Assoc Dir, Revenue Cycle Mgmt

Headquartered in Brisbane, CA, CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients.

The Associate Director of Revenue Cycle Management (RCM) will be responsible for providing strategic leadership and direction to our RCM team. Your primary focus will be on optimizing revenue cycle processes, managing a team of RCM professionals, and driving financial performance. This role requires a deep understanding of revenue cycle management in the diagnostics industry and the ability to identify opportunities for continued enhancement of revenue capture and processing. This role is based in Brisbane, California, and expected to be on-site 3 days per week.

Responsibilities:

• Team Management:
  • Provide strategic input & leadership guidance to the RCM team, ensuring a high-performance culture and fostering professional growth.
  • Oversee the day-to-day operations of the RCM function, including workload management, task delegation, and performance monitoring.
  • Set clear objectives, performance goals, and support development for team members.
  • Conduct regular performance evaluations, provide feedback, and mentor individuals to promote continuous improvement.
• Revenue Cycle Optimization:
  • Evaluate and improve revenue cycle processes to ensure billing accuracy, reduce denials, and optimize reimbursement.
  • Monitor key performance indicators (KPIs) and implement strategies to improve performance.
  • Leverage revenue cycle management systems and technologies to enhance efficiency and productivity.
• Compliance and Risk Management:
  • Ensure compliance with applicable regulations, billing guidelines, and industry standards.
  • Conduct regular audits and reviews to identify compliance risks and implement corrective actions as needed.
  • Stay up to date with industry trends, regulatory changes, and reimbursement methodologies, and implement necessary adjustments to maintain compliance.
• Stakeholder Collaboration:
  • Collaborate closely with key stakeholders to align revenue cycle goals with organizational objectives.
• Act as a liaison between the RCM team and other departments, fostering effective communication and strong relationships.
• Provide strategic insights and recommendations to senior leadership regarding revenue cycle performance, opportunities, and risks.
• Other duties as assigned

Qualifications:

• Bachelors degree preferred or related years of experience.
• Minimum of 10 years of experience in revenue cycle management systems & technologies, with at least 3 years in a people manager role.
• Extensive knowledge of healthcare billing, coding, and reimbursement practices, including government and commercial payers, specifically within the diagnostics industry.
• Technical depth in at least two of the following areas:
  • Telcor System Knowledge: Demonstrated expertise in utilizing Telcor billing system or similar revenue cycle management software. Prior implementation and training experience a plus.
  • Prior Authorization: In-depth understanding of the prior authorization process and experience in optimizing workflows and minimizing delays.
  • Appeals: Proven track record in managing appeals processes with a comprehensive knowledge of appeal strategies and regulations.
  • Analytics & Internal Initiatives: Proficiency in leveraging data analytics tools and methodologies to identify revenue cycle trends, patterns, and opportunities for improvement.
• Proven track record of successfully managing and developing teams, driving performance & internal initiatives, and achieving results.
• Excellent communication and interpersonal skills, with the ability to effectively collaborate cross-functionally with teams and senior leadership.
• Ability to work in a fast-paced environment, navigating ambiguity while balancing multiple priorities.
• Experience with Telcor and Quadex systems preferred.

Additional Details:

Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.

Our competitive Total Rewards package includes:

• Competitive base salary and incentive compensation
• Health and welfare benefits including a gym reimbursement program
• 401(k) savings plan match
• Employee Stock Purchase Plan
• Pre-tax commuter benefits
• And more

In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.

With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it’s an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.

CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.

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