Revenue Cycle Optimization Manager (Remote)

Company Description

Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. Guardant Health has commercially launched Guardant360®, Guardant360 CDx, Guardant360 TissueNext™, Guardant360 Response™, and GuardantOMNI® tests for advanced stage cancer patients, and Guardant Reveal™ for early-stage cancer patients. The Guardant Health screening portfolio, including the Shield™ test, aims to address the needs of individuals eligible for cancer screening.

Job Description

Are you a strategic thinker with a passion for solving revenue cycle challenges? Do you want to be part of an organization that is conquering cancer with new diagnostic products? Join us as a Revenue Cycle Optimization Manager and play a pivotal role in reshaping how we deliver financial performance and operational excellence. In this high-impact leadership position, you’ll drive innovation across the entire revenue cycle using data and process improvement techniques. If you're ready to lead cross-functional initiatives, reduce inefficiencies, and make a difference in the future of cancer treatment, we want to hear from you!

The Revenue Cycle Optimization Manager is a key leader responsible for identifying, developing, and implementing strategic initiatives that drive operational efficiency and reimbursement effectiveness across all functions of the healthcare revenue cycle. This role will focus on continuous improvement within reimbursement operations, including prior authorization, billing, coding, claims follow-up, and collections.

The ideal candidate brings a deep understanding of healthcare revenue cycle management combined with proven experience applying process improvement methodologies (e.g., Lean, Kaizen, Six Sigma) to achieve measurable gains in financial performance, reduce denials, and streamline workflows. This role collaborates cross-functionally to eliminate bottlenecks, strengthen compliance, and improve the end-to-end revenue cycle experience for both patients and providers.

• Collaborate across reimbursement teams (billing, prior auth, coding, A/R) to assess processes and implement improvements that accelerate revenue realization and reduce claim denials.
• Develop and execute targeted process improvement initiatives that optimize key revenue cycle metrics, such as Days in A/R, first-pass resolution rate, and cash collections.
• Lead root cause analysis and performance audits to identify inefficiencies, reduce rework, and improve reimbursement timelines and payer compliance.
• Build and manage a framework for continuous quality improvement, leveraging Lean, Six Sigma, or Kaizen techniques to establish standard workflows and operational excellence.
• Provide guidance and hands-on support to revenue cycle teams, mentoring staff in improvement methodology and project execution.
• Monitor and report on performance KPIs, developing dashboards and tracking mechanisms to evaluate initiative impact and sustain improvements.
• Partner with cross-functional teams in Client Services, Payer Relations, Finance, and IT to align process improvements with broader business and system initiatives.
• Stay current with industry trends, payer changes, and regulatory requirements to proactively adapt reimbursement strategies.

Qualifications

• Bachelor's degree required; Master's degree preferred.
• Minimum of 5 years of experience in healthcare revenue cycle operations, with a focus on reimbursement, billing, or claims management.
• Proven success implementing process improvement frameworks (Lean, Six Sigma, Kaizen) to increase operational efficiency and financial outcomes.
• Strong knowledge of healthcare reimbursement processes, payer requirements, and RCM metrics (e.g., DSO, denial rate, net collections).
• PMP or Lean Six Sigma certification preferred.
• Exceptional analytical and problem-solving skills; advanced proficiency in data tools (e.g., Excel, Tableau, or similar platforms).
• Strong interpersonal and leadership skills with the ability to influence cross-functional teams and drive change.
• Clear, effective communication with internal stakeholders, including operations, clinical teams, and executive leadership.

Additional Information

Hybrid Work Model: At Guardant Health, we have defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We hav