Senior Manager, Revenue Cycle - Operational Effectiveness

Virta Health

6d•$117,000 - $135,000•Remote

About The Position

This is not a traditional RCM operations role. The Operational Effectiveness leader sits at the intersection of data, process, and people — translating complex revenue cycle performance data into actionable insights for leadership, building the reporting infrastructure that Virta's RCM organization currently lacks, and managing the high-priority initiatives that do not fit neatly into front-end or back-end operational domains.

Requirements

7+ years of experience in healthcare revenue cycle management, healthcare analytics, or a chief of staff / operational leadership role within a healthcare organization
Strong analytical and data skills — ability to extract, synthesize, and present complex revenue cycle data clearly for both operational and executive audiences
Demonstrated project management experience leading cross-functional healthcare initiatives from design through implementation
Working knowledge of revenue cycle operations — sufficient to understand the impact of billing, eligibility, AR, and denial management processes on financial performance
Exceptional written and verbal communication skills — comfortable presenting to senior leadership and influencing without direct authority
Proficiency with data tools — Excel/Google Sheets at an advanced level; experience with BI tools, SQL, or reporting platforms preferred
Demonstrates a proactive use of AI tools to improve individual output and efficiency
Values-driven culture
Put people first and take care of yourself, your peers, and our patients equally
Have a strong sense of ownership and take initiative while empowering others to do the same
Prioritize positive impact over busy work
Have no ego and understand that everyone has something to bring to the table regardless of experience
Appreciate transparency and promote trust and empowerment through open access of information
Be evidence-based and prioritize data and science over seniority or dogma
Take risks and rapidly iterate
Follow Virta's security and privacy procedures to ensure our patients' information remains strictly confidential.

Nice To Haves

Experience with AI tools (OpenAI, AWS, Google Gemini)

Responsibilities

Build and own the RCM reporting infrastructure — establishing reliable data extraction from Athena Health, Zuora, and NetSuite to support management decision-making
Ensures the accuracy, completeness, and timely delivery of monthly client invoicing
Develop and maintain the KPI dashboard covering AR aging, DSO, denial rates, clean claim rates, billing trigger capture rate, cash collection rates, and other key metrics defined in the KPI Framework
Produce weekly, monthly, and ad hoc reporting for RCM leadership, Finance, and Virta executive leadership — translating operational metrics into clear financial implications
Establish the data extraction protocol and SLA for responding to client billing inquiries — ensuring employer groups and health plans can receive timely, accurate claim-level detail
Partner with Engineering to build automated reporting solutions that reduce manual data extraction and improve reporting accuracy and timeliness
Lead or project-manage high-priority RCM initiatives that span multiple functional areas — including the Zuora-to-Athena reconciliation build, the Athena data access project, and the evaluation of Candid as a potential claims system replacement
Serve as the RCM organization's point of contact for cross-functional projects involving Engineering, Finance, Strategic Finance, Legal, and Client Success
Manage the design and implementation of the employer guarantee of payment enforcement workflow — from trigger identification through secondary invoicing and cash application
Support the development and execution of Phase 1 SOW deliverables, including the Revenue Leakage Quantification Model (D2), Prioritized Execution Roadmap (D3), and KPI Framework (D4)
Own the RCM team's issue log, ensuring all identified problems are documented, assigned, tracked, and resolved with defined SLAs
Facilitate the weekly RCM leadership meeting — setting the agenda, tracking action items, and ensuring accountability across the team
Lead the development and maintenance of the RCM SOP library — documenting workflows, escalation paths, and operating standards for all RCM functions
Identify process improvement opportunities across the revenue cycle and lead structured improvement initiatives using data to validate impact
Monitor compliance with payer contracts, timely filing requirements, and HIPAA/billing regulations — escalating risks to the Head of Revenue Cycle Management and Compliance as appropriate
Execute on the development of the team operating structure and onboarding plan — adhering to onboarding timelines, and training programs for the new RCM hires
Design onboarding programs that pair new hires with documented SOPs — ensuring staff are trained to documented processes rather than absorbing current-state practices
Track team build-out progress and report hiring and onboarding status to the Head of Revenue Cycle Management weekly
Prepare briefing materials, presentations, and executive updates in collaboration with the Head of Revenue Cycle Management — including the weekly leadership deck, board-ready summaries, and ad hoc stakeholder communications
Manage the Head of Revenue Cycle Management's strategic agenda — ensuring priority initiatives are resourced, tracked, and moving forward
Serve as a communication bridge between the RCM team and other departments — translating RCM findings and needs into language that resonates with Finance, Legal, Engineering, and executive leadership
Represent the RCM organization in cross-functional working groups and project teams as directed by the Head of Revenue Cycle Management