Senior Manager Revenue Cycle Operations

Role Description

The Senior Manager, Revenue Cycle Operations leads a team of Business Operations Analysts and Revenue Cycle Specialists supporting Cotiviti’s Clinical Chart Validation (CCV) operations and client delivery. This leader oversees revenue cycle management, month-end close activities, inventory management, client SLA delivery, and financial analysis for assigned clients within the Clinical Chart Validation business unit. The role is accountable for maximizing revenue recognition, minimizing financial leakage, strengthening process controls, and accelerating client savings value while serving as a trusted internal and client business partner. This position also supports workflow modernization through automation, platform enhancements, and AI enablement within a rapidly growing healthcare payment integrity segment at Cotiviti.

Location for this role is within a 2 hour commute to our Blue Bell PA office.

Responsibilities

• Coach, lead, and develop a team of 6–10 employees by setting clear expectations and fostering a culture of excellence; motivate performance through individual, team, and department recognition.
• Oversee execution, documentation, quality monitoring, and timely delivery of revenue cycle, inventory management, and SLA activities for assigned client segments; drive achievement of revenue, conversion, and waste-reduction targets.
• Develop and implement strategies to process payments, improve cash flow, deliver invoices, manage paybacks, and maintain the overall health of accounts receivable.
• Perform targeted assessment of the invoicing automation system (iCMS) and support troubleshooting as issues arise.
• Directly oversee the end-to-end lifecycle of Cotiviti inventory after audit findings, including turnaround-time management, escalations/intervention, due-diligence research, and financial evaluation.
• Partner with Finance IT, Accounting, and Billing to execute the revenue close cycle and deliver monthly invoices.
• Perform quarterly revenue evaluations to identify unrealized value and apply revenue in accordance with client contractual terms.
• Communicate financial headwinds to senior operational leadership; perform financial health assessments; interpret revenue-related data across sources; and conduct in-depth operational analysis.
• Partner with client service teams, client engagement leadership, technical engineering, and audit operations leadership to address client concerns and deliver exceptional client service.
• Remove barriers and identify improvement opportunities; serve as the escalation point for customer issues impacting satisfaction; lead coordinated corrective actions and ensure follow-through to closure.
• Lead coordinated efforts to ingest, transform, refine, and analyze client-provided inventory datasets that serve as the baseline for inventory management and reconciliation.
• Serve as a revenue cycle subject matter expert focused on closing gaps in the claims lifecycle to accelerate and maximize conversion of claim findings; establish reporting and insights to identify business patterns.
• Navigate complex, non-linear challenges with intellectual curiosity; challenge conventional wisdom to uncover opportunities; adapt behaviors and methods in response to new information.
• Coordinate and lead effective meetings with senior clients and internal stakeholders.
• Build trust, respect, and engagement through clear communication and positive reinforcement; maintain and exceed internal and external expectations.
• Manage multiple projects, support upgrades to revenue cycle tools, and adopt technical efficiencies while maintaining essential production responsibilities.
• Lead the offshoring of revenue cycle work to global workforce counterparts where appropriate.
• Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
• Complete all responsibilities as outlined in the annual performance review and/or goal setting.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

Qualifications

• Bachelor’s degree in accounting, finance, actuarial science, or business administration.
• 8+ years of direct people leadership experience in a finance, accounting, revenue cycle, or healthcare technology-oriented role.
• Working knowledge of accounting principles and revenue cycle practices.
• Demonstrated experience partnering directly with clients.
• Advanced Excel skills (PivotTables, macros, VLOOKUP/XLOOKUP, queries, and complex formulas) and experience with business intelligence tools (Power BI, Tableau).
• Strong analytical skills, attention to detail, and ability to work with large, unstructured datasets.
• Proven experience leading process improvement initiatives.
• Ability to thrive in a fast-paced environment, pivot quickly, and reprioritize as needed.
• Ability to learn new concepts, software, and technologies and apply them effectively.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Comfortable presenting to groups, engaging with clients, and working cross-functionally.
• Demonstrated ability to handle confidential information appropriately.
• Ability to work effectively independently and within a team environment.
• Ability to motivate employees and manage conflict.
• Ability to manage multiple tasks, prioritize effectively, and meet deadlines; mentor staff and enhance performance.
• Experience working with large volumes of medical claims data; familiarity with claims processing platforms, the healthcare value chain, and common healthcare datasets.
• Knowledge of medical reimbursement/payment policies, audit reviews and analysis, and medical terminology.
• Familiarity with agentic AI, machine learning, robotic process automation (RPA), natural language processing (NLP), and/or advanced statistical methods.
• Prior experience in billing or accounts receivable.
• Certified Public Accountant (CPA).

Requirements

• Solve complex, dynamic problems and develop practical solutions.
• Independently reassess and reset priorities in response to changing business needs.
• Maintain accuracy, thoroughness, and attention to detail across high-volume work.
• Learn new concepts, tools, and workflows quickly and apply them effectively.
• Analyze and interpret large datasets to identify trends, anomalies, and actionable insights.
• Reconcile disparate information across multiple systems and data sources.
• Conduct root-cause analysis and recommend corrective actions.
• Follow multi-step processes and apply established protocols consistently and on time.
• Communicate clearly and professionally with internal and external stakeholders to exchange information and drive decisions.
• Make timely, sound decisions within defined workflows and service-level expectations.
• Work independently with minimal supervision while collaborating effectively across teams.
• Maintain focus and productivity in a fast-paced environment with time or output targets.
• Assess and improve the quality of work products for completeness, accuracy, and consistency.

Physical Requirements and Working Conditions

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.

Benefits

• Base compensation ranges from $115,000 to $145,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
• This role is eligible for discretionary bonus consideration.
• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.
• For information about our benefits package, please refer to our Careers page.