Imaginepediatrics
Manager, Revenue Cycle Operations
Remote, USA · Staff+
Sponsorship not specifiedDetected 77 days ago
CollaborationProblem Solving
About the role
- Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance
- them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
Responsibilities
- The Manager, Revenue Cycle Operations will work across teams to align claims processes, ensure clean claim performance, and drive operational efficiency with a mindset rooted in accountability, problem-solving, and excellence. You will:
- KPI Management & Strategy Support
- Partner with analytics to develop dashboards that inform real-time decisions and revenue forecasting.
- Identify high-impact trends and lead cross-functional initiatives to improve performance, quality, and speed.
- Support quality measure capture (e.g., HEDIS), risk adjustment coding, and care coordination billing opportunities.
- The Manager, Revenue Cycle Operations will work across teams to align claims processes, ensure clean claim performance, and drive operational efficiency with a mindset rooted in accountability, problem-solving, and excellence.
- Cross-Functional Collaboration & Expansion Support
- Partner with Credentialing, Implementation, Clinical Ops, and Compliance to ensure state and payer readiness.
- Lead market expansion readiness efforts, including taxonomy mapping, EFT/ERA setup, clearinghouse configuration, and payer portal access.
- Co-lead provider onboarding sessions and internal training on documentation, coding, and encounter submission workflows.
Benefits
- Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.
- We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care.
- We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
- Collaborate with medical, product, and operations teams to align payment integrity with clinical outcomes and contract goals.
Company info
- Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams
- we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
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