Revenue Cycle Operations Manager
About The Position
Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients. Phamily, the company's core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care. Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Learn more at phamily.com. As Jaan Health rapidly scales to support more patients, operational excellence in revenue cycle management is increasingly critical to the company's success. Every enrolled patient represents a recurring reimbursement opportunity that depends on accurate, compliant, and timely billing execution. The Revenue Cycle Operations Manager owns the end-to-end operational management of Jaan Health's monthly billing cycle. This highly hands-on role is responsible for all activities leading up to claim submission, including billing data preparation, compliance validation, charge file generation, quality assurance, reconciliation, and client deliverables. The role also oversees the post-submission process by partnering closely with clients and their Revenue Cycle Management (RCM) teams to resolve discrepancies, optimize billing performance, and ensure a seamless revenue cycle from submission through reconciliation. As Senior RCM Client Manager, you will serve as the strategic revenue cycle partner to client executive leadership across Jaan Health’s portfolio of health systems, ACOs, and large medical groups. In this client-facing role within our Customer Success organization, you will own the financial health and reimbursement performance of our accounts. You will ensure our health system partners achieve maximum reimbursement yield from Medicare care management programs (CCM, RPM, APCM) using the Phamily platform. You will serve as the bridge between client CFOs/Billing Directors, third-party RCM teams, and internal Product leaders—transforming complex billing data into actionable revenue strategies that drive high net revenue retention (NRR) and long-term client expansion.
Requirements
- 6+ years of experience in healthcare Revenue Cycle Management (RCM), healthtech Client Success, or RCM management consulting.
- Demonstrated track record of managing senior client relationships (CFOs, Billing Directors, RCM VPs) within health systems, ACOs, or large physician practices.
- Deep operational knowledge of Medicare physician billing, CMS compliance rules, and care management reimbursement programs (CCM, RPM, APCM, TCM).
- Understanding of enterprise EHR/PM systems (Epic, Cerner, AthenaHealth, eClinicalWorks) and electronic claims data flows.
- Ability to analyze complex billing datasets and translate them into polished executive presentations, ROI models, and clear strategic narratives.
- Proven success in a high-performing environment: high velocity, strong ownership, comfort with ambiguity, resilience, and a true growth mindset.
- Able to design scalable approaches for today while anticipating what the business will need tomorrow, and then follow through to deliver results.
Responsibilities
- Serve as the primary RCM domain expert and strategic partner to client CFOs, VPs of Revenue Cycle, and Billing Directors.
- Lead executive financial reviews that demonstrate clear program ROI, highlight net collection yield, and showcase the financial value delivered by the Phamily platform.
- Educate client executive teams on evolving CMS regulations, CPT coding guidelines, and reimbursement frameworks surrounding Medicare care management programs.
- Monitor client-level claim submission success, identifying root-cause operational or clinical documentation bottlenecks before they cause revenue leakage.
- Analyze post-submission rejection trends and establish proactive feedback loops with client billing teams and third-party RCM partners to maintain a >95% first-pass clean claim rate.
- Partner with client billing leaders to streamline end-to-end charge file submission, clearinghouse handoffs, and electronic claim reconciliation (837/835 workflows).
- Partner directly with Product and Engineering to translate complex health system billing workflows, EHR integration challenges, and payer requirements into platform feature enhancements.
- Collaborate with Customer Success Directors to identify account growth opportunities by providing clear financial proof of reimbursement yield and operational efficiency.
Benefits
- Comprehensive medical, dental, and vision coverage for employees and dependents at a low cost
- Up to 35 paid days off each year
- 12 vacation days accrued annually
- Up to 9 sick/wellness days
- 12 paid company holidays
- 2 Paid Give-Back Days
- HSA and FSA account options
- 401(k) with company match after 6 months of full-time employment
- 100% match on the first 3% contributed, and 50% match on the next 2% contributed
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
