Senior Manager, Revenue Cycle Denial Prevention & Predictive Analytics - Remote

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. The Senior Manager will advance the Denials Prevention strategy through predictive analytics and operational excellence, ensuring the integrity of revenue and billing information while managing staff and outcomes.

Responsibilities:

• We are seeking a highly engaged, outcomes-driven leader to advance our Denials Prevention strategy through predictive analytics and operational excellence
• This role partners across Revenue Cycle, Clinical, and Payer Relations to identify denial risk early, translate complex data into actionable insights, and drive sustainable process improvements that protect revenue and elevate the patient financial experience
• The ideal candidate combines deep knowledge of denial drivers and reimbursement policy with a forward-looking analytics mindset, building models, dashboards, and governance that enable proactive intervention, measurable performance gains, and continuous learning
• The Senior Manager provides direction to professional and supervisory staff in the Revenue Cycle
• Assures the integrity of revenue and billing information for Mayo Clinic to be appropriately reimbursed for all billable services provided
• Participates in providing input in strategic planning with the Revenue Cycle Leadership team
• Translates the Mayo Clinic and departmental vision into meaningful and effective responses and results
• Establishes key performance indicators with scope of responsibility to effectively manage staff and outcomes
• Delegates responsibility and authority to carry out work
• Manages multiple functions and serves as a resource with oversight in day to day activities
• May manage multi-site operations
• Must be able to operate scope of responsibility through complexity and ambiguity
• May possess technical knowledge appropriate to functions being managed with additional knowledge in other functions including professional management
• Participates in the identification of opportunities to improve processes and to act as a catalyst for realizing these improvements
• Acts as a facilitator and generator of new ideas and a mediator on difficult issues
• Responsible for recruitment, development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results
• Brings awareness of current external environment issues
• Participates in the overall management of the Revenue Cycle by chairing and serving on Enterprise projects/groups, task forces, councils and committees
• Serves as a liaison between sections and other departments and agencies inside and outside Mayo
• Creates customer service driven sections and fosters collaboration with physician and administrative colleagues
• Builds teamwork within the Enterprise Revenue Cycle
• Participates in retention planning initiatives
• Travel required as assignments warrant

Requirements:

• Bachelor's degree in business, healthcare, Finance, or Fraud/Risk Management and 10 years of specified experience which includes at least five years of general leadership experience, to include management of people, projects and programs required OR in lieu of bachelor's degree, 14 years of relevant experience
• Demonstrated analytical experience and strong personal computer, communication, project management, leadership, problem solving, continuous improvement, customer service, team building skills and ability to develop strong relationships with physician and administrative leaders
• Strong knowledge of financial and information technology, and business planning is required
• History of developing constructive and cooperative working relationships with others over time is a must
• Strong interpersonal skills- able to meet and exchange with executive leadership through Mayo and other industry
• Ability to relate to, gain support of, and drive consensus with clinicians and administrators for the purposes of operational efficiency
• Capable of independent work, with little to no guidance provided exercising good judgment, creating an environment in which people communicate with each other respectfully, solving problems, and growing personally and professionally
• Advocate of change management, effectively communicating and implementing change and managing it proactively
• Individual of high integrity, comfortable working in a team environment, possessing vision, solving problems through effective planning and management
• Promotes teamwork and seeks to maximize the potential of all employees
• Serves as a facilitator of change and as a mentor and role model
• Excellent communication and customer service skills are essential
• Able to effectively communicate strategies and initiatives to internal management groups and business partners
• Individual of high energy with a positive attitude and track record of getting results
• Experience in making and implementing decisions in a complex, consensus-oriented environment required
• Experience with or sensitivity to the uniqueness of the patient care environment is mandatory
• Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future
• Masters preferred
• Healthcare Financial Management Association (HFMA) Certification Preferred