FLSA Status: Exempt
Department: Administration / RCM
Reports To: CityDoc Partners and Board of Managers
Work Schedule
This is a full-time, in-person role, Monday through Friday. Occasional flexibility may be permitted depending on business priorities. As a salaried exempt employee, you are also expected to maintain reasonable weekend availability to support continuity of operations. This includes monitoring communications, being reachable for urgent matters, and responding when necessary—such as when operational issues arise, or important deadlines must be met.
Position Summary
The Manager of Finance & Revenue Operations is responsible for overseeing CityDoc's financial operations, budgeting, revenue cycle performance, and financial reporting. This role serves as the primary liaison between CityDoc and its billing company, ensuring effective communication, accountability, and performance management of all revenue cycle activities.
In addition to revenue optimization responsibilities, this position manages organizational budgeting, financial analysis, forecasting, and strategic financial planning. The Manager, Finance works closely with executive leadership to support informed decision-making, maximize financial performance, maintain fiscal accountability, and identify opportunities for operational and financial improvement across all CityDoc locations.
Key Responsibilities
Financial Management & Budget Oversight
Develop and manage CityDoc's annual operating budget in partnership with executive leadership.
Monitor organizational financial performance, including revenue, expenses, profitability, and cash flow.
Prepare monthly, quarterly, and annual financial reports for leadership review.
Analyze budget variances and provide recommendations to improve financial performance.
Support long-term financial planning, forecasting, and strategic growth initiatives.
Evaluate operational expenses and identify opportunities for cost savings and efficiency improvements.
Revenue Cycle Management & Billing Company Oversight
Serve as the primary liaison between CityDoc and the billing company (AAAMB).
Manage ongoing communication regarding claims performance, denials, accounts receivable, underpayments, payer issues, and revenue opportunities.
Review billing company performance metrics and hold regular meetings to ensure accountability and progress toward established goals.
Collaborate with the billing company to identify and resolve revenue cycle challenges.
Support payer contract reviews, reimbursement analysis, and revenue enhancement initiatives.
Monitor reimbursement performance and assist with underpayment recovery efforts.
Revenue Integrity & Optimization
Analyze trends and identify opportunities to increase net revenue per visit.
Collaborate with clinics and the billing company to ensure accurate coding, charge capture, and reimbursement processes.
Identify areas of revenue leakage and implement corrective actions.
Lead initiatives aimed at reducing denials, preventable refunds, and collection placements.
Analytics, Reporting & Strategic Initiatives
Develop and maintain financial and operational dashboards.
Provide meaningful financial analysis and recommendations to executive leadership.
Conduct financial modeling to support operational, staffing, and growth decisions.
Evaluate new revenue opportunities, service lines, and reimbursement strategies.
Track and report key financial and revenue cycle performance indicators.
Collaboration & Leadership
Work closely with executive leadership, clinic management, and administrative team on financial and operational initiatives.
Provide guidance and education regarding financial processes and performance metrics.
Support organizational decision-making through accurate financial analysis and reporting.
Lead cross-functional projects focused on improving financial performance, operational efficiency, and revenue generation.
Required Skills & Qualifications
Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or a related field preferred.
3–5 years of experience in healthcare finance, revenue cycle management, medical billing, or a related field.
Strong understanding of healthcare billing, reimbursement, payer requirements, and revenue cycle operations.
Experience with budgeting, financial reporting, forecasting, and data analysis.
Proficiency in Microsoft Excel and financial reporting tools.
Experience with healthcare practice management systems and EMR platforms preferred.
Strong analytical, problem-solving, organizational, and project management skills.
Excellent communication skills with the ability to collaborate effectively across departments and with external vendors.
Ability to manage multiple priorities independently while maintaining a high level of accuracy and attention to detail.
Preferred Qualifications
Experience overseeing financial operations for multi-site healthcare organizations.
Knowledge of healthcare financial benchmarks, payer contracting, and reimbursement strategies.
Experience supporting executive leadership with budgeting, strategic planning, and financial decision-making.
