turquoise-health - Senior Manager/Principal, Provider RCM Business Development & Strategy
Requirements
• What you bring to the Senior Manager/Principal role: • Bachelor's degree from a top tier institution required; MBA/MPH strongly preferred. • 8+ years in RCM-focused management consulting, digital health, or provider-side revenue cycle strategy & operations, with a track record of owning senior client relationships and delivering measurable financial impact. • Deep, current command of the revenue cycle end to end: patient access, coding, charge capture, CDI, billing, claims adjudication, denials, and payer contracting/negotiations and how each connects to a provider's realized net revenue. • Demonstrated ability to build and deliver executive-level presentations, distilling complex analyses into clear, board-ready narratives and presenting them with confidence to C-suite and senior client leadership. • Comfortable and curious, adopting AI tools to work faster and sharper, forward-leaning on the technology without needing deep AI/ML expertise. • Strong grasp of reimbursement mechanics and payment methodology across care settings (hospital outpatient vs. ASC vs. physician), and how payer coverage and contract terms translate into revenue. • Genuine technical fluency: comfortable pulling and manipulating data directly in SQL (or equivalent), building your own analyses, and identifying and resolving data discrepancies without waiting on an analyst. • A structured, hypothesis-driven problem solver who can decompose ambiguity, form a point of view, and revise it as the evidence changes • A proven ability to build consensus and drive decisions among senior internal and external stakeholders. • Certifications (Preferred) • HFMA designations such as CRCR (Certified Revenue Cycle Representative) or CHFP (Certified Healthcare Financial Professional), and active HFMA membership. • AAPC coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), COC (Certified Outpatient Coder).
Responsibilities
• As a Senior Manager/Principal in our Provider Vertical, you'll manage • Growth & Business Development • Partner with Sales and Customer Success to identify, scope, and win new engagements, shaping RFPs, proposals, statements of work, and value based pricing that reflect the value delivered. • Convert one-off projects into durable, multi-year partnerships across people, process, and technology by spotting adjacent opportunities across new and within existing accounts. • Act as a thought partner to senior leadership on how Turquoise packages, prices, and positions its solution based offerings. • Customer-Facing Partnerships • Serve as a trusted advisor to senior leaders such as VPs of Revenue Cycle and Managed Care, CFOs, and their teams at hospitals and health systems, framing ambiguous problems and translating them into structured, data-driven engagements across strategic pricing, payer contracting, charge capture, CDI, and other initiatives supporting net revenue improvement. • Own engagements end to end: scoping, work planning, execution, and delivery, holding yourself accountable for measurable client outcomes • Lead with expert subject matter and analytical methodology for each engagement. Pull and analyze price transparency, contracts, claims, and reimbursement data directly, pressure-test findings, and synthesize them into executive-ready narratives that withstand scrutiny. • Present findings and insights to client executives and help influence decisions on pricing strategy, contracting strategy, payer negotiations • Cross-Functional Partnership • Partner with Customer Success to align engagement outcomes with the broader account relationship and deliver a seamless customer experience. • Work with Solutions Engineering to source, structure, and validate the novel datasets that power customer work. • Coordinate with Finance, Legal, and Revenue Operations on contracting, engagement economics, and compliance. • Feed structured insight back to Product, surfacing recurring client needs, defining requirements for productization, and helping reduce cost-to-serve and improve scalability.
Benefits
• $165K – $220K • Offers Equity • Our salary ranges are determined by role and level and reflect the minimum and maximum salary across all US locations (please note: salaries are location agnostic). Within the range, individual pay is determined by factors including job-related skills, experience, and relevant education or training. We will talk about compensation in our first conversation and be transparent throughout the process about which level we think is the best match for you in our organization. Please note that the salary range does not reflect total compensation, which includes base salary, benefits, and company stock options. • Upload your resume here to autofill key application fields. • Drop your resume here! • Parsing your resume. Autofilling key fields... • Please note: to ensure that candidates select the most relevant jobs for their skills, we have set up limits to the number of times candidates can apply. The following limits apply to all roles at Turquoise: • Candidates may not apply to more than 3 roles in a 60 days period • Candidates may not re-apply to the same role within 90 days if not presented with an offer • Our roles are fully remote within the United States. • or drag and drop here • Walk us through a strategic pricing or payer contract negotiation you led or advised on for a hospital or health system. How did you build your position, what tradeoffs did you weigh, and what was the outcome? • Tell us about a time you pulled and analyzed data yourself to reach a strategic conclusion. What datasets did you work with, how did you handle data quality or discrepancy issues, and how did the analysis change the decision? • Give an example of an engagement or initiative that required you to align multiple internal teams alongside an external customer. How did you build consensus, and what would have gone differently without your involvement? • Decline to self-identify • Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. • Hispanic or Latino • White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. • White • Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa. • Black or African American • Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. • Native Hawaiian or Other Pacific Islander • Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. • Asian • American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. • American Indian or Alaska Native • Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races. • Two or More Races • Hispanic or Latino • White (Not Hispanic or Latino) • Black or African American (Not Hispanic or Latino) • Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) • Asian (Not Hispanic or Latino) • American Indian or Alaska Native (Not Hispanic or Latino) • Two or More Races (Not Hispanic or Latino) • I identify as one or more of the classifications of protected veteran listed above • I am not a protected veteran
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