Billing Strategy Lead, Denials and Appeals - Remote

Overview

We are seeking a Billing Strategy Lead, Denials & Appeals to provide cross-functional project management across critical strategic programs focused on revenue cycle operations—particularly denials and appeals management. This role will support the Billing Strategy leadership team by managing high-impact projects, leading vendor transitions, and driving initiatives to enhance reimbursement outcomes. The ideal candidate will be highly data-savvy, experienced in healthcare revenue cycle processes, and skilled at managing multiple stakeholders, timelines, and deliverables in a dynamic environment.

In Short

• Lead strategic initiatives related to denials and appeals, focusing on transitioning offshore billing operations in-house.
• Act as a subject matter expert in revenue cycle and healthcare reimbursement.
• Drive collaboration across Billing Strategy, Operations, Data Analytics, and Engineering teams.
• Manage and audit vendors; support vendor transition planning and implementation of new billing technologies.
• Translate data into operational insights using dashboards and reporting tools.
• Utilize project planning tools to ensure accountability and provide status updates.
• Organize and lead recurring cross-functional meetings to review project progress.
• Provide high-quality documentation and communications including project plans and status updates.
• Balance hands-on management of projects with strategic planning.

Requirements

• Bachelor’s degree in a relevant field or equivalent professional experience.
• 2–4 years of project or program management experience in healthcare or biotech.
• Proven experience with denials and appeals management.
• Experience leading large initiatives involving vendor transitions.
• Strong experience working with data and KPIs; proficiency with Excel is required.
• Certification or formal training in Program or Project Management is a plus.
• Experience building Gantt charts and using project tracking software.

Benefits

• Comprehensive medical, dental, vision, life, and disability plans.
• Free testing for employees and their immediate families.
• 401k benefits and commuter benefits.
• Generous employee referral program.