Director, Revenue Cycle Operations
: Job Details :

About us:

Parsley Health is a digital health company with a mission to transform the health of everyone, everywhere with the world's best possible medicine. Today, Parsley Health is the nation's largest health care company helping people suffering from chronic conditions find relief with root cause resolution medicine. Our work is inspired by our members' journeys and our actions are focused on impact and results.

The opportunity:

We are seeking a highly strategic and results-oriented individual to fill the role of Director, Revenue Cycle Operations. This position is pivotal in ensuring optimal revenue capture from our payer channels through effective collaboration with cross-functional teams and a deep understanding of healthcare payer contracts, reimbursement strategies, and revenue cycle management.

As the Director of Revenue Cycle Operations, you will be responsible for developing and executing comprehensive strategic plans aimed at maximizing revenue from payer channels while aligning with the organization's overall financial objectives. This role demands versatility, requiring you to navigate both strategic planning and hands-on execution. You will be expected to immerse yourself in operational processes while also synthesizing information to deliver executive-level presentations. This person reports directly to our VP, Finance.

What you'll do:

• Execute a multigenerational revenue cycle management plan ensuring alignment with Parsley Health's long term strategy.
• Establish key performance indicators (KPIs) and metrics to track payer operations and revenue performance, identifying areas for improvement.
• Analyze payer reimbursement patterns, denials, and claims data to identify trends, areas for improvement, and revenue enhancement opportunities.
• Cultivate and maintain strong relationships with current partnerships to optimize accurate and timely reimbursements through various payer programs.
• Stay abreast of relevant healthcare regulations, billing guidelines, and payer policies to ensure compliance with industry standards and adapt to changes.
• Oversee payer operations team, including staff managing third party billing relationships and claims management, and proactively escalate issues to the Executive team when they arise.
• Manage Payer Ops Team performance by establishing clear goals and expectations and developing team members on their career goals.
• Collaborate with other departments, such as Operations, Finance, Sales, Customer Success and Product teams, to implement strategies that optimize revenue growth and minimize revenue leakage.
• Lead large, cross-functional operations projects by gaining executive alignment, establishing clear timelines and outlining key requirements.
• Define and lead the process for leveraging external resources (e.g., vendors, contractors) to support payer operations.
• Support Payer Sales teams in late stage opportunities as they define integration and operational requirements.
• Provide analytical analysis, create written processes, and train others in implementing a cross functional revenue cycle team.
• Develop and implement practice-specific process improvement recommendations to secure positive results, monitor performance and improve resolution plans for unfavorable trends.

What you'll need:

• You have proven experience in ambulatory revenue cycle management, payer relations, and healthcare reimbursement processes. Ideal candidate will have experience with multiple payment models, such as FFS, Value Based Care, Medicaid Encounter Rates, etc. and will have direct experience managing teams across the entire revenue cycle.
• You have 5-7 years of operational leadership or general management and experience in ambulatory revenue cycle management.
• Excellent analytical skills with the ability to interpret data, identify trends, and make data-driven decisions.
• Experience with multiple Practice Management Systems.
• Software development experience as a SME, operations or product development - ability to articulate complex needs to a product team enabling designs tailored to scale and efficiency.
• Clear communication style and structured, process-thinking approach.
• Professionalism with physicians, executive leadership, and external stakeholders.
• Knack for driving thoughtful, complex decision-making.
• Ability to convert large strategic ideas into actionable operations.
• Strong follow-through and ability to hold teams (and self) accountable.

Benefits and Compensation:

• Equity Stake
• 401(k) + Employer Matching program
• Remote-first with the option to work from one of our centers in NYC or LA
• Complimentary Parsley Health Complete Care membership
• Subsidized Medical, Dental, and Vision insurance plan options
• Generous 4+ weeks of paid time off
• Annual professional development stipend

Parsley Health is committed to providing an equitable, fair and transparent compensation program for all employees. The starting salary for this role is between $148,750 - $175,000, depending on skills and experience. We take a geo-neutral approach to compensation within the US, meaning that we pay based on job function and level, not location.

Individual compensation decisions are based on a number of factors, including experience level, skillset, and balancing internal equity relative to peers at the company. We expect the majority of the candidates who are offered roles at our company to fall healthily throughout the range based on these factors. We recognize that the person we hire may be less experienced (or more senior) than this job description as posted. If that ends up being the case, the updated salary range will be communicated with candidates during the process.

At Parsley Health we believe in celebrating everything that makes us human and are proud to be an equal opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members.