Revenue Cycle Program Manager Cerritos, California,

About The Oncology Institute (  ):
Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting‑edge , evidence‑based cancer care to a population of approximately 1.9 million patients , including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With over 180 employed and affiliate clinicians and over 100 clinics and affiliate locations of care across five states and growing, TOI is changing oncology for the better.

At The Oncology Institute, revenue cycle excellence isn’t just about financial performance—it’s about ensuring patients can access timely, compassionate, and cutting‑edge cancer care. As a Revenue Cycle Program Manager, you play a critical role at the intersection of mission, strategy, and operational excellence. Your work directly supports patients during some of the most vulnerable moments of their lives. By optimizing reimbursement, improving access, and reducing administrative friction, you help ensure clinicians can focus on what matters most: delivering exceptional oncology care.

The Revenue Cycle Program Manager leads enterprise oncology initiatives that improve professional and technical revenue cycle performance across fee‑for‑service and value‑based care models. This role oversees complex, cross‑functional programs that strengthen drug and infusion revenue integrity, reduce revenue leakage, improve cash flow, and support capitated oncology arrangements. The role requires deep oncology revenue cycle expertise and experience working with Unlimited Financials, McKesson iKnowMed, and Elekta MOSAIQ, with a strong ability to connect clinical, operational, financial, and payer teams.

• Lead a portfolio of oncology revenue cycle and value‑based care initiatives from planning through execution and sustained outcomes.
• Develop program charters, timelines, financial impact estimates, risk mitigation plans, and success metrics.
• Establish governance structures and provide regular executive‑level reporting on progress, risks, and realized benefits.
• Drive end‑to‑end optimization of oncology professional and technical billing workflows, including:
  • Scheduling, eligibility, referrals, and prior authorization for chemotherapy, procedures, and radiation services
  • Registration accuracy and payer data integrity
  • Charge capture and coding for E&M, infusion, injections, radiation therapy, and supportive care
  • Drug acquisition cost alignment, waste documentation, and revenue integrity
  • Claims submission, clearinghouse edits, and payer adjudication
  • Denials prevention and appeals (medical necessity, authorization, drug coverage)
  • Accounts receivable follow‑up, underpayment identification, and collections
• Identify and remediate oncology‑specific revenue leakage (e.g., missed charges, incorrect modifiers, payer pathway restrictions, drug reimbursement variances).

• Partner with Value‑Based Care, Clinical, and Pharmacy teams to support:
  • Oncology‑specific value‑based arrangements
  • Alignment of care delivery with cost, quality, and utilization targets
  • Performance tracking for quality and utilization
• Support care management and supportive oncology services tied to alternative payment models.

• Collaborate with Managed Care and Authorization teams to:
  • Improve prior authorization accuracy and turnaround times
  • Reduce authorization‑related denials and treatment delays
  • Monitor payer adherence to oncology contract terms and reimbursement methodologies
  • Support escalation, appeals, and underpayment recovery efforts
• Translate payer oncology contract terms into operational workflows and billing rules.
• Prioritize and problem‑solve issues, process gaps via RCA, Lean, Six Sigma or similar best practices.

• Define and track KPIs across FFS and capitated oncology models, including:
  • Clean claim rate, denial rate,…