Manager, Revenue Cycle CBO

• Flexible scheduling

UVA Health is seeking an experienced and strategic revenue cycle leader to join our Professional Billing organization as our Manager, Revenue Cycle. This role offers a unique opportunity to lead a specialized team focused on insurance denials, underpayments, payer policy analysis, and revenue recovery while helping drive a proactive denial-prevention strategy across the organization. If you enjoy solving complex reimbursement challenges, partnering with operational and physician leaders, interpreting payer policies, and leading teams through process improvement, this is an opportunity to make a measurable impact on the financial health of a nationally recognized academic health system.

At UVA Health, our mission is to transform health and inspire hope. As part of our Revenue Cycle team, you'll work alongside dedicated professionals who support clinical operations and patient care through outstanding financial stewardship and operational excellence.

• Primarily remote work environment
• Flexible scheduling
• Opportunity to lead a highly specialized team
• Significant visibility and influence across the organization
• Direct engagement with payer organizations and contract interpretation
• The ability to build and improve emerging processes and programs
• A leadership role that combines strategy, analytics, operations, and people leadership

This manager will lead a small team responsible for identifying, researching, and resolving complex reimbursement issues within Professional Billing. The role serves as the primary escalation point for difficult denial, underpayment, and payer policy issues that extend beyond routine claim follow-up activities. Success in this role requires a combination of leadership, analytical thinking, payer expertise, relationship building, and a commitment to accountability and continuous improvement.

• Lead and develop a team focused on denial management and underpayment resolution.
• Monitor and oversee underpayment and low-pay work queues.
• Research and resolve complex reimbursement and payer escalation issues.
• Analyze payer policies, reimbursement methodologies, and coding guidelines.
• Review payer contracts and identify operational impacts.
• Collaborate with Epic teams to ensure payer requirements and reimbursement changes are accurately reflected within system workflows.
• Partner with physician groups, operational leaders, and stakeholders across the health system.
• Represent the department in payer meetings and serve as an escalation resource.
• Drive accountability and follow-through on complex reimbursement initiatives.
• Support denial prevention efforts through proactive policy review and operational improvements.
• Identify opportunities to improve workflows, processes, and financial performance.

• Bachelor's degree or equivalent combination of education and experience.
• Management and/or supervisory experience in healthcare or a similar customer-focused environment.
• Professional billing experience.
• Experience with insurance claims, denials, reimbursement, or revenue cycle operations.
• Demonstrated leadership and team development abilities.

• Certified Professional Coder (CPC) credential.
• AHIMA certification or equivalent coding certification.
• Professional Billing (PB) denial management experience.
• Epic experience.
• Experience researching payer policies and reimbursement guidelines.
• Experience reviewing payer contracts.
• Strong understanding of coding guidelines and claim adjudication processes.
• Revenue Cycle leadership experience.
• Prior collections experience.

• Self-motivated and highly accountable.
• Analytical and naturally curious.
• Comfortable working through ambiguity and complex payer issues.
• Skilled in root-cause analysis and problem solving.
• Patient and effective when leading experienced teams.
• Able to build strong relationships across departments and stakeholder groups.
• Focused on both identifying problems and driving resolution.
• Passionate about continuous process improvement and operational excellence.

This is not a transactional denial management role.

• Influence organizational…