Sr. Manager, Reimbursement Operations & Optimization

At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe. Working at Veracyte enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose driven environment. This is what we call the Veracyte way – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients make life‑changing decisions.

Our Values:

• We Seek A Better Way : We innovate boldly, learn from our setbacks, and are resilient in our pursuit to transform cancer care
• We Make It Happen : We act with urgency, commit to quality, and bring fun to our hard work
• We Are Stronger Together : We collaborate openly, seek to understand, and celebrate our wins
• We Care Deeply : We embrace our differences, do the right thing, and encourage each other

The Position:

We are seeking a highly skilled and experienced Senior Manager, Reimbursement Operations & Optimization to lead high‑impact initiatives that improve financial & operational performance across the revenue cycle. In partnership with operational leaders, this role will be focused on designing, implementing, and scaling end‑to‑end reimbursement processes to drive sustainable improvements in reimbursement (i.e., improve ASP through reducing initial denial rate, appeal efficacy, etc) and operational efficiency.

Success in this role requires deep expertise in medical reimbursement systems and processes (e.g., utilization management, adjudication, and operational systems), along with strong knowledge of payer claim and medical policies to optimize reimbursement. Analytical, interpersonal, and operational skills are critical to streamlining processes and improving financial performance. A solid understanding of payor claim and appeal review processes—particularly from a claim processing and medical policy perspective—will also be essential to driving effective process improvements.

• Regularly analyze revenue cycle data to gauge and optimize operational performance; use data to identify reimbursement leakage and variability to maximize payer performance and operational outcomes.
• Design scalable, system‑based solutions to address root causes rather than symptoms in a way that will measurably improve operational effectiveness and claims performance.
• Produce clear problem statements, process maps, business requirements, success metrics, and post‑implementation performance reviews to address root causes.
• Monitor & track payer performance to maximize reimbursement, partnering with internal operations leaders on reviews (i.e., meet coverage policies), remediations and payer escalations (if/when needed).
• Leverage data to identify trends, forecast impact, and prioritize high‑ROI initiatives, delivering clear insights and recommendations to senior leadership & cross‑functionally.
• Take a proactive role in evaluating and implementing revenue cycle technologies (OCR, AI‑Enabled workflows, integrations, automations, etc) to enhance operational effectiveness.
• Play a key role in revenue cycle technology initiatives, helping translate operational needs into requirements, partnering with technical teams in design and build, ensuring successful UAT to maximize production readiness and owning the creation of business documentation (requirements, process flows, UAT artifacts).
• Partner with Reimbursement leaders to re‑engineer reimbursement workflow to standardize processes while preserving flexibility for payor‑specific nuances.
• Drive cross‑functional workstreams across finance, operations, clinical teams, and Customer Care, to optimize revenue cycle performance.

Who You Are:

• 8+ years of experience in healthcare reimbursement, revenue cycle operations, or related financial operations, with progressive leadership responsibility.
• Demonstrated success driving process improvement and reimbursement optimization initiatives with measurable financial impact.
• Strong understanding of payor dynamics, prior authorization, claims adjudication, denials, and appeals.
• Experience leading or partnering with automation, AI, or technology enabled operational transformations.
• Advanced analytical skills with the ability to translate complex data into actionable insights.
• Proven ability to lead cross‑functional initiatives in a fast‑paced, ambiguous environment.
• Excellent analytical skills with the ability to analyze complex data, identify trends, and make data‑driven decisions.
• Experience building a strong team. Knows how to screen, hire, and coach new team members during periods of high growth.

Preferred Qualifications:

• Clinical Background (BSN, Genetic counseling, etc.) a plus but not required.
• Experience in diagnostics, laboratory services, or complex reimbursement environments.
• Formal training or certification in Lean, Six Sigma, or process improvement methodologies.
• Experience building early indicator KPI models that forecast long‑term reimbursement outcomes.

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Pay range: $140,000 — $190,000 USD

What We Can Offer You

Veracyte is a growing company that offers significant career opportunities if you are curious, driven, patient‑oriented and aspire to help us build a great company. We offer competitive compensation and benefits, and are committed to fostering an inclusive workforce, where diverse backgrounds are represented, engaged, and empowered to drive innovative ideas and decisions. We are thrilled to be recognized as a 2024 Certified Great Place to Work in both the US and Israel — a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose.

About Veracyte

Veracyte is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower clinicians with the high‑value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our Veracyte Diagnostics Platform delivers high‑performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence‑generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. For more information, please visit or follow us on LinkedIn or X (Twitter).

Veracyte, Inc. is an Equal Opportunity Employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Veracyte participates in E‑Verify in the United States. View our CCPA Disclosure Notice.

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