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Oscar Health

Senior Manager, Revenue Cycle Management, Provider Operations

Arizona: eligible, according to the employer's posting.
Who can apply: Only open to applicants in: Arizona, Georgia.
Location as listed by the employer: “Atlanta, Georgia, United States; Tempe, AZ”
Apply on Oscar Health's site ↗

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About this role

Oscar Health is hiring for a Senior Manager, Revenue Cycle Management, Provider Operations role. See the official posting for full details.

Requirements

  • 7+ years of progressive experience in healthcare revenue cycle, professional billing, coding, or related healthcare operations.
  • 3+ years of experience leading revenue cycle programs, teams, or functions with accountability for operational and/or financial outcomes.
  • Advanced knowledge of professional billing and coding, including CPT, ICD-10-CM, HCPCS, modifiers, CCI/NCCI edits, claims management, denial management, and payer requirements.
  • Experience developing and executing revenue cycle strategies that improve coding accuracy, claims performance, reimbursement, and overall financial outcomes.
  • Experience with coding and clinical documentation integrity, including provider documentation review, provider queries, and pre- and post-bill review processes.
  • Demonstrated ability to analyze complex revenue cycle data, identify trends and root causes, and translate findings into actionable strategies and recommendations.
  • Demonstrated experience leading complex, cross-functional initiatives, partnering with clinical, operations, finance, compliance, credentialing, and other stakeholders to drive results.
  • Strong executive communication skills, with the ability to clearly communicate complex revenue cycle performance, risks, opportunities, and recommendations to senior leadership.

Summarized from the employer's posting — check the full posting for every requirement.