• The role of the Revenue Cycle and Coding Business Operations Manager supports the strategy, planning, and execution of key operational initiatives across the Revenue Cycle Management and Medical Coding functions. • This role partners with operational leaders, technology, product, and customer success to optimize how people, process, and technology align to deliver high-quality services that support our broader product portfolio. • This role requires a strategic thinker with strong analytical and communication skills, operational experience in healthcare services, and the ability to translate business goals into executable plans. • Drive operational excellence by designing scalable processes, improving efficiency and quality, and maintaining documentation, SOPs, and implementation tracking to support growth and workforce management. • Optimize operational technology and platforms by monitoring tool performance, identifying gaps, defining requirements, and aligning capabilities with business needs and priorities. • Drive data-informed decision-making by developing KPIs, dashboards, and analytics, analyzing trends and risks, and providing insights and recommendations to improve performance and outcomes.

• Ensure the quality of revenue data by integrating HubSpot, billing, contracts, and engagement into a single, actionable source; • Create and manage integrations between tools (via API and custom code); • Analyze performance, map hypotheses, identify bottlenecks in workflows, and propose automations and continuous improvements; • Develop internal AI-powered tools — organize sprints and validate solutions with internal and external stakeholders; • Maintain the technical health of the area by troubleshooting dashboards and data pipelines.

• Oversee complex, multi-faceted revenue cycle programs from end to end • Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs • Lead cross-functional teams including clinical staff, billing specialists, IT professionals, and executive stakeholders • Develop comprehensive project charters, work breakdown structures, and communication plans • Monitor project milestones and deliverables, ensuring alignment with organizational strategic goals • Manage and report on Service Level Agreements (SLAs), ensuring compliance with contractual obligations and performance metrics • Identify operational bottlenecks and inefficiencies across the revenue cycle continuum • Design and implement standardized workflows to increase efficiency and reduce errors • Deploy automation solutions to streamline repetitive tasks and improve accuracy • Conduct process mapping and gap analysis to identify improvement opportunities • Champion change management initiatives to ensure successful adoption of new processes • Analyze claim rejection and denial trends to identify root causes and systemic issues • Direct targeted strategies to improve clean claim rates and accelerate reimbursement cycles • Collaborate with coding and billing teams to address documentation deficiencies • Implement denial prevention programs and appeal processes • Monitor payer-specific requirements and adjust workflows accordingly • Track and report on core Key Performance Indicators (KPIs) including: Days in Accounts Receivable (A/R), Net collection rates, Clean claim rates, Denial rates and appeal success rates, Point-of-service collections, Cost-to-collect ratios • Generate routine executive reports and dashboards for senior leadership • Develop comprehensive reporting frameworks to support data-driven decision-making • Conduct variance analysis and recommend corrective actions • Present findings and recommendations to C-suite executives and board members • Act as a strategic liaison between clinical, financial, and IT departments • Facilitate regular meetings with stakeholders to ensure alignment on revenue goals • Translate complex financial and technical concepts for diverse audiences • Build consensus among competing priorities and resource constraints • Maintain transparent communication channels with all project participants • Ensure all billing and coding practices adhere to federal, state, and payer regulations • Stay current on regulatory changes including CMS guidelines, HIPAA requirements, and payer policies • Oversee internal and external auditing processes to ensure compliance and accuracy • Coordinate with compliance officers to address audit findings and implement corrective action plans • Develop and maintain compliance documentation and standard operating procedures • Apply certification knowledge in coding, billing, and auditing to ensure best practices • Demonstrate proficiency with Careview and InnovAlone platforms • Optimize Electronic Health Record (EHR) system configurations to support revenue cycle workflows • Collaborate with IT teams on system implementations, upgrades, and integrations • Exhibit strong system savvy to quickly learn and adapt to new technologies and platforms • Evaluate and recommend revenue cycle management software and tools • Ensure data integrity across multiple systems and platforms

Role Description The Stop Loss Revenue Associate (Revenue Associate) will engage in various supportive tasks ranging from data management to preparing proposals and assisting with network analysis reporting. Essential Functions - Develop an understanding of group medical stop loss product offerings, grasp basic group underwriting principles, and learn the methodologies to appropriately price Allied’s products and services. - Prepare the initial Request for Proposal (RFP) pages for both new business clients and renewal contracts, gathering necessary client and prospect information to create a compelling and comprehensive RFP that effectively communicates the value proposition of Allied's offerings. - Collaborate closely with Revenue Analysts to assist in the review and preparation of Allied-placed stop loss quotes for new business and renewal prospects. - Compile and package key analytical reports for distribution by the Client Executive, carefully curating data insights that are pivotal for client decision-making and strategic planning throughout the plan year. - Request and communicate network analysis reporting from appropriate networks to Underwriting Team members and Sales/Client Executives, aiding in informed decision-making. - Carry out other duties as assigned, demonstrating flexibility and a team-oriented approach to support Allied’s growth and retention goals. Qualifications - High school diploma required or equivalent work experience. - At least one-year administrative experience required. - Medical Stop Loss Underwriting experience a plus. - Strong verbal and written communication skills. - Demonstrated ability to manage multiple tasks with a high degree of accuracy and attention to detail. - Strong organizational and communication skills, with an eagerness to learn and contribute to a team. - Developing analytical and problem-solving skills. - Ability to function well in a high-paced and at times stressful environment. - Strong time management skills with a proven ability to meet deadlines. - Ability to work within a team and a collaborative environment. - Ability to learn how to self-audit. - Beginner experience with Microsoft Office Suite (Word, Excel, PowerPoint, and Dynamics). Requirements - Accountability - Communication - Customer Service Orientation - Functional/Technical Skills - Quality Focus - Time and Task Management Physical Demands - This is a standard desk role requiring extended periods of sitting and computer work. Work Environment - Remote Benefits - Competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance. - Generous Paid Time Off. - Tuition Reimbursement. - EAP. - Technology Stipend.