Full-Time

Manager – Rcm

Confirmed live in the last 24 hours

Tempus

Tempus

1,001-5,000 employees

AI-driven healthcare data analysis platform

AI & Machine Learning
Biotechnology
Healthcare

Senior

Chicago, IL, USA

Hybrid position requiring onsite presence.

Category
Financial Planning and Analysis (FP&A)
Risk Management
Finance & Banking
Requirements
  • Bachelor's degree in healthcare administration, business, or a related field (or equivalent experience).
  • Familiarity with healthcare reimbursement, payer policies, and regulatory compliance in the revenue cycle.
  • Strong paralegal skills, including documentation management, legal research, and client communication, are highly desirable.
  • Excellent written communication skills, with the ability to produce clear, concise, and persuasive documents.
  • Familiarity with healthcare reimbursement, payer policies, and regulatory compliance in the revenue cycle.
  • Strong attention to detail and the ability to prioritize multiple competing tasks across projects, Third Party Billing Vendor, and internal Tempus teams.
  • Proven track record of establishing and monitoring KPIs and SOPs within a revenue cycle context.
  • Creative mindset in order to problem solve, comfort with ambiguity, and confidence to ask key questions.
  • Ability to develop and maintain strong relationships across departments (Market Access, Finance, Legal, Product, Medical Affairs, Lab Ops, etc.).
Responsibilities
  • Manage the Tempus refunds and post-payment appeals team with a focus on continuous improvement and excellence.
  • Develop and implement robust policies and procedures to ensure timely and accurate issuance of refunds where appropriate.
  • Establish and monitor Key Performance Indicators (KPIs) to track and improve the efficiency and effectiveness of the post-payment appeals process.
  • Create and maintain Standard Operating Procedures (SOPs) for the post-payment appeals team, ensuring compliance with all regulatory guidelines and payer requirements.
  • Provide comprehensive feedback to management on trends, findings, and strategies for resolving issues with both in-network and out-of-network payers.
  • Lead initiatives to identify root causes of overpayments and implement proactive measures to reduce the occurrence of future refunds.
  • Oversee the collection and organization of all necessary documentation in response to payer audits, ensuring meticulous documentation management.
  • Conduct thorough research to support audit responses and appeals.
  • Serve as the primary point of contact for all audit-related inquiries and correspondence, including writing clear, concise, and persuasive appeal response letters.
  • Collaborate with external auditors and payer representatives, providing timely responses and addressing any queries or concerns effectively.
  • Communicate effectively with clients and stakeholders regarding audit processes and outcomes.
  • Work closely with relevant departments to address audit findings and implement corrective actions.

Tempus focuses on enhancing patient outcomes through the use of data and artificial intelligence in the healthcare sector. The company offers a platform that analyzes medical data, helping physicians make better treatment decisions by providing insights from medical images and identifying care gaps. For pharmaceutical and biotech companies, Tempus aids in drug development by discovering new targets and assessing treatment effectiveness. Patients benefit from personalized therapy options identified through the platform. Tempus conducts significant research, particularly in cancer, and has developed tools like a pan-cancer organoid platform and a liquid biopsy assay for profiling circulating tumor DNA. The company generates revenue by charging healthcare providers and companies for access to its platform and insights.

Company Stage

Series G

Total Funding

$1.3B

Headquarters

Chicago, Illinois

Founded

2015

Growth & Insights
Headcount

6 month growth

3%

1 year growth

12%

2 year growth

33%
Simplify Jobs

Simplify's Take

What believers are saying

  • Tempus's IPO and significant revenue generation indicate strong financial health and growth potential.
  • Collaborations with industry giants like SoftBank and United Therapeutics can lead to groundbreaking advancements and increased market share.
  • The company's focus on personalized therapy and AI-driven insights can significantly improve patient outcomes, making it a rewarding place to work for those passionate about healthcare innovation.

What critics are saying

  • The lawsuit from Guardant Health over patent infringement could result in financial and reputational damage.
  • Operating in a highly competitive market with peers like Foundation Medicine and Guardant Health requires continuous innovation to maintain a competitive edge.

What makes Tempus unique

  • Tempus leverages AI to provide actionable insights from medical data, setting it apart from competitors who may not integrate AI as deeply into their platforms.
  • Their focus on personalized therapy options and extensive cancer research, including a pan-cancer organoid platform and liquid biopsy assay, distinguishes them in the healthcare tech space.
  • Tempus's collaboration with major firms like SoftBank and United Therapeutics highlights its strong industry partnerships and credibility.

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