Sr. Manager, Reimbursement Operations at Veracyte

Worldwide

$140k - $165k

At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe. Working at Veracyte enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose driven environment. This is what we call the Veracyte way – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients make life-changing decisions. Our Values: We Seek A Better Way: We pursue bold ideas, embrace complexity, and keep pushing forward. We Make It Happen: We act with urgency, deliver with excellence, and always find a way. We Are Stronger Together: We engage with empathy, align around what's best for Veracyte, and celebrate as one team. We Care Deeply: We show up with integrity, kindness, and respect for one another. The Position: We are seeking a highly skilled and experienced Senior Manager, Reimbursement Operations – Strategic Initiatives to lead high-impact initiatives within the Revenue Cycle Operations. This role will be focused on designing and implementing processes to achieve sustainable operational improvements, drive incremental collections (Reduce denials, increase Claim Overturns by improving appeal efficacy, et al), and ensure the success of key workstreams part of reimbursement operations (e.g., Digital System Transformations, Epic Interoperability, et al). Success in this role requires deep expertise in medical billing systems, fluency in payor medical & claim policies (and their corresponding review processes), a strong understanding of regulatory and compliance aspects of billing in a diagnostic lab setting and proven experience in scaling operations in a revenue cycle environment; strong analytical, interpersonal, and communication skills will be critical to success as well. Develop and implement strategic plans to optimize the revenue cycle process, aligning it with organizational goals and industry best practices. Design and deliver scalable, system-based solutions by producing clear problem statements, process maps, business requirements, et al to facilitate the implementation of new processes or technologies. Support the optimization of collections by performing root causes analyses on claims performance issues, identifying ways to solve those issues, and partnering with relevant teams to implement and drive to resolution. Take a proactive role in evaluating and implementing revenue cycle technologies (OCR, AI-Enabled workflows, integrations, automations, et al.) to enhance operational effectiveness. Leverage expertise in Clinical Coding and Documentation to ensure operational systems/processes are built to reduce risk of erroneous billing and optimize reimbursement. Serve as Project Lead on Strategic Revenue Cycle Initiatives (technology or other) to ensure the successful implementation and operationalization is achieved. Partner with Reimbursement leaders to re‑engineer reimbursement workflow to standardize processes while preserving flexibility for payor‑specific nuances. Who You Are: 8+ years of experience in healthcare reimbursement, revenue cycle operations, or related financial operations, with progressive leadership responsibility. Success in building and lead Revenue Cycle operational teams across various fuctions. Demonstrated success driving process improvement and reimbursement optimization initiatives with measurable financial impact. Strong understanding of payor dynamics, prior authorization, claims adjudication, denials, and appeals, with experience participating in conversations with payors on claims or other related issues to achieve resolution. Experience leading or partnering with automation, AI, or technology enabled operational transformations. Advanced analytical skills with the ability to translate complex data into actionable insights. Proven ability to lead cross functional initiatives in a fast paced, ambiguous environment. CPMA/CPC Certifications Preferred Clinical Background (BSN, Genetic Counseling) Experience in diagnostics, laboratory services, or complex reimbursement environments. Formal training or certification in Lean, Six Sigma, or process improvement methodologies #LI-Remote The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to years of experience, skillset, geographic location, industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives, and restricted stock units. Pay range $140,000—$160,000 USD What We Can Offer You Veracyte is a growing company that offers significant career opportunities if you are curious, driven, patient-oriented and aspire to help us build a great company. We offer competitive compensation and benefits, and are committed to fostering an inclusive workforce, where diverse backgrounds are represented, engaged, and empowered to drive innovative ideas and decisions. We are thrilled to be recognized as a 2024 Certified™ Great Place to Work® in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose. About Veracyte Veracyte (Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. For more information, please visit www.veracyte.com or follow us on LinkedIn or X (Twitter). Veracyte, Inc. is an Equal Opportunity Employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Veracyte participates in E-Verify in the United States. 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