Virta Health
Healthcare
SeniorManager,RevenueCycle-OperationalEffectiveness
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“Senior Manager, Revenue Cycle - Operational Effectiveness at Virta Health. Skills: Revenue cycle management, Operational effectiveness, Data analysis, Project management. Build RCM reporting infrastructure. Establish data extraction from Athena Health”
What You'll Achieve.
KPI dashboard live within 60 days; Athena data extraction protocol defined within 30 days; SOP library core workflows documented; 100% identified issues logged; Client billing inquiry SLA established within 60 days; Onboarding plan delivered; Weekly reporting on-time and accurate
Industry & Context.
Data-driven decision making; Root cause analysis
What They're Looking For.
Must Have
7+ years healthcare RCM experience, 7+ years healthcare analytics experience, 7+ years chief of staff experience, 7+ years operational leadership experience, Project management experience, Working knowledge of RCM operations, Advanced Excel/Google Sheets proficiency, Proactive use of AI tools
Nice to Have
Experience with BI tools, SQL experience, Reporting platforms experience
What You'll Do.
Build RCM reporting infrastructure
Establish data extraction from Athena Health
Establish data extraction from Zuora
Establish data extraction from NetSuite
Ensure accuracy of monthly client invoicing
Ensure completeness of monthly client invoicing
Ensure timely delivery of monthly client invoicing
Develop KPI dashboard
Maintain KPI dashboard
Produce weekly reporting
Produce monthly reporting
Produce ad hoc reporting
Establish data extraction protocol
Establish SLA for client billing inquiries
Lead high-priority RCM initiatives
Project-manage RCM initiatives
Manage Zuora-to-Athena reconciliation build
Manage Athena data access project
Manage Candid claims system evaluation
Serve as RCM point of contact
Manage employer guarantee of payment enforcement workflow
Support Phase 1 SOW deliverables
Support Revenue Leakage Quantification Model
Support Prioritized Execution Roadmap
Support KPI Framework
Document identified problems
Assign identified problems
Track identified problems
Resolve identified problems
Facilitate RCM leadership meeting
Ensure accountability
Lead RCM SOP library development
Lead RCM SOP library maintenance
Document RCM workflows
Document RCM escalation paths
Document RCM operating standards
Identify process improvement opportunities
Lead structured improvement initiatives
Monitor compliance with payer contracts
Monitor timely filing requirements
Monitor HIPAA billing regulations
Escalate risks to Head of RCM
Execute team operating structure development
Execute onboarding plan development
Adhere to onboarding timelines
Design onboarding programs
Pair new hires with SOPs
Train staff to documented processes
Track team build-out progress
Report onboarding status
Prepare briefing materials
Prepare presentations
Prepare executive updates
Manage Head of RCM's strategic agenda
Ensure priority initiatives are resourced
Ensure priority initiatives are tracked
Ensure priority initiatives are moving forward
Serve as communication bridge
Translate RCM findings
Represent RCM organization
Participate in cross-functional working groups
Participate in project teams
How You'll Work.
Team & Collaboration
Cross-functional projects; Engineering collaboration; Finance collaboration; Strategic Finance collaboration; Legal collaboration; Client Success collaboration; Cross-functional working groups; Project teams
Communication Scope
Executive presentations; Stakeholder communications; Board-ready summaries
Process & Methodology
Project management, Roadmap planning
Full Job Description
Virta Health is on a mission to reverse metabolic disease in one billion people. Current treatment approaches aren’t working—over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse metabolic disease in one billion people. 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. RESPONSIBILITIES Reporting & Analytics Infrastructure/Monthly Billing of Direct Invoice Customers - 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 gr
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