Senior Operations Manager, Healthcare Billing/Denials Operations at Commure

Mountain View, California, United States

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$120,000 – $150,000Compensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Artificial IntelligenceIndustries

Requirements

4+ years of relevant experience in healthcare operations, revenue cycle management, healthcare consulting, or related roles
Strong analytical skills, with the ability to independently perform data analysis (Excel required; SQL strongly preferred)
Operational leadership
Experience in high-growth or tech-enabled healthcare environments is a strong plus

Responsibilities

Lead Denials Management Strategy: Oversee the claims lifecycle from post-submission to resolution, with an emphasis on denial trends. Design and implement scalable solutions that reduce friction and revenue loss
Drive Root Cause Analysis: Investigate systemic issues behind rejections and denials using structured analysis, and implement preventative solutions to improve operational efficiency
Own Key Operational Metrics: Manage throughput, denial rates, and other key metrics for high-profile client accounts. Use data to surface insights and drive continuous improvement
Build and Scale Processes: Design repeatable, automated workflows that enable operational scale and reduce manual effort. Collaborate with product and engineering to define requirements for internal tooling
Client Partnership: Serve as a subject matter expert for critical accounts. Partner with account managers and clients to troubleshoot issues and implement operational improvements

Skills

Operations Management

Denials Management

Revenue Cycle Management

Process Improvement

Strategic Initiatives

Cross-functional Collaboration

Commure

Healthcare technology for data integration and safety

About Commure

Commure focuses on improving the healthcare industry by providing technology solutions that connect and empower healthcare workers. Its main product, CommureOS, is a lightweight operating system that integrates various healthcare technologies and datasets, helping providers streamline workflows and enhance patient care by delivering critical insights when needed. Additionally, Commure offers Commure Strongline, a discreet wearable badge that allows healthcare staff to quickly call for help, improving safety in potentially dangerous situations. This badge was developed with input from frontline workers and security experts to meet the specific needs of healthcare environments. Commure serves hospitals, clinics, and other healthcare facilities through a software-as-a-service (SaaS) model, charging subscription fees for access to its products. The company's goal is to create a more connected and safe healthcare ecosystem, ultimately enabling healthcare providers to deliver better care.

San Francisco, CaliforniaHeadquarters

2017Year Founded

$745.2MTotal Funding

GROWTH_EQUITY_VCCompany Stage

Enterprise Software, HealthcareIndustries

201-500Employees

Benefits

Unlimited Paid Time Off

Health Insurance

Dental Insurance

Vision Insurance

Parental Leave

Risks

Increased competition in AI scribe technology may pressure market share and pricing.

Integration of Memora Health's platform may face alignment challenges with existing systems.

Free AI scribe offering might strain resources if not monetized effectively.

Differentiation

CommureOS integrates disparate healthcare datasets, enhancing decision-making and operational efficiency.

Commure Strongline badge improves staff safety with rapid emergency alerts.

Commure's AI-powered scribe tool automates documentation, saving providers significant time.

Upsides

Acquisition of Augmedix enhances AI medical documentation, improving clinical decision-making.

Merger with Athelas creates a $6B healthcare infrastructure company, expanding resources.

Free AI scribe tool offers competitive advantage by broadening technology accessibility.

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