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Director, Revenue Cycle Analytics

Remote:

Full Remote

Contract:

Full time

Experience:

Senior (5-10 years)

Work from:

United States

Offer summary

Qualifications:

Bachelor's degree; master's preferred., 7+ years in revenue cycle management., Strong data integration and analysis skills., Proficient in Excel, SQL, Tableau., Understanding of value-based care models..

Key responsabilities:

Lead RCM analytics initiatives for revenue growth.
Develop a comprehensive RCM analytics strategy.
Provide executive reports to VP-level stakeholders.
Foster cross-departmental collaboration for data-driven decisions.
Identify disruptions in revenue and recommend improvements.

GeneDx Biotech: Biology + Technology XLarge https://www.genedx.com/

1001 - 5000 Employees

See more GeneDx offers

Job description

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com

We are seeking a Director of Revenue Cycle Analytics to lead our RCM analytics initiatives, surface disruptions to our revenue cycle and their root causes, and identify new opportunities in our operations, technical infrastructure and contracting strategies to improve reimbursement performance. This individual will report directly to the SVP of Growth Insight and Test Monetization Strategy and collaborate closely with other leaders across Billing Operations, Finance, Sales, Product & Technology and Market Access.

MAJOR DUTIES AND REPONSIBILITIES

Thought leadership of RCM analytics:

Drive analytics initiatives that directly impact revenue growth and operational effectiveness, aligning with company-wide financial goals
Develop and implement a comprehensive RCM analytics strategy, including a framework for monitoring and surfacing root causes of problems in both internal RCM operations and external payor actions
Create and maintain a payor-specific source of truth for clinical and administrative requirements, integrating data from claims and PA adjudications, insights from Market Access and other sources
Bring an independent analytic perspective to new insurance and client contracting strategies

Executive reporting & communication:

Present insightful analytics and reporting to VP- and C-level stakeholders at monthly reviews, translating ambiguous problems and data to actional recommendations
Act as a trusted advisor to senior leadership, providing clear, concise communications that highlight opportunities for improvement and support the overall direction of the revenue cycle strategy

Cross-functional collaboration:

Build strong, collaborative relationships across departments, acting as a catalyst for change and fostering a culture of data-driven decision-making
Balance perspectives across diverse functions to drive consensus and arrive at recommendations aligned to our organization-wide revenue cycle and customer experience goals

EDUCATION/TECHNICAL REQUIREMENTS

Advanced problem-solving skills to bring structure to ambiguously-defined issues and independently identify the path to solutions
Strong technical and analytic experience to drive to conclusions from complex data sets.
Strong understanding of value-based care models and/or some exposure to health economics outcomes research is desirable
Bachelor's degree in relevant fields; master’s degree preferred.
Proficiency in Excel, SQL, Tableau; Python is a plus.

EXPERIENCE

7+ years of experience across revenue cycle management, strategy and analytics. Familiarity with genetic diagnostics is desirable.
Proven experience in data integration, analysis, and strategic problem-solving.
Ability to work independently with minimal oversight.
Strong communication skills for engaging with executive stakeholders.

WORK ENVIRONMENT

Work is primarily remote, with potential for occasional on-site meetings unlikely to exceed once per quarter

Science - Minded, Patient - Focused.

At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.

Experts in what matters most.

With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.

SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.

From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:

TECHNICAL EXPERTISE

High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.

CLINICAL EXPERTISE

Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.

Learn more About Us here.

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Benefits include: