discrepancies against negotiated contract terms, closing the loop back to payor strategy. Strategy & Analytics - Build and report on KPIs spanning payor access, contract rates, billing/collections performance, and cash reconciliation accuracy. - Bring a data-driven business case to payor negotiations and prioritization decisions. General - Maintains current, expert-level knowledge of payor reimbursement terms, billing regulations, and collections compliance requirements - May be required to perform other duties as assigned Minimum Qualifications: - Bachelor's degree or equivalent combination of education and experience - 7+ years of experience in healthcare revenue cycle management, including direct experience with payor contracting or reimbursement rate negotiation with at least 5 years of management experience - Proven people-leadership experience managing managers and multi-team departments. - Strong knowledge of billing, collections, and cash reconciliation workflows in a healthcare or DME/HME environment. - Demonstrated experience building or owning a cash forecast or AR/revenue model - Track record of using data and analytics to inform payor and contracting strategy. - Excellent negotiation, communication, and cross-functional influence skills.