Senior Manager/Director, Provider RCM Business Development & Strategy

Job description

This is a fully remote role in the United States. Are you a results-oriented, innovative and forward-thinking Business Development & Strategic Leader with strong expertise and passion for Revenue Cycle Management BD and Strategic Solution development? Here at Turquoise Health, we're seeking a dynamic Senior Manager/Director to drive Provider RCM solution growth, develop novel capabilities, and work cross-functionally with customers and internal teams to shape the future of our RCM solutions. This is a high-impact, high-visibility role supporting senior leadership as a thought partner in shaping how Turquoise serves our most valuable hospital and health system customers. You'll sit at the intersection of healthcare data and customer solution strategy, pulling and interpreting price transparency and reimbursement data, reasoning across the RCM landscape, and translating insights into board-ready narratives that move strategic pricing, payer contracting, and innovative tech-enabled solutions. You should be comfortable sitting at the intersection of business development and solution delivery. You should be someone with strong opinions, held loosely, who is equally comfortable in a SQL editor as you are in a commercial leader's office. We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Building a truly diverse team is a challenge that we do not shy away from. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all. Responsibilities As a Senior Manager/Director 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. 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). Benefits - Competitive pay with equity options - Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options - Company-sponsored disability & life insurance - Unlimited PTO - 401(k) + 4% Matching - Fully remote work + flexible working hours - $750 work-from-home setup budget - Paid quarterly in-person co-working weeks - Quarterly $150 co-hanging stipend to meet up with coworkers - Monthly $100 health and wellness benefit - Generous paid family leave ABOUT TURQUOISE HEALTH Turquoise Health is a Series C price transparency platform for finance leaders across healthcare. Backed by a16z, Oak HC/FT, Adams Street, Yosemite, Bessemer Venture Partners, and others, we power price transparency for 300+ enterprise organizations and are building the infrastructure for a more open, efficient healthcare marketplace. We're a remote-first, US-based team that values transparency, empathy, inclusivity, creativity, and ownership. We operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates. We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all. DISABILITY ACCOMMODATION EMAIL Turquoise is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact recruiting@turquoise.health