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Senior Manager, Revenue Cycle 

Full-Time | Onsite Leadership Role | Relocation Assistance Available | Monday – Friday

$110,000–$135,000 + Performance Management Bonus Opportunity (PMBO). The actual hiring rate may vary based on several factors, including your previous work experience, educational background, the responsibilities of the position, and demonstrated performance. These elements help us ensure a fair and competitive offer aligned with your qualifications and the role's requirements. 

Lead Revenue Cycle Excellence That Supports Exceptional Patient Care

At Shenandoah Oncology, our mission is simple: provide exceptional cancer care close to home. We are seeking a strategic, results-driven Senior Manager, Revenue Cycle to lead critical revenue cycle operations that support our physicians, clinical teams, and patients across the organization.

This highly visible leadership role is ideal for an experienced revenue cycle professional who is passionate about operational excellence, financial stewardship, process improvement, and developing high-performing teams. You'll have the opportunity to influence strategy, drive meaningful changes, and make a measurable impact on both organizational performance and the patient experience.

Why Shenandoah Oncology?

We believe exceptional patient care starts with exceptional people. When you join Shenandoah Oncology, you'll become part of a collaborative leadership team committed to innovation, accountability, and continuous improvement.

What Makes This Opportunity Unique?

• Enterprise Leadership Impact – Influence revenue cycle strategy, performance, and operational outcomes across the practice.
• Collaborative Culture – Partner closely with physicians, practice leadership, and enterprise teams to drive success.
• Transformational Opportunity – Lead initiatives that improve efficiency, reimbursement, compliance, and the patient financial experience.
• Visible Leadership Role – Work directly with senior leaders while helping shape the future of the organization.
• Relocation Assistance Available – Support available for qualified candidates outside the area.

Benefits and Perks

• Medical, Dental & Vision Insurance
• 401(k) with Employer Match
• Generous Paid Time Off & Paid Holidays
• Life & Disability Insurance
• Tuition Reimbursement
• Employee Assistance Program
• Wellness Programs & Employee Discounts
• Professional Development Opportunities

• Lead and develop a high-performing revenue cycle team, including Billers, Insurance Specialists, Payment Posters, Eligibility Specialists, and Coders
• Oversee charge capture and coding operations to ensure accuracy, timeliness, and compliance
• Drive strategic revenue cycle initiatives including process redesign, workflow optimization, and technology utilization
• Own and deliver on key performance indicators (KPIs) related to revenue capture, collections, AR performance, and compliance
• Optimize point-of-service collections and front-end financial processes
• Monitor, analyze, and report on revenue cycle metrics; provide actionable insights to leadership
• Partner with physicians, operational leaders, and RBO management to identify risks and implement performance improvements
• Ensure compliance with Practice and The US Oncology Network policies, as well as state and federal regulations
• Lead onboarding and ongoing development for direct and indirect reports
• Develop training programs and reinforce consistent, best-practice workflows across the team

• High School Diploma or GED required
• Bachelor’s degree in Finance, Business, or related field preferred
• 8–10 years of progressive multi-specialty revenue cycle management experience, with a proven track record of achieving results
• 4+ years of leadership experience, including coaching, developing, and managing teams
• Deep knowledge of revenue cycle operations, payer regulations, and reimbursement methodologies
• Strong analytical, problem-solving, and process improvement capabilities
• Ability to influence cross-functional stakeholders and drive accountability

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including manual and finger dexterity and eye-hand coordination. Requires standing/sitting for extensive periods of time. Occasionally lift and carry items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.

• High School Diploma or GED required
• Bachelor’s degree in Finance, Business, or related field preferred
• 8–10 years of progressive multi-specialty revenue cycle management experience, with a proven track record of achieving results
• 4+ years of leadership experience, including coaching, developing, and managing teams
• Deep knowledge of revenue cycle operations, payer regulations, and reimbursement methodologies
• Strong analytical, problem-solving, and process improvement capabilities
• Ability to influence cross-functional stakeholders and drive accountability

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including manual and finger dexterity and eye-hand coordination. Requires standing/sitting for extensive periods of time. Occasionally lift and carry items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.