Revenue Cycle Management Product Lead

Sorry, this job was removed at 04:13 p.m. (CST) on Wednesday, Nov 13, 2024
Hiring Remotely in USA
Remote
153K-191K Annually
Internship
Healthtech • Biotech
The Role

The Role

GeneDx is a patient-centered technology platform seeking an experienced product lead to drive a cross-functional road map for our revenue cycle management platform product.

In this role, you will drive the road map for revenue cycle from order processing, PA and claim submission, through to revenue recognition, optimizing for efficiency and reimbursement yield. You and a cross-functional team including billing specialists, market owners, and commercial leads will deliver solutions that enable GeneDx to provide a seamless billing experience to external and internal stakeholders. You’ll also play a role in driving the scalability and efficiency needed to deliver GeneDx’s long-range plan, via automation and machine learning tools where applicable. 

With your engineering colleagues, you will work to ensure your development team has clearly defined goals, requirements, and specs; with clear, aggressive, yet achievable plans for execution. Your role is to partner with commercial, market access, and data leaders across GeneDx to define key reimbursement challenges and goals, and to solve them creatively and cross-functionally to generate revenue cycle value. The role includes ideating, designing, testing, iterating, delivering, and launching new platform product capabilities to this end.

Experience, Traits, and Skills

  • 5+ years of experience in revenue cycle and reimbursement processes and systems in healthcare
  • 5+ years of experience in product management, delivering complex cross functional products and features to internal and external stakeholders
  • Experience in ideation, design, testing, building, and launching software products. Experience working within a complex technical environment is a plus. 
  • Experience building automation or decision support capabilities with quality, efficiency, and scalability
  • Demonstrated ability to influence strategically and drive alignment cross-functionally
  • High intellectual curiosity and obsession with understanding and solving customer needs, especially in the healthcare, biopharma, and technology space
  • Strong communication and interpersonal skills, both written and verbal
  • Results-oriented and self-motivated, either working independently or as part of a team
  • Ability to think strategically and tactically while managing multiple projects simultaneously
  • Ability to learn quickly and adapt to change under pressure to meet deadlines

The Responsibilities      

  • Execute a high-value product roadmap that brings new RCM capabilities to life to maximize reimbursement and improve transparency and for patients and clinicians around billing. 
  • Develop a strategy to optimize GeneDx’s RCM processes and procedures to deliver positive results impacting the company's OKRs
  • Work with your colleagues across the organization to identify and quantify opportunities, ideate and design a solution, drive alignment toward the plan, and execute iteratively. 
  • Work with other product and engineering teams to implement an end-to-end roadmap that delivers value to your users in a platform-based org structure
  • Demonstrate leadership and collaboration skills by independently making decisions for RCM initiatives, and by working with cross-functional teams to successfully execute business initiatives across various products and platforms
  • Stay current as a subject matter expert on the latest trends in RCM and technology, customer market segments, and business practices

The Objectives    

  • Improve GeneDx’s revenue cycle management processes within 12 months by reducing costs, improving accuracy and timeliness of revenue collection, and improving customer satisfaction
  • Within 12 months, streamline the revenue cycle management (RCM) workflow to reduce the time and effort required to complete tasks for both providers and patients.
  • Improve accuracy of claims processing within 12 months to reduce health insurance denial rates and turnaround times.
  • Develop a comprehensive measurement plan that includes key performance indicators (KPIs) and metrics, collects, and analyzes data, and reports on the results to key stakeholders within 12 months.

Pay Transparency, Budgeted Range

$153,053$191,317 USD

~

Science - Minded, Patient - Focused. 

At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.

Experts in what matters most. 

With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.

SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.

From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:

TECHNICAL EXPERTISE

  • High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
  • Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.

CLINICAL EXPERTISE

  • Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
  • Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
  • Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.

Learn more About Us here.
~

 Benefits include:

  • Paid Time Off (PTO)
  • Health, Dental, Vision and Life insurance
  • 401k Retirement Savings Plan
  • Employee Discounts
  • Voluntary benefits

GeneDx is an Equal Opportunity Employer.
All privacy policy information can be found here.

The Company
HQ: Stamford, Connecticut
802 Employees
On-site Workplace

What We Do

GeneDx is focused on delivering personalized, actionable insights that improve health outcomes. We sit at the intersection of diagnostics and data science, pairing decades of genomic expertise with an unmatched ability to interpret clinical data at scale.

Our exome and genome testing is among the best in the industry. We expect that it will be even more advanced in the future with the help of Centrellis®, our innovative health information platform. Powered by millions of medical records, Centrellis® integrates digital tools with artificial intelligence to ingest and synthesize clinical and genomic data.

As a result of our robust test menu, including our exome and genome testing, and the comprehensive insights generated by Centrellis®, we are developing a more complete understanding of complex disease than ever before. This translates to faster diagnosis, more effective treatment plans, and enhanced drug discovery.

Our offerings help a whole spectrum of healthcare partners -- clinicians, researchers, health systems, pharmaceutical companies, and payors -- improve patient experiences and advance population health

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