Drimva

Pomelo Care

Senior Revenue Cycle Strategy and Operations Manager

$135K–$150K

United States · Remote · Manager · Full-time · Posted Aug 28, 2026

Experience
5–7 years of healthcare revenue cycle experience.

About the job

Leads revenue cycle strategy and operations, including pricing and billing models, client onboarding, escalations, analytics, and day-to-day execution.

What you'll do

  • Partner with Finance and Sales on pricing, hybrid FFS/PEMPM billing models, and RCM onboarding for new B2B clients.
  • Analyze revenue cycle performance, resolve escalations, and oversee claims, payment posting, clearinghouse issues, and denial prevention.
  • Collaborate with technology teams to scale RCM software and maintain data integrity across systems.

What they ask for

  • 5–7 years of healthcare revenue cycle experience.
  • Experience partnering with Finance on pricing and Product/Tech on scalable operational tools.
  • Deep understanding of commercial and Medicaid billing, claim formats, and denial resolution.
  • Track record managing high-impact projects, implementing software configurations, and building cross-departmental consensus.

Nice to have

  • Experience leading coding discussions and working with emerging benefits or value-based capitation models.
  • Advanced Google Sheets/Excel proficiency; basic SQL, Metabase, Tableau, Looker, or AI-assisted work experience.

Pay

$135,000-$150,000 USD base salary

Tools

Google Sheets, Excel, SQL, Metabase, Tableau, Looker, EHRs

AI focus

Leverage AI to improve the efficiency and effectiveness of work products.

Model-written summary · the original posting is authoritative

First seen Oct 29, 2026 · Last verified Nov 6, 2026 (UTC)