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Tegria

Health-care IT services and clinical optimization

Revenue Cycle Manager

Full-TimeUpdated on 10/24/2026
$115k - $125k
Expert
Bachelor's
Minnesota, USA
RemoteRemote role; ATS scope is Minnesota, United States.
Business & StrategyBusiness Operations

About the job

Requirements
  • A bachelor's degree in Health Information Management, Accounting, Math, Business, or related fields, or an equivalent combination of education and experience.
  • Substantial experience in revenue cycle management, including prior personnel and budget management.
  • At least five years of experience with electronic health record applications.
  • Broad knowledge of healthcare revenue cycle, including multiple types of billing, coding, and reimbursement models.
  • Complete understanding of laws and regulations affecting healthcare revenue cycle.
  • Solid understanding of electronic health record revenue cycle modules and department operations.
  • Recognized subject matter expertise in medical billing, claims, denials, and related areas.
  • W2 project-based consultants must provide a computing device that meets industry standards and security best practices for project services.
  • Reliable internet access and sufficient internet speed for remote work.
Responsibilities
  • Manage day-to-day operations of the Revenue Cycle Services team by delegating tasks, monitoring progress, and evaluating work for timeliness, quality, and compliance with policies.
  • Administer and document personnel actions, including hiring, training, coaching, disciplining, corrective action, pay changes, performance appraisals, and promotions, in accordance with company policies and procedures.
  • Develop team members’ capabilities and foster engagement through guidance and mentoring.
  • Assess services, identify problems, analyze data, and propose solutions.
  • Develop new processes and improve existing processes to achieve team goals.
  • Follow and enforce guidelines, processes, and procedures to meet objectives and ensure compliance with company and regulatory requirements.
  • Respond to escalated issues, providing subject matter expertise or seeking it to resolve issues.
  • Monitor customer satisfaction with departmental services and recommend approaches to improve or recover service when needed.
  • Help ensure the continued development of a successful, satisfied customer base.
  • Help translate business strategies into marketable, billable services.
  • Assist the Director in partnering with the sales team to bring in new clients and promote new services to existing clients to drive team revenue goals.
  • Stay current on new trends, regulatory rules and changes, and best practices, and incorporate them into Revenue Cycle practices and programs.
  • Perform other generally related duties as assigned.
Desired Qualifications
  • A background in business development, client services, or business operations is preferred.

About the company

Tegria helps health care organizations of all sizes accelerate technological, clinical and operational advances so people can live healthier lives. It operates as a network of nine companies with more than 2,500 strategists, technologists, service providers and scientists, serving customers across the United States and Canada. Rooted in Providence, Tegria works with healthcare providers to implement and optimize technology, clinical workflows, and operations. Its integrated team offers end-to-end services, from strategy and implementation to ongoing support, across a wide range of health IT, clinical, and operational needs. Unlike firms that focus on a single specialty, Tegria combines multiple disciplines and a large, distributed talent pool to deliver value across the full care delivery spectrum. The company's goal is to improve health outcomes and create health for a better world by helping healthcare organizations adopt and optimize technology, clinical practices, and operations.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Seattle, Washington

Founded

2020

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Simplify's Take

What believers are saying

  • Altaris ownership gives Tegria new capital and growth mandates after January 2026.
  • Tegria's February 2026 access research taps urgent health-system spending on patient navigation.
  • CMS modernization shifts toward real-time fraud review, matching Tegria's payer-operations strengths.

What critics are saying

  • CMS selected HealthEdge and Peraton for the claims-system competition, not Tegria.
  • Tegria's 4,065-person workforce fell 12.8% from 2023 to 2026.
  • Altaris bought Tegria from Providence on January 6, 2026, resetting its identity.

