Manager Revenue Cycle

Overview

The Manager of Revenue Cycle is a member of the Revenue Cycle team within the Yield Management Division of our healthcare data analytics company, where we support health plans with their revenue optimization. This department may work directly with other members of Yield to ensure department expectations are accomplished.

The Manager, Revenue Cycle position is responsible for providing leadership and management for one or more accounts or significant audit support projects. Oversee audit support revenue cycle activities for assigned account to maximize valid claim identification and overpayment recoveries, meet contractual commitments, and deliver customer satisfaction consistent with established operating practices and audit procedures. This will be accomplished through effective financial audit operations management, quality and service assurance, and effective people management and development. SQL querying skills and experience with Tableau is required.

Responsibilities

• Hire, develop, coach, lead and retain top-tier talent with a focus on building and improving a team and culture that can assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
• Analyzes the organization's revenue streams to identify opportunities to maximize revenue or margins. Collects, analyzes, and interprets revenue-related data across multiple revenue streams.
• Uses findings to recommend changes to product/service pricing based on availability and expected demand, with the goal of driving incremental revenue and increasing profitability.
• Modifies revenue management strategies to reach targeted markets.
• Monitors team or department efficiency and ensures that output meets expectations.
• Oversees financial operations of the department. Responsible to develop, plan, organize and implement strategies to process payments, improve cash flow and manage the overall health of the company's receivables.
• Enhances and standardizes work-flow processes throughout the revenue cycle to assist in achieving consistency and ensures effectiveness in maximizing the utilization of efforts and resources.
• Compiles and prepares various status reports for management to analyze trends and make recommendations for efficiency improvements. Develops and maintains relationships with outside vendor(s) to better understand their policies to better serve their needs.
• Directs the successful delivery of Accounts Receivable (AR) audit services to the client by managing the team(s) assigned to the engagement. Develops appropriate policy and standard operating procedures that will complement the collection process and ID cash allocation against original claim ID. Provides leadership and direction and ensuring that the client' needs and expectations are met and exceeded.
• Reviews audit progress against established metrics and direct activities as needed to ensure achievement of business goals and customer expectations. Ensures effective coordination with Business Optimization and other support functions to achieve audit goals. Demonstrates awareness and sensitivity to the needs of the client, the needs of the audit team, and the profitability of the audit engagement.
• Continually works to improve efficiency, productivity and reduce operational costs while providing 100% compliance with customer contract and company policies.
• Supports the continuous development of innovative solutions and with audit team. Works to optimize audit processes and efficiencies.
• Effectively manages customer problems and conflict, including direct communication with customers to achieve mutually accepted resolution.
• Aids and remove barriers as needed to identify opportunities for process improvements. Serves as top escalation point to resolve any customer issues that are roadblocks to customer satisfaction. Leads the implementation of all appropriate actions by other leaders and teams to understand and resolve issues and ensures follow through until closure and complete customer satisfaction.
• Ensures the audit team is looking at all possible claim categories and claim types and is using all available proprietary software, reports, and IT resources to conduct their audits. Collaborates with SAM to achieve in growth opportunities within existing and potential clients.
• Ensures compliance all HIPAA regulations regarding the safe guarding of Protected Health Information (PHI) and communicate to all associates involved in the audit engagement.
• Consistent with good people management practices and company values. Provides managerial leadership and direct the selection, supervision, evaluation and development of staff. Sets objectives and conducts performance reviews for direct reports and oversees the remaining evaluations indirect team members.
• Demonstrates ability to effectively work with clients, customers, and partners to accurately assess needs. Provides information or assistance, resolve problems, or satisfy requirements; demonstrates knowledge of and interest in Cotiviti's business, products and customers and commitment to providing exceptional service and support to customers.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

• Bachelor’s Degree in Accounting/Finance/Business required.
• 3-5+ years prior work experience in accounting or business operations; preferably healthcare experience with financial systems.
• 2-4 years of People Management and related experience required.
• Computer proficiency in Microsoft Office (Word, Excel, Outlook) required; Microsoft Access experience preferred.
• Strong SQL querying skills.
• Proficient with Tableau for reporting insights.
• Prior experience with direct client contact (account management, audit, sales, etc.) required.
• Ability to lead, influence, manage, and motivate others.
• Knowledge of basic accounting practices.
• Excellent organizational ability required to handle multiple priorities.
• Strong attention to detail and accuracy.
• Requires working knowledge of and applicable industry-based standards.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.
• Knowledge of revenue cycle practices; Healthcare experience a plus.
• Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.

Mental Requirements

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.
• Makes sound, well informed, and objective decisions; perceives the impact and implications of these decisions; commits to action, even in uncertain situations, that support accomplishment of organization.
• Knowledgeable about organizational function and dynamics; knows how to get things done both through formal channels and the informal network.
• Exceptional problem-solving, lateral thinking, communications, project management, planning organizational and interpersonal skills.

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.
• No adverse environmental conditions expected.

Base compensation ranges from $80,000 to $110,000 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.

Date of posting: 8/19/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/19/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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