Director/Senior Manager of Revenue Cycle Management at Claritypediatrics · LumiJobs

Responsibilities

Clarity Pediatrics is transforming pediatric specialty care by partnering with pediatricians to deliver expert, evidence-based care for children with chronic conditions. Behind every seamless family and provider experience is a RCM engine that keeps contracting, billing, denials, and collections running cleanly — protecting both our patients and our business. We're looking for a Sr. Manager/Director of RCM to own and scale that engine.
Reporting to the Head of Finance, you'll own the strategy, systems, and execution across payer contracting, billing, denials, collections, and reconciliation — and lead the RevOps team that runs it day to day. You'll work side-by-side with Credentialing, Contracting, Patient Support, Clinical Operations, and Finance to diagnose and resolve the root causes behind denials and payer issues, not just process them.
This is a builder role. You'll set the strategy while staying close enough to the details to catch a credentialing gap or a mis-loaded contract term before it becomes a pattern. We're looking for someone who is energized by precision and root-cause thinking, obsessed with the accuracy and integrity of every dollar that moves through Clarity, and eager to build the foundation of a RCM function that scales alongside the company.
Lead and grow the RevOps team: Manage and develop the RevOps Lead and Associates — setting priorities, coaching on complex cases, and building a team structure that scales with the business.
Own payer contracting strategy: Negotiate rates and terms, manage the contract lifecycle, and ensure contract terms are accurately loaded and enforced across billing systems.
Set the standard for billing accuracy: Own the billing function's strategy and quality bar, ensuring claims submission accuracy, coding integrity, and clean-claim rates that meet or exceed industry benchmarks.
Own denials, end to end: Establish and negotiate payer contracts, track denial trends by payer and reason code, lead structured root-cause analysis that spans credentialing, contracting, and patient eligibility, and improve the process across functions together — treating denials as a cross-functional signal, not just a billing problem.
Drive cross-functional resolution: Build and run the mechanisms with Patient Support, Provider Operations, Growth and Product teams needed to resolve systemic denial drivers at the source and prevent recurrence.
Own reconciliation and collections: Lead end-to-end reconciliation of payer remittances (ERA/EOB) and claims-related bank activity against contracted terms, and oversee collections and A/R management to keep aging balances low and cash flow predictable.
Partner with Finance: Support the Head of Finance during month-end close — owning reconciliation deliverables, A/R and denial reporting, and analysis of collections risk.
Be the go-to expert: Act as the subject-matter expert on revenue cycle performance for stakeholders across Patient Support, Provider Operations, Clinical Ops, and Finance, translating billing and denial detail into clear, actionable recommendations. Optimize billing processes and codes.
Build for scale: Identify and implement the process, tooling, and documentation improvements — partnering with Product and Engineering where useful — that make billing, denials, and reconciliation more accurate and scalable, while maintaining the controls needed for audit readiness and compliance.

Director/Senior Manager of Revenue Cycle Management

Responsibilities

Benefits

Company

Claritypediatrics

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