What makes Tegria unique

  • Tegria won CMS ClaimsCore ePMO support in September 2026.
  • Tegria ranks No. 1 in 2025 Best in KLAS payer IT consulting.
  • Tegria's Clinical Optimization services scored 95+ for three straight years.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Health Savings Account/Flexible Spending Account
  • Disability Insurance
  • Life Insurance
  • Remote Work Options
  • Paid Vacation
  • Paid Sick Leave
  • Wellness Program
  • Professional Development Budget

Growth & Insights and Company News

6 month growth

-8%

1 year growth

-8%

2 year growth

-8%
Antlers American
Oct 19th, 2026
Tegria acquires healthcare cybersecurity firm CloudWave and names Craig Mengert chief executive

Tegria, a global healthcare services company, has acquired CloudWave, a cybersecurity, cloud hosting, and managed IT services provider built exclusively for healthcare. The deal adds CloudWave's security operations center (SOC) expertise to Tegria's managed services and expands its hosting infrastructure. CloudWave's chief executive officer, Erik Littlejohn, will become president of Tegria's Enterprise Technical Solutions. It is Tegria's first acquisition since New York-based investment firm Altaris acquired it earlier this year. Tegria also named Craig Mengert chief executive officer. He succeeds Brian Cahill, who is retiring after a 47-year career and will become an independent director. Mengert most recently led TriZetto, a Cognizant company.

DistilInfo
Sep 29th, 2026
CMS eyes new tech to cut fraud.

CMS eyes new tech to cut fraud. The Centers for Medicare and Medicaid Services is eyeing a combination of artificial intelligence, medical provider education and new laws to reduce improper payments and fraud, expanding on the existing CMS Fraud Defense Operations Center technology that has already stopped billions in potentially fraudulent payments. Why documentation errors are central to this CMS Fraud Defense Operations Center technology push. One of the biggest drivers of improper payments, which totaled billions of dollars across CMS programs in fiscal year 2025, is incorrect documentation or a lack of documentation, according to CMS Deputy Administrator Kimberly Brandt. "Our goal is to really start using machine learning tools and some of those technologies to really help start working with the provider community," Brandt said at the Health Datapalooza event Friday. The scale of potential savings. Brandt's office did not clarify how the agency plans to use AI to support providers, but she stressed that reducing documentation-related improper payments could drop Medicare's entire improper payment rate by as much as two percentage points, calling that reduction "huge." The claims system overhaul within this CMS Fraud Defense Operations Center technology effort. CMS is also working with contractors to replace legacy Medicare claims systems with a modern one as part of its fraud crackdown. The new claims system would issue "real-time payments" to providers and include "real-time fraud review tools," Brandt said. The contractors competing for this system. CMS selected two companies to compete for a potential seven-year contract for the modern Medicare claims system. HealthEdge's contract had an initial $2.5 million obligation and a $1.1 billion ceiling, while Peraton's contract had an initial $9.1 million obligation and an $825 million ceiling. CMS has also selected Tegria, a healthcare consulting and technology services company, to provide management and technical implementation support for the overhaul. Brandt's office did not respond to a request for comment on the claims system competition. The existing CMS Fraud Defense Operations Center technology already in use. In March 2025, CMS launched a Fraud Defense Operations Center to proactively detect fraud. The center uses AI to sift through thousands of Medicare claims and create a heat map of frequently billed items and services. "Skin [substitutes] were a big thing last year. We're still seeing the overflow of catheters [and] genetic testing. But the fact is that we decided those are the areas that we know that we can hit hard at," Brandt said. Within those identified items and services, CMS uses machine learning to find documentation patterns that would benefit from human scrutiny. The results this CMS Fraud Defense Operations Center technology has produced. The center has stopped nearly $2.5 billion in potentially fraudulent Medicare payments and taken action on just under 800 providers, Brandt said Friday. She previously told Nextgov/FCW that CMS would benefit from new dashboards and better analytics to detect fraud in state-administered Medicaid programs. Why Medicaid oversight remains a distinct challenge. Brandt's separate comment about needing better analytics specifically for state-administered Medicaid programs suggests the center's current tools and results are concentrated more heavily on Medicare, with state-level Medicaid fraud detection representing an area CMS still views as underdeveloped by comparison. The legislative ask alongside this CMS Fraud Defense Operations Center technology strategy. Besides technology, Brandt sees a role for Congress to play in helping CMS crack down on fraud. She said she has urged congressional offices to give CMS the power to sometimes stop providers and payers from enrolling in federal programs. "If we can keep them out, it'll be better for all of us," Brandt said. How this fits CMS's broader 2026 enforcement pattern. This request for expanded enrollment-blocking authority arrives alongside CMS's already active use of enrollment moratoriums and exclusion authority throughout 2026, including actions against DMEPOS suppliers and hospice and home health agencies, suggesting Brandt is seeking to formalize and expand tools the agency has already been applying more narrowly. What this CMS Fraud Defense Operations Center technology push means going forward. With HealthEdge and Peraton competing for a contract worth up to $1.1 billion, the eventual selection and rollout of a modernized Medicare claims system could significantly reshape how quickly CMS detects and stops fraudulent payments, moving from retrospective heat-map analysis toward real-time review. Given Brandt's specific two-percentage-point estimate for documentation-related savings, providers should expect CMS to expand machine learning-driven documentation education and enforcement, though the agency has not yet detailed exactly what that provider-facing technology will look like. What to watch going forward. As CMS moves toward selecting a contractor for its claims system overhaul, industry observers will likely watch whether HealthEdge or Peraton is ultimately chosen, and how quickly Tegria's implementation support translates into an operational real-time payment and fraud review system. Given Brandt's explicit request for expanded congressional authority to block problematic providers and payers from enrolling in federal programs, this CMS Fraud Defense Operations Center technology strategy may increasingly combine legislative and technical tools as the agency continues its broader push to reduce Medicare and Medicaid improper payments.

Tegria
Sep 21st, 2026
Tegria selected by CMS to support ClaimsCore modernization.

Tegria selected by CMS to support ClaimsCore modernization. Sept. 21, 2026 - Tegria has been selected by the Centers for Medicare & Medicaid Services (CMS) to provide Enterprise Program Management Office (EPMO) and technical implementation support for ClaimsCore, the agency's initiative to modernize legacy Medicare fee-for-service claims processing. Under the contract, Tegria will deliver integrated, vendor-neutral, evidence-based program management and implementation support. The Tegria team will coordinate across CMS components and system owners to advance proof-of-concept execution, dual-run claims validation, and implementation readiness. "Medicare claims processing touches millions of Americans every day, which means the stakes are high. We're grateful CMS has selected us as a partner to bring our payer operations experience to an initiative of this scale and complexity," said Craig Mengert, Chief Executive Officer, Tegria. About Tegria Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to transform healthcare. Tegria's global team of more than 1,000 experienced professionals has helped drive meaningful change for more than 650 provider and payer clients across North America and Europe. Tegria has been ranked and recognized in consecutive Best in KLAS reports, including a #2 ranking in the 2026 Best in KLAS: Software & Services report for Overall IT Services Firm and Best in KLAS recognition for Payer IT Consulting (2025) and Application Hosting (2024).

Business Wire
Jun 8th, 2026
Tegria appoints Craig Mengert as CEO after Altaris acquisition

Tegria, a global healthcare consulting and services company, has appointed Craig Mengert as chief executive officer. Mengert will also join Tegria's board of directors, succeeding Brian Cahill, who is retiring after 47 years and will transition to an independent director role. Mengert brings over 30 years of healthcare experience and most recently served as CEO at TriZetto, a Cognizant company, where he led double-digit growth and championed artificial intelligence integration. He previously held leadership positions at Horizon BlueCross BlueShield of New Jersey. The appointment follows Tegria's acquisition by Altaris, a healthcare-dedicated investment firm, earlier this year. Tegria employs over 1,000 professionals serving more than 650 provider and payer clients across North America and Europe.

Altaris, LLC
Jan 6th, 2026
Altaris acquires healthcare technology services provider Tegria from Providence St. Joseph Health

Altaris has acquired Tegria Services Group from Providence St. Joseph Health, establishing it as an independent provider of outsourced technology services for healthcare providers and payers. The transaction terms were not disclosed. Tegria specialises in healthcare technology services, offering consulting, managed services and technology solutions across North America and the UK. The company provides system implementation, application hosting, data and analytics, and revenue cycle management services. It will continue serving Providence as a preferred technology partner. Tegria received multiple recognitions in the 2025 Best in KLAS Software and Services Report, including Best in KLAS for Payer IT Consulting. Altaris, founded in 2003, manages over $9 billion in equity capital and has invested in more than 50 healthcare companies.