Director - Rev Cycle & Managed Care Analytics

OnPoint Medical Group•Highlands Ranch, CO
•$110,000 - $125,000•Onsite

About The Position

OnPoint Medical Group is seeking a Director of Revenue Cycle and Managed Care Analytics to lead operational and financial analytics across revenue cycle and managed care functions. The role delivers accurate, actionable insights to identify revenue risk and opportunity, explain performance drivers, support payer and reimbursement strategy, and turn analytics into operational action and accountability. The Director serves as a strategic partner to Finance, Revenue Cycle, Operations, and executive leadership. The position is onsite in Highlands Ranch, Colorado, and typically works Monday through Friday, 8 a.m. to 5 p.m. The work is performed in a professional office environment and involves regular communication, computer use, and close visual attention, with periods of sitting, standing, and walking and occasional lifting or moving of materials. OnPoint Medical Group is a physician-led network with physician leadership in its family medicine, internal medicine, pain management, and pediatric practices. The organization is committed to expanding access to high-quality healthcare in surrounding communities in an effective and affordable manner.

Requirements

  • At least three years of experience in healthcare Revenue Cycle, Managed Care, reimbursement, financial analytics, or a closely related discipline, including experience leading complex analytical work.
  • Advanced analytical skills, including the ability to reconcile complex data, identify root causes, quantify financial impact, and translate findings into recommendations.
  • Bachelor’s degree in Finance, Accounting, or a related field; equivalent relevant experience may be considered.
  • Knowledge of payer reimbursement, fee schedules, claims adjudication, contractual allowances and adjustments, denials, accounts receivable, and other core revenue cycle concepts.
  • Advanced proficiency in Excel.
  • Excellent written and verbal communication skills, including the ability to present complex financial and operational information to senior and executive leadership.
  • Highly organized and self-directed, with the ability to manage multiple priorities, deadlines, and cross-functional workstreams with limited oversight.

Nice To Haves

  • Power Query, Data Model, and Power BI experience.
  • Healthcare revenue cycle systems experience.
  • Master’s degree or another relevant professional credential.
  • Experience with Athena or comparable practice-management/revenue-cycle platforms.
  • Payer contract modeling experience.

Responsibilities

  • Own, maintain, and improve daily, weekly, and monthly revenue cycle and managed care reporting, scorecards, dashboards, and executive summaries.
  • Analyze revenue cycle performance, trends, variances, and root causes across cash collections, accounts receivable, denials, write-offs, takebacks, charge and coding activity, authorizations, and other key operational metrics.
  • Translate analytics into executive insights that explain financial impact, risks and opportunities, recommended actions, accountable owners, and follow-through.
  • Lead payer reimbursement and contract-performance analytics, including fee-schedule validation, expected-versus-actual reimbursement, underpayment identification, revenue leakage, and recovery opportunities.
  • Develop and maintain standardized analytical tools, KPI definitions, methodologies, and reporting governance to support consistent, accurate, and auditable information.
  • Support revenue recognition, contractual allowance and adjustment analysis, accounts receivable reserve analytics, and month-end reporting through accurate reconciliations and explanations of material variances.
  • Partner with Revenue Cycle, Finance, Managed Care, Operations, and clinical leadership to identify performance improvement opportunities and measure results.
  • Lead analytical workstreams and special projects involving data from multiple systems or business units; frame business questions, validate results, and communicate conclusions.
  • Prepare schedules and analytical support for internal and external audits and maintain awareness of regulatory requirements and revenue cycle best practices.
  • Ensure work products are accurate, reconciled, timely, concise, and appropriate for executive decision-making before distribution.
  • Proactively identify material risks, data breakages, reimbursement issues, and emerging trends; quantify impact and promptly escalate significant concerns.
  • Drive work from identification through resolution by establishing actions, ownership, timing, and measurable outcomes.
  • Balance analytical detail with clear communication so leadership can understand what happened, why it matters, and where action is required.

Benefits

  • Health insurance plan options for employees and dependents.
  • Dental and vision coverage for employees and qualified dependents.
  • Company-paid life insurance.
  • Voluntary short-term and long-term disability coverage.
  • AFLAC plans.
  • Flexible spending account options.
  • 401(k) eligibility after six months of employment, with a 4% company match that vests immediately.
  • Earned paid time off.
  • Bonus eligibility.
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