Covenant Health

Manager, Corporate Revenue Cycle Optimization

Full Time, 80 Hours Per Pay Period, Day Shifts

Covenant Health Overview:

Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.

Position Summary:

The Corporate Revenue Cycle Optimization Manager is responsible for leading strategic initiatives that enhance the efficiency, accuracy, and financial performance of the revenue cycle. This role focuses on denials prevention, process improvement, and cross-functional collaboration to ensure optimal reimbursement and compliance. The manager will analyze trends, identify root causes of revenue leakage, and implement sustainable solutions across the organization.

• Develop and implement enterprise-wide strategies to reduce claim denials and improve first-pass resolution rates.
• Collaborate with coding, billing, clinical documentation, and payer relations teams to identify denial trends and root causes.
• Monitor payer policy changes and ensure proactive adjustments to workflows and documentation standards.
• Lead denial mitigation projects, including appeals process optimization and staff education.
• Revenue Cycle Process Improvement
• Identify and lead process improvement initiatives across all revenue cycle functions including patient access, charge capture, coding, billing, and collections.
• Utilize Lean, Six Sigma, or other methodologies to streamline workflows and eliminate inefficiencies.
• Develop KPIs and dashboards to monitor performance and drive accountability.
• Partner with IT and analytics teams to enhance automation and system capabilities.
• Project Leadership
• Manage cross-functional projects aimed at improving revenue cycle outcomes, including system upgrades, policy changes, and compliance initiatives.
• Facilitate stakeholder engagement and change management to ensure successful implementation.
• Track project milestones, deliverables, and ROI.
• Data Analysis & Reporting
• Analyze financial and operational data to identify trends, opportunities, and risks.
• Prepare executive-level reports and presentations to communicate findings and recommendations.
• Maintain knowledge of industry benchmarks and best practices.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Minimum Education:           

Bachelor's degree in Healthcare Administration, Business Administration, Finance or related field required; Master’s degree preferred.

Minimum Experience:         

Five (5) years of progressive experience in revenue cycle management, with a focus on denials and process improvement required.

Licensure Requirement:      

None