Senior Manager- Denials Management Operations Position Available In Monroe, New York

Job Description:

Mayo Clinic is top-ranked in more specialties than any othercare provider according to U.S. News & World Report. As we worktogether to put the needs of the patient first, we are alsodedicated to our employees, investing in competitive compensationand comprehensive benefit plans – to take care of you and yourfamily, now and in the future. And with continuing education andadvancement opportunities at every turn, you can build a long,successful career with Mayo Clinic. Benefits Highlights

Medical:

Multiple plan options.

Dental:

Delta Dental or reimbursementaccount for flexible coverage.

Vision:

Affordable plan withnational network.

Pre-Tax Savings:

HSA and FSAs for eligibleexpenses.

Retirement:

Competitive retirement package to secureyour future. Responsibilities The Senior Manager – DenialsManagement Operations plays a critical leadership role in theexecution and performance of day-to-day denial managementactivities across a large, enterprise health system. This positionoversees multiple specialized teams responsible for managingincoming, priority, and resolution-stage denials, ensuring optimalperformance in alignment with organizational goals and compliancerequirements. The ideal candidate brings strong operationalleadership, the ability to manage multi-skilled teams, and a firmgrasp of key revenue cycle KPIs. The Senior Manager will alsocollaborate closely with PRIZM teams to align on denial trends,provide feedback loops, and contribute to data-informed performanceimprovement. Additionally, this role will be a key point of contactfor teams working with external global vendors, ensuring quality,efficiency, and accountability.

Key Responsibilities:

• Directdaily operations of denials management teams including thosefocused on new incoming denials, priority denials, and denialresolution.
• Manage a team of Senior Representatives andRepresentatives across multiple functions and locations.
• Ensuredepartmental and enterprise KPIs are tracked, met, and continuouslyimproved (e.g., denial overturn rates, days to resolve, appealsuccess rates).
• Partner closely with the PRIZM team to monitordenial trends, identify feedback loops, and guide data-drivenimprovements.
• Provide frontline feedback on denial patterns toupstream departments, including clinical documentation, patientaccess, and billing teams.
• Collaborate with enterprise vendormanagement teams and global service providers to align onoperational execution, productivity, and quality expectations.
• Develop team performance metrics, conduct regular reviews, andimplement performance improvement strategies where necessary.
• Ensure all activities are compliant with payor guidelines,organizational standards, and applicable regulatory requirements.
• Act as a coach and mentor to staff, fostering growth and engagementthrough ongoing development and feedback.
• Maintain a strongoperational rhythm with cross-functional stakeholders, ensuringescalation pathways are in place and effectively utilized.
• Support broader revenue cycle initiatives, participating incommittees, task forces, or workgroups as needed.

QualificationsRequired:

• Bachelor’s degree in Business, Healthcare, Finance, orrelated field, and 10 years of relevant experience including 5years of leadership experience OR 14 years of relevant experiencein lieu of a degree, including at least 5 years managing people andoperations.
• Proven ability to manage high-volume operationalteams in a complex healthcare environment.
• Deep understanding ofdenial workflows, appeals, root cause analysis, and operationalKPIs.
• Demonstrated success managing people, driving performanceimprovement, and optimizing team structures.
• Experience workingin or closely with revenue cycle systems, including denialmanagement platforms like PRIZM.
• Excellent communication andrelationship-building skills across administrative, clinical, andvendor teams.

Preferred:

• Experience managing multi-site or remoteteams, including global vendor operations.
• Familiarity with EPIC,and other denial and appeal tracking tools.
• Prior work in a largeacademic health system or matrixed health enterprise.
• Involvementin denial prevention workgroups, HFMA task forces, orpayer-provider collaboration initiatives.

Key Competencies:

• Operational Execution & Prioritization
• Team Leadership & TalentDevelopment
• Metrics-Driven Accountability
• StakeholderCoordination & Feedback Loop Creation
• Vendor Oversight &Partnership Management
• Revenue Cycle Process Knowledge

StrongCommunication & Situational Awareness Additional Information:

• This position may require occasional travel based on operationalneeds or vendor coordination.
• Ability to operate in a fast-paced,performance-driven environment with rapidly changingpriorities.