Manager, Revenue Cycle Operations

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. What You’ll Do The Manager, Revenue Cycle Operations will work across teams to align claims processes, ensure clean claim performance, and drive operational efficiency with a mindset rooted in accountability, problem-solving, and excellence. You will: Operational Excellence & Claims Performance Lead end-to-end billing and coding operations across fee-for-service, capitation, and hybrid payment models. Monitor daily claims workflows, denials, and claim edits to ensure clean, compliant submissions across all states and payers. Ensure provider documentation aligns with encounter-level billing requirements, especially for virtual and episodic care models. Serves as point of escalation for high-impact payer denials, coding discrepancies, and claim rejections requiring cross-department coordination. KPI Management & Strategy Support Track core RCM KPIs (e.g., clean claim rate, AR days, d...