Top 5 Medical and Health Services Managers Jobs in San Luis Obispo, CA

Manager, Revenue Analytics - Twin Cities
Adventist Health —Templeton, CA
- $132,384 - $198,577 a year
- Full-time
- 5 years
- Office
- Master's degree
5d

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Manager, Revenue Analytics - Twin Cities
Adventist Health —Templeton, CA
Leads denial management strategy, including root cause analysis, denial prevention initiatives, and tracking resolution performance across all payer types.
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Manager, Revenue Analytics - Twin Cities

Adventist Health -
Templeton, CA

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Job Details

Full-time
$132,384 - $198,577 a year
5 days ago

Qualifications

Performance reviews
Revenue growth
Appeals
Contract management
Operational analysis
Committee work
Staff supervision
Performance improvement leadership
Contract review
Team member evaluation
Defect resolution root cause analysis
Healthcare staff management
Operations management
Finance
Managed care organization experience
Team leadership
5 years
Overseeing healthcare denial management
Coaching
Medical billing compliance checks
Contract performance monitoring
Risk mitigation strategy implementation
Contract management experience in healthcare
Financial analysis experience
Master's degree
Team development
Hiring
Analysis skills
Medical billing data reporting
Professional development support

Full Job Description

Adventist Health Twin Cities is looking for Manager, Revenue Analytics for Full-time, Day Shift. We are looking for great individual who can work onsite to our location in Templeton, CA

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Leads day-to-day operations of the Revenue Management department to maximize reimbursement and reduce denials through data-driven insight, payer engagement, revenue cycle collaboration and operational improvement. Serves as a key liaison between Finance, Hospital operators, Payer Relations, Case Management, Utilization Management, Patient Access, Patient Financial Services, Revenue Integrity and other Revenue Cycle functions to ensure contract compliance, mitigate revenue risk, and strengthen payer accountability.

Job Requirements:

Education and Work Experience:

Bachelor’s Degree or equivalent combination of education/related experience: Required
Master's Degree: Preferred
Five years' related experience in Revenue Cycle Management and/or Managed Care contracting and analysis: Preferred
One year's leadership experience: Preferred

Essential Functions:

Directs the weekly High Dollar Review process across multiple hospitals, coordinating with Patient Access, Case Management, Utilization Management, Billing, Patient Financial Services, and other revenue cycle disciplines to surface systemic gaps and improve reimbursement. Leads denial management strategy, including root cause analysis, denial prevention initiatives, and tracking resolution performance across all payer types.
Coordinates with all stakeholders to ensure timely appeal submission and to strengthen payer accountability for overturning inappropriate denials. Monitors denial trends to identify systemic issues and drives corrective action to improve reimbursement outcomes. Identifies and removes barriers to clean claims, timely payment, and full reimbursement.
Serves as key liaison between Finance, Payer Relations, Case Management, Utilization Management, and Revenue Cycle to ensure contracts are optimized, compliance maintained, and reimbursement risk mitigated. Collaborates in payer escalation and Joint Operating Committee forums, presenting data-driven cases to secure authorization processes, correct DOFR misalignments, and resolve denials.
Oversees contract performance analytics, ensuring payer adjudication aligns with negotiated terms and flagging discrepancies. Reviews Aged Trial Balance (ATB) to identify reimbursement risks by payer behaviors, service line, and internal deficiency trends. Assists the Finance team to prepare and analyze AR Reserve, identifying trends that significantly impact net revenue.
Builds, coaches, and mentors a high-performing analytics team that integrates clinical and financial insights to improve net revenue yield. Ensures timely completion of performance reviews, orientation, compliance training, and continuing education for staff. Maintains a supportive work environment through effective selection, orientation, management, and staff development. Interviews, hires, and trains employees in a timely manner.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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Manager, Revenue Analytics - Twin Cities

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