Support the Chief Compliance Officer in developing and monitoring the Compliance Work Plan, including auditing and monitoring activities.
Manage intake, tracking, review, and response to governmental revenue cycle investigations and serve as the compliance resource for revenue cycle and operational leaders.
Develop and deliver role-based compliance training, translate regulatory changes into actionable policies, and monitor audit results to create corrective action plans.
Own RCM end to end for Medicaid and Medicare, from eligibility through claims, denials, and collections.
Lead strategy, team building, KPI reporting, and cross-functional collaboration with operations, product, and engineering.
Analyze claims data to improve collection rate, manage payer relationships, and ensure billing compliance.
Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.
Own the end-to-end revenue cycle, including claims, denials, appeals, and payment reconciliation.
Ensure accurate billing and compliance for Medicare and commercial payers.
Monitor KPIs, identify revenue opportunities, and reduce denials.
Medsien is a leading provider of scalable remote care management, enabling healthcare practices to enhance patient engagement and improve outcomes. They are a venture-backed company based in San Francisco, committed to innovation and collaboration.
Lead and mentor Revenue Cycle Informatics staff, overseeing daily support and project coordination for EHR-related initiatives.
Collaborate with departments to implement process improvements, training, and system enhancements for revenue cycle and electronic health record.
Provide end-user support and education, manage service tickets, and ensure efficient use of EHR applications.
UnityPoint Health is a healthcare system providing services across Iowa, Illinois, and Wisconsin. They are recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging and employee support.
Owns the strategy, performance, and compliance of Centivo's claims ancillary functions, with particular emphasis on Plan Documents.
Directly manages the Plan Documents Manager and CMAS Manager, ensuring accuracy, timeliness, and regulatory compliance.
Serves as the operational authority for CMAS and Plan Documents with clients, brokers, agents, TPAs, and stop loss carriers.
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Headquartered in Buffalo, NY with offices in New York City, Centivo is backed by leading healthcare and technology investors.
Perform daily audits of RCM accounts to ensure accuracy and compliance with policies.
Review documentation, billing records, and account activity to identify errors and process gaps.
Communicate quality issues and provide constructive feedback to staff and department leaders.
Our partner focuses on revenue cycle management services for healthcare organizations. They foster a remote culture centered on accuracy, accountability, and continuous improvement, with a team dedicated to quality and compliance.
Lead professional billing coding and clinical documentation integrity programs across a complex health system, ensuring coding accuracy and regulatory compliance.
Oversee team operations, including staffing, performance monitoring, audit education, and continuous process improvement.
Build strong relationships with executives, physicians, and coding professionals to drive quality and reimbursement integrity.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to review applications and share top-fitting candidates with employers, fostering an inclusive and efficient hiring process.
Develop and lead the enterprise compliance program strategy and roadmap.
Serve as program manager for compliance buildout and commercialization-readiness initiatives.
Provide practical guidance on healthcare compliance risks related to commercialization.
Kyverna Therapeutics is a patient-centered, clinical-stage biopharmaceutical company developing cell therapies for autoimmune diseases. The company is guided by core values and committed to transforming treatment for autoimmune disease, fostering a culture of ethics and integrity.
Provides oversight of CDI teams, ensuring optimal performance and adherence to compliant CDI practices and regulatory requirements.
Develops strategic plans to achieve enterprise KPIs and analyzes data to generate monthly performance reports for executive leadership.
Acts as a liaison between physicians, coding, and clinical quality to ensure accuracy and integrity of the inpatient medical record.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, it has more than 157,000 employees and delivers over 20 million patient encounters annually.
Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.
Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.
Provide advanced expertise and leadership for hospital billing and accounts receivable operations.
Ensure compliance with payer rules and regulatory requirements through quality assurance and audits.
Analyze payer trends and collaborate on process improvements to optimize revenue recovery.
Emory Healthcare is a healthcare system providing comprehensive medical services. They foster a supportive culture with benefits, mentorship, and leadership programs for employees.
Own the compliance strategy and risk assessment for the business, including regulatory, corporate, and clinical compliance.
Build government programs compliance capability, including Medicare marketing and member communication requirements.
