Revenue Cycle Optimization Lead

🏢 Oracle
📍 United StatesFull-timeOn-site
📅 Posted: 2mo ago🔄 Updated: 2mo ago
CV%
✨ AI Summary
Oracle Health Government Services is seeking a Revenue Cycle Optimization Lead with deep expertise in accounts receivable management and AR inventory analysis. This role requires identifying root causes of backlogs and payer issues, translating findings into measurable project plans, and collaborating with cross-functional teams. The ideal candidate will have a strong understanding of HIM and CDI operations, federal healthcare regulations, and demonstrated ability to lead teams. Proficiency in auditing, strategic planning, and data analysis using tools like Excel is essential. A Bachelor's degree in a relevant field or equivalent experience is required, along with a minimum of 5 years of hands-on experience in revenue cycle operations. Consulting or client-facing experience is preferred, as is a CRCR certification. US citizenship is mandatory for obtaining a government security clearance.
Required Skills
Finance, Legal & Governance
Accounts Receivable
Soft Skills & Professional Competencies
Data AnalysisRoot Cause AnalysisCommunication
Other
AR auditspayer behaviorcontract termstimely filing
Business, Sales & Management
Project PlanningPerformance ManagementStrategic Planning
Information Technology
SLA Management
Productivity & Workplace Tools
Excel
Nice to have:
Other
HIMCDIfederal healthcare regulationsaudit requirementsrevenue cycle platformsAR reporting tools
Soft Skills & Professional Competencies
Team Leadership
🎁 Benefits & Perks
Medical, dental, and vision insurance, expert medical opinion, short term and long term disability, life insurance and AD&D, supplemental life insurance, Health care and dependent care Flexible Spending Accounts, pre-tax commuter and parking benefits, 401(k) Savings and Investment Plan with company match, flexible vacation (13-18 days annually), 11 paid holidays, 72 hours paid sick leave annually, paid parental leave, adoption assistance, Employee Stock Purchase Plan, financial planning and group legal, voluntary benefits (auto, homeowner and pet insurance). May be eligible for bonus and equity.
Requirements
Candidates must have a Bachelor's degree in Healthcare Administration, Business, or Finance (or equivalent experience), with a minimum of 5 years in revenue cycle operations focusing on accounts receivable management. Experience in AR inventory audits, building remediation project plans, and knowledge of payer guidelines, billing regulations, and AR compliance are required. Consulting or client-facing experience is strongly preferred. US citizenship is also required to obtain a government security clearance.
Description

Oracle Health Government Services is seeking a skilled Revenue Cycle Consultant- AR Optimization to join our mission-driven organization.  In this role, you will be responsible for conduct in-depth analysis of AR inventory, identify the root causes of backlogs, aging trends, and payer performance issues, and translate those findings into structured, measurable project plans. The ideal candidate will have a solid understanding of HIM and CDI operations, a thorough understanding of federal healthcare regulations and audit requirements, and a demonstrated ability to lead high-performing teams in a highly regulated environment. You will collaborate with cross-functional teams—both internal stakeholders and client partners—so familiarity with in-depth auditing  and strategic planning is essential.

Top skills or competencies to be successful:

  • Deep expertise in accounts receivable management across multiple payer types, including Medicare, Medicaid, commercial insurance, and managed care
  • Strong analytical skills with the ability to interpret large volumes of AR data, identify patterns, and draw actionable conclusions
  • Hands-on experience conducting AR audits, root cause analyses, and inventory assessments in complex, high-volume billing environments
  • Proficiency in building and managing project plans tied to AR remediation efforts, with experience tracking performance against defined metrics
  • Thorough understanding of payer behavior, contract terms, timely filing requirements, and denial management strategies
  • Ability to communicate complex AR findings clearly to both operational teams and executive-level client stakeholders
  • Experience working in a consulting or client-facing environment with multiple concurrent engagements preferred
  • Familiarity with major revenue cycle platforms and AR reporting tools; advanced proficiency in Excel or similar data tools required
  • Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent experience considered
  • Minimum of 5 years of hands-on experience in revenue cycle operations, with a significant focus on accounts receivable management and follow-up
  • Prior experience in a consulting, advisory, or client-facing capacity strongly preferred
  • Experience performing AR inventory audits and building associated remediation or recovery project plans required
  • Knowledge of federal and commercial payer guidelines, billing regulations, and AR compliance requirements
  • CRCR (Certified Revenue Cycle Representative) or similar revenue cycle certification preferred
  • Required travel up to 20%
  • US Citizenship is required with an ability to obtain and maintain a government security clearance
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🎯 Overalli74%
⚡ Skillsi85%
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Ontology Match: 85.0
Matched:✓ Requirements Matching✓ Ontology Skills Mapping
📜 Eligibilityi49%
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Local: 19600%
🏗️ Career Fiti91%
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Seniority: 91.0
📋 Requirementsi67%
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Domain: 67.0
🔥 Motivationi78%
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Title Fit: 78.00