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Sr Manager, Enterprise Denial Projects jobs in United States
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Emory Healthcare · 5 hours ago

Sr Manager, Enterprise Denial Projects

Emory Healthcare is seeking an experienced Senior Manager, Enterprise Denial Projects to serve as a senior operational leader within Enterprise Denials Management. This role is responsible for driving enterprise-wide performance