Sr. Manager, Reimbursement Operations

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<div class="content-intro"><p>At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe. Working at Veracyte enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose driven environment. This is what we call <em>the Veracyte way</em> – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients make life-changing decisions. </p> <p>Our Values:</p> <ul> <li><strong>We Seek A Better Way</strong>: <span data-olk-copy-source="MessageBody">We pursue bold ideas, embrace complexity, and keep pushing forward.</span></li> <li><strong>We Make It Happen</strong>: <span data-olk-copy-source="MessageBody">We act with urgency, deliver with excellence, and always find a way. </span></li> <li><strong>We Are Stronger Together</strong>: <span data-olk-copy-source="MessageBody">We engage with empathy, align around what's best for Veracyte, and celebrate as one team. </span></li> <li><strong>We Care Deeply</strong>: <span data-olk-copy-source="MessageBody">We show up with integrity, kindness, and respect for one another. </span></li> </ul> <p> </p></div><h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">The Position:</span></h3> <p><span style="font-size: 10pt;">We are seeking a highly skilled and experienced Senior Manager, Reimbursement Operations – Strategic Initiatives to lead high-impact initiatives within the Revenue Cycle Operations. This role will be focused on designing and implementing processes to achieve sustainable operational improvements, drive incremental collections (Reduce denials, increase Claim Overturns by improving appeal efficacy, et al), and ensure the success of key workstreams part of reimbursement operations (e.g., Digital System Transformations, Epic Interoperability, et al). Success in this role requires deep expertise in medical billing systems, fluency in payor medical & claim policies (and their corresponding review processes), a strong understanding of regulatory and compliance aspects of billing in a diagnostic lab setting and proven experience in scaling operations in a revenue cycle environment; strong analytical, interpersonal, and communication skills will be critical to success as well.</span></p> <ul> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Develop and implement strategic plans to optimize the revenue cycle process, aligning it with organizational goals and industry best practices.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Design and deliver scalable, system-based solutions by producing clear problem statements, process maps, business requirements, et al to facilitate the implementation of new processes or technologies. </span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Support the optimization of collections by performing root causes analyses on claims performance issues, identifying ways to solve those issues, and partnering with relevant teams to implement and drive to resolution.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Take a proactive role in evaluating and implementing revenue cycle technologies (OCR, AI-Enabled workflows, integrations, automations, et al.) to enhance operational effectiveness.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Leverage expertise in Clinical Coding and Documentation to ensure operational systems/processes are built to reduce risk of erroneous billing and optimize reimbursement.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Serve as Project Lead on Strategic Revenue Cycle Initiatives (technology or other) to ensure the successful implementation and operationalization is achieved.</span></li> <li style="font-size: 10pt;"><span style="font-size: 10pt;">Partner with Reimbursement leaders to re‑engineer reimbursement workflow to standardize processes while preserving flexibility for payor‑specific nuances.</span></li> </ul> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Who You Are:</span></h3> <ul> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">8+ years of experience in healthcare reimbursement, revenue cycle operations, or related financial operations, with progressive leadership responsibility. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Success in building and lead Revenue Cycle operational teams across various fuctions.</span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Demonstrated success driving process improvement and reimbursement optimization initiatives with measurable financial impact. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Strong understanding of payor dynamics, prior authorization, claims adjudication, denials, and appeals, with experience participating in conversations with payors on claims or other related issues to achieve resolution. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Experience leading or partnering with automation, AI, or technology enabled operational transformations. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Advanced analytical skills with the ability to translate complex data into actionable insights. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Proven ability to lead cross functional initiatives in a fast paced, ambiguous environment. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">CPMA/CPC Certifications</span></li> </ul> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"> Preferred </span></p> <ul> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Clinical Background (BSN, Genetic Counseling) </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Experience in diagnostics, laboratory services, or complex reimbursement environments. </span></li> <li style="font-size: 10pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Formal training or certification in Lean, Six Sigma, or process improvement methodologies</span></li> </ul> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: Helvetica, Arial, sans-serif;"> #LI-Remote</span></span></p> <p> </p><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p></p> <p class="x_MsoNormal"><span data-olk-copy-source="MessageBody">The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to years of experience, skillset, geographic location, industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives, and restricted stock units.</span></p></div><div class="title">Pay range</div><div class="pay-range"><span>$140,000</span><span class="divider">—</span><span>$160,000 USD</span></div></div></div><div class="content-conclusion"><p> </p> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">What We Can Offer You</span></h3> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Veracyte is a growing company that offers significant career opportunities if you are curious, driven, patient-oriented and aspire to help us build a great company. We offer competitive compensation and benefits, and are committed to fostering an inclusive workforce, where diverse backgrounds are represented, engaged, and empowered to drive innovative ideas and decisions. We are thrilled to be recognized as a 2024 Certified™ Great Place to Work<sup>®</sup> in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose.</span></p> <p> </p> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">About Veracyte</span></h3> <p>Veracyte (Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. For more information, please visit <a href="https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.veracyte.com%2F&esheet=54340020&newsitemid=20251015446872&lan=en-US&anchor=www.veracyte.com&index=5&md5=4d48386b00ece1531372e2e593d7cd2d">www.veracyte.com</a> or follow us on <a href="https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fveracyte%2F&esheet=54340020&newsitemid=20251015446872&lan=en-US&anchor=LinkedIn&index=6&md5=234cba826cb637f449d2722139f551ef">LinkedIn</a> or <a href="https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fx.com%2Fveracyte%3Fs%3D11&esheet=54340020&newsitemid=20251015446872&lan=en-US&anchor=X+%28Twitter%29&index=7&md5=20ead95735af622bf261b20735515b66">X (Twitter)</a>.</p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Veracyte, Inc. is an Equal Opportunity Employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Veracyte participates in E-Verify in the United States. View our </span><a href="https://www.veracyte.com/legal/privacy-statement-for-california-residents/">CCPA Disclosure Notice</a></p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong><span class="ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak">If you receive any suspicious alerts or communications through LinkedIn or other online job sites for any position at Veracyte, please exercise caution and promptly report any concerns to <a class="fui-Link ___1rxvrpe f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn" href="mailto:careers@Veracyte.com" target="_blank">careers@veracyte.com</a></span></strong></span></p></div>

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