Partner with clinical, product, operations, data, and payer teams to embed compliance into new workflows, AI tools, and market expansions.
Chamber is rebuilding the system for cardiology by partnering with independent cardiologists to improve outcomes through technology, data, and operational tools. As an early-stage company, they value low ego, empathy, courage, ownership, and grit, fostering a culture of innovation and human-centered care.
Lead and scale a high-performing Revenue Cycle Management team, managing workflows and driving operational excellence.
Oversee day-to-day RCM operations with a patient-first approach, optimizing collections and efficiency.
Collaborate cross-functionally with Engineering, Credentialing, Customer Experience, and external vendors to support growth.
Nourish is an AI-native digital health system that connects patients with registered dietitians, physicians, medications, lab testing, and AI agents for insurance-covered care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partners with health plans covering 200M+ Americans.
Lead a specialized RCM SWAT team focused on rapid assessment and stabilization of underperforming functions across billing, collections, and financial counseling.
Manage relationships with third-party vendors, conduct performance reviews, and drive continuous improvement to maximize vendor efficiency and financial returns.
Collaborate with internal teams and vendors to optimize billing and collections workflows, ensuring compliance, reducing denials, and improving cash performance.
The Oncology Institute is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. With over 180 employed and affiliate clinicians and over 100 clinics across five states, TOI is changing oncology for the better.
Lead multiple teams through Managers and Supervisors to align with revenue targets and operational priorities.
Oversee performance management, workload distribution, and capacity planning for efficient execution.
Ensure compliance with HIPAA regulations and deliver high-quality client outcomes through collaboration.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using intelligent automation. The company is a multi-year Top Workplaces award recipient and has been on the Inc. 5000 list for 11 years.
Monitor operational activities for compliance with healthcare policies and established procedures
Support compliance reviews of billing, coding, claims, and documentation processes
Assist with internal audits, compliance assessments, and corrective action plans
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company's size and culture are not specified in the posting.
Evaluate Medicare regulatory requirements and CMS guidance to assess compliance risks for government contracts.
Serve as a subject matter expert to ensure regulatory requirements are implemented accurately and timely across operations and partners.
Collaborate with stakeholders to develop and monitor mitigation strategies for compliance risks and issues.
HCSC expands access to high-quality, cost-effective health care and equips members with tools for better decisions. As an industry leader, they have over 80 years of experience and offer compelling careers in a collaborative, innovative environment.
Supervise and develop Patient Connection Center staff handling imaging order accuracy, insurance verification, and authorizations.
Monitor performance, coach employees, and ensure high-quality patient access and scheduling processes.
Collaborate with leadership to meet revenue cycle goals and maintain compliance with healthcare reimbursement standards.
Piedmont Healthcare is a not-for-profit health system that provides comprehensive medical services across Georgia. With a focus on patient-centered care, the organization operates multiple hospitals and employs a large, dedicated workforce.
Develop, implement, and maintain compliance policies and procedures aligned with governmental requirements and contractual obligations.
Research compliance questions and regulatory issues, analyze impacts, and recommend corrective actions.
Prepare metrics, reports, and presentations for leadership to support compliance monitoring and business decisions.
Jobgether uses an AI-powered matching process to connect candidates with hiring companies. They are a recruitment platform that processes applications and shares top-fitting candidates directly with employers.
Own the full payor revenue engine, from contract negotiation to billing, collections, and cash reconciliation.
Lead a team of managers and set strategy for payor access, contracting, and revenue cycle operations.
Drive KPIs, cash forecasting, and data-driven payor negotiations to maximize revenue.
Lingraphica provides speech-generating devices to help improve communication for people with communication impairments. The company fosters a fast-paced, goal-oriented environment and is committed to helping individuals on their communication journey.
Ensure compliance with regulations and funding requirements across grants and contracts.
Oversee contract lifecycle, reporting, and audits for private, state, county, and federal contracts.
Lead compliance trainings and supervise team members to maintain organizational standards.
The YMCA is a nonprofit organization focused on social services and community development. With a significant presence in San Diego County, it emphasizes compliance, collaboration, and team-oriented culture.