Join BoldAge PACE and Make a Difference!

Why work with us?

• A People First Environment: We make what is important to those we serve important to us.
• Make an Impact: Enhance the quality of life for seniors.
• Professional Growth: Access to training and career development.

Competitive Compensation:

• Medical/Dental
• Generous Paid Time Off
• 401K with Match*
• Life Insurance
• Tuition Reimbursement
• Flexible Spending Account
• Employee Assistance Program

BE PART OF OUR MISSION!

Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.

SR. Manager of Revenue Cycle

JOB SUMMARY

Reporting to the Chief Administrative Officer, the Sr. Manager of Revenue Cycle is responsible for the strategic oversight, performance, and optimization of all revenue cycle functions, including billing, collections, reimbursement, and revenue integrity. This role ensures accurate, timely revenue capture and maximization, while maintaining compliance with CMS, Medicare/Medicaid, and payer regulations. The Sr. Manager partners closely with Finance, Clinical Operations, Compliance, and Health Plan leadership to drive financial performance, improve cash flow, and enhance operational efficiency across the organization.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Execute revenue cycle strategy and support operational planning across assigned functions
• Build and develop a high-performing revenue cycle team, fostering accountability and continuous improvement.
• Establish and monitor KPIs and dashboards to track performance, identify trends, and drive results.
• Oversee day-to-day operations across key revenue cycle functions including eligibility checks, enrollment processing and encounter data management, ensuring alignment with organizational goals
• Ensure timely and accurate claims submission, payment posting, and reimbursement optimization.
• Monitor and improve key metrics, including days in A/R, denial rates, clean claim rate, and cash collections.
• Ensure effective denial management and appeals processes to maximize reimbursement.
• Ensure compliance with CMS, Medicare, Medicaid, and payer regulations, as well as organizational policies.
• Maintain audit readiness and partner with Compliance on audits, investigations, and corrective action plans.
• Ensure proper documentation, coding accuracy, and billing integrity.
• Partner with Finance to support revenue forecasting, budgeting, and financial reporting. forecasting, budgeting, variance analysis, and financial reporting
• Analyze revenue cycle data to identify trends, risks, and opportunities for improvement.
• Support and implement initiatives to improve cash flow, reduce write-offs, and optimize reimbursement
• Collaborate with Clinical, Operations, and IT teams to ensure accurate documentation and charge capture.
• Support management of relationships with external payers and vendors.
• Manage relationships with billing vendors, clearinghouses, and consultants, as applicable.
• Lead process improvement and automation initiatives to enhance efficiency and scalability.
• Oversee implementation and optimization of revenue cycle systems, EHRs, and billing platforms.
• Drive adoption of industry best practices and performance standards.

EXPERIENCE AND EDUCATION:

• Bachelor's degree in healthcare administration, Business, Finance, or related field required. Master’s degree (MBA, MHA) preferred
• 5–7 years of progressive experience in revenue cycle, healthcare operations, or financial management
• 2–4 years of leadership experience managing revenue cycle functions (e.g., billing, claims, A/R, denial management)
• Experience in PACE, Medicare/Medicaid, or managed care strongly preferred
• 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).

PRE-EMPLOYMENT REQUIREMENTS:

• Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
• Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
• Employment with BoldAge PACE is contingent upon successful completion of post-offer pre-employment screening and verification processes

BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

* Match begins after one year of employment