The Senior Manager, Content Performance & Coding Compliance will strategically leverage quality trends, client data, and content sources to drive E2E performance improvement of Rialtic’s content development process and ensure coding compliance. This is a foundational leadership role within a high-growth startup.
Requirements
- Grow and lead a high-performing team of Content Policy Managers and Analysts
- Serve as a player-coach, creating an environment of ownership, resilience, and high accountability
- Research potential policy defects and resolve inquiries submitted by clients and colleagues
- Troubleshoot policy defects and collaborate with Content and Engineering teams to adjust and resolve policy design
- Lead root cause analysis (RCA) of identified policy defects to determine additional controls needed to drive E2E continuous quality improvement
- Proactively leverage policy utilization trend data to monitor, investigate, and mitigate insight rate anomalies
- Leverage the combined policy defect and utilization trend data to identify and develop process changes, automation/tooling enhancements, and scalable, AI-enabled approaches to drive increased efficiency and quality across the E2E Content development process
- Partner with Product and Engineering teams to define and drive strategic Content platform enhancements
- Maintain a strong sense of speed of play — balancing urgency with quality
- Lead the ongoing maintenance of Rialtic’s policy library to ensure policies remain accurate and up-to-date with source changes
- Lead the implementation of new CPT, HCPCS, and ICD-10 codes across Rialtic’s policy library
- Manage Rialtic’s subscriptions to Content reference sources and serve as vendor relationship manager
Benefits
- Freedom to work from wherever you work best and a home office stipend to make it happen
- Meaningful equity and 401 (k) matching
- Unlimited PTO
- Comprehensive health plans with generous contributions to premiums
- Mental and physical wellness support through TalkSpace, Teladoc, and One Medical subscriptions
