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60 Caloptima Health Jobs Hiring Near You

Mercy House

ECM Lead Care Manager (6481)

Santa Ana, CA · On-site

$23 - $25/hr

Accompany members on office visits as needed and according to CalOptima Health guidelines * Advocate on behalf of the member with healthcare professionals and work with hospital staff on discharge ...

MERCY HOUSE

ECM Lead Care Manager (6481)

Santa Ana, CA

$23 - $25/hr

Accompany members on office visits as needed and according to CalOptima Health guidelines * Advocate on behalf of the member with healthcare professionals and work with hospital staff on discharge ...

Mercy House

ECM Lead Care Manager (5869)

Santa Ana, CA · On-site

$23 - $25/hr

Provide services at locations that are accessible and convenient for the member, including their residence or places where they seek care, in alignment with CalOptima Health guidelines * Assist ...

MERCY HOUSE

ECM Lead Care Manager (4618)

Santa Ana, CA

$23 - $25/hr

Provide services at locations that are accessible and convenient for the member, including their residence or places where they seek care, in alignment with CalOptima Health guidelines * Assist ...

MERCY HOUSE

ECM Lead Care Manager (5869)

Santa Ana, CA

$23 - $25/hr

Provide services at locations that are accessible and convenient for the member, including their residence or places where they seek care, in alignment with CalOptima Health guidelines * Assist ...

Mercy House

ECM Lead Care Manager (4618)

Santa Ana, CA · On-site

$23 - $25/hr

Provide services at locations that are accessible and convenient for the member, including their residence or places where they seek care, in alignment with CalOptima Health guidelines * Assist ...

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Infographic showing various job openings at Caloptima Health in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 33% Physical, and 67% Hybrid job distribution.

Sr. Manager, Revenue Cycle

Heritage Health Network

Riverside, CA • Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 12 days ago

Job description

Senior Manager, Revenue Cycle
About the Role

Heritage Health Network is seeking an experienced Senior Manager, Revenue Cycle to lead our end-to-end Revenue Cycle Management (RCM) operations. Reporting directly to the CEO, you'll oversee billing performance, denial management, accounts receivable, payer compliance, and a team of Revenue Cycle professionals across multiple Medi-Cal managed care contracts.

This is a hands-on leadership role. Current RCM billing experience is required, and you must be able to step into billing operations when needed.


What You'll Do
  • Lead the Revenue Cycle team, including the Revenue Cycle Supervisor and Billing Coordinators.
  • Own revenue cycle performance, including clean claim rate, denials, timely filing, and AR aging.
  • Oversee denial management, appeals, payer escalations, and reimbursement strategies.
  • Lead month-end close activities, AR reconciliation, and payer reporting.
  • Partner with Clinical Operations to ensure documentation accuracy and billing compliance.
  • Build and present revenue cycle performance reports and dashboards.
  • Drive process improvements to maximize reimbursement and operational efficiency.
  • Support audits, payer reviews, and compliance initiatives.
  • Coach, mentor, and develop a high-performing billing team.
  • Step into billing operations when needed to support claims, denials, and AR follow-up.


RequirementsRequired
  • Bachelor's degree in Business, Healthcare Administration, Health Information Management, or related field (equivalent experience considered).
  • 5+ years of hands-on Revenue Cycle Management experience.
  • 2+ years of leadership experience managing billing teams.
  • Strong knowledge of claim submission, denials, appeals, AR, and Medi-Cal managed care billing.
  • Experience with Office Ally, Availity, eClinicalWorks (eCW), Microsoft Excel, and Google Workspace.
  • Experience with ECM, CalAIM, and managed care programs.
Preferred
  • Experience with IEHP, Molina, CalOptima, Health Net, and Anthem payer portals.
  • Power BI experience.
  • Experience with capitated and per-encounter billing models.
  • CPB, CRCR, or other Revenue Cycle certification.


Benefits
  • Medical, Dental & Vision Insurance
  • Paid Time Off & Company Holidays
  • Competitive Compensation
  • Remote Work Flexibility
  • Professional Growth & Leadership Development Opportunities