EDUCATION & EXPERIENCE:Minimum Qualifications:- Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, Information Systems, or a related field.
- Five years of progressive experience in healthcare revenue cycle, financial operations, patient financial services, revenue cycle systems, accounting operations, or a related healthcare function.
- Demonstrated experience with vendor management, account reconciliation, financial controls, performance analytics, variance resolution, and oversight or leadership of analytical work.
- Operational experience using Epic or another enterprise healthcare revenue cycle platform.
Preferred Qualifications:- Master's degree in Business Administration, Healthcare Administration, Finance, Accounting, Information Systems, or a related field.
- Experience in an academic health system or complex integrated healthcare environment and managing outsourced A/R, denials, collections, cash operations, or other revenue cycle vendors.
- Experience with Epic Resolute Hospital Billing or Professional Billing and experience with banking files, electronic remittance activity, payment platforms, clearinghouses, system interfaces, automation, or financial transformation projects.
- Experience utilizing SQL, Epic SlicerDicer, Microsoft Excel PivotTables, Access, Crystal Reports, or comparable reporting and analytical tools.
LICENSES, REGISTRATIONS, OR CERTIFICATIONS:Required:Preferred:- Professional certification such as CRCR, CHFP, CPA, PMP, or applicable Epic certification or proficiency.
JOB SUMMARY:The Manager of Revenue Cycle Business Operations independently leads vendor management, account reconciliation, financial controls, analytics, and technology-enabled process improvement. This position partners with Revenue Cycle Operations, Finance, Accounting, Treasury, Information Services, Purchasing, Compliance, and external vendors to ensure accurate financial activity, effective vendor performance, reliable reporting, regulatory compliance, and efficient operations. The Manager serves as the primary operational liaison for assigned vendors and leads analysts supporting Revenue Cycle Operations. The role establishes priorities and reporting standards, defines business requirements, evaluates technical feasibility, supports enhancements, and translates complex findings into actionable recommendations that improve financial and operational outcomes.
ESSENTIAL JOB FUNCTIONS:- Manages day-to-day performance of assigned revenue cycle vendors, including service levels, key performance indicators, quality, productivity, financial outcomes, issue escalation, and corrective action.
- Monitors contractual obligations, performance guarantees, implementation milestones, invoices, utilization, and return on investment; supports vendor selection, contracting, renewal, transition, and termination activities with Purchasing, Legal, Finance, Information Services, Compliance, and operational leadership.
- Maintains an inventory of assigned vendor agreements and tracks renewal dates, termination notice requirements, service obligations, and other key contract dates to ensure timely action and prevent service or contract lapses.
- Conducts vendor governance meetings and performance reviews and oversees scorecards and dashboards addressing A/R aging, cash flow, denials, productivity, quality, audit results, and SLA adherence.
- Oversees timely and accurate reconciliation of assigned bank, cash, clearing, payment, remittance, vendor, and general ledger activity and ensures reconciling items and transaction exceptions are researched, documented, escalated, and resolved.
- Develops and maintains reconciliation procedures, internal controls, exception reporting, supporting documentation, audit-ready records, and monitoring processes that support financial integrity and compliance.
- Serves as an operational resource for Epic revenue cycle workflows and partners with operational and technical teams to define business requirements, assess feasibility, develop project plans, support testing and implementation, validate results, and monitor post-implementation outcomes and ROI.
- Directs the development and maintenance of revenue cycle data sources of truth, data definitions, reporting standards, dashboards, recurring reports, data extracts, models, and controls; ensures complex findings are translated into clear commentary, presentations, risks, and recommendations.
- Leads revenue cycle application and analytics roadmaps, workflow standardization, automation, Epic optimization, audit and quality review, and process-improvement initiatives aligned with business priorities and portfolio strategy.
- Provides leadership to assigned staff through work prioritization, performance expectations, coaching, mentoring, competency development, quality review, productivity management, and accountability; communicates operational, financial, technical, and compliance issues to stakeholders.
Marginal or Periodic Functions:- Adheres to internal controls and reporting structure.
- Performs related duties as required.
KNOWLEDGE/SKILLS/ABILITIES:- Strong knowledge of healthcare revenue cycle operations, reimbursement, payer rules, government programs, hospital and professional billing, A/R management, denials, collections, and cash operations.
- Knowledge of account reconciliation, cash controls, clearing accounts, remittance activity, financial transaction flows, variance research, exception resolution, audit documentation, and healthcare compliance and privacy requirements.
- Demonstrated ability to interpret vendor contracts, manage relationships, enforce service levels and performance guarantees, assess financial outcomes, and lead remediation.
- Working knowledge of Epic revenue cycle applications and workflows, preferably Resolute Hospital Billing or Professional Billing, payment posting, work queues, reporting, and vendor interfaces.
- Strong financial and analytical skills, including scorecard development, A/R and denial analysis, cash forecasting, budgeting, invoice review, variance analysis, and ROI evaluation.
- Ability to establish data governance practices and guide analytical work involving SQL, Epic SlicerDicer, Microsoft Excel PivotTables, Access, Crystal Reports, or comparable tools.
- Demonstrated ability to evaluate complex data and root-cause findings and translate them into strategic direction, operational priorities, business and system requirements, and executive-level presentations.
- Strong problem-solving, project management, process-improvement, change-management, communication, relationship-management, and influencing skills.
DECISION-MAKING RESPONSIBILITY:Exercises management-level responsibility for assigned vendor relationships, reconciliation activities, analytical work priorities, data and reporting standards, performance monitoring, internal controls, issue prioritization, operational reporting, and process-improvement initiatives. Recommends actions related to vendor performance, corrective plans, contract decisions, workflow changes, system enhancements, automation, financial controls, analytics strategy, and risk mitigation. Decisions affect revenue cycle financial accuracy, cash flow, reimbursement, vendor effectiveness, compliance, data reliability, and operational efficiency.
WORKING ENVIRONMENT/EQUIPMENT:Standard office environment. This position is designated as 100% remote and is expected to be performed from an approved remote work location. Periodic onsite attendance at UTMB facilities (approximately 0-5% of work time) may be required for special projects, team retreats, training sessions, strategic planning activities, meetings, or other business needs. Limited travel may be required based on operational needs. May be exposed to such occupational hazards as communicable diseases, bloodborne pathogens, ionizing and non-ionizing radiation, hazardous medications and disoriented or combative patients or others. Uses standard office equipment and enterprise healthcare, financial, reporting, and communication systems.
SALARY RANGE:Actual salary commensurate with experience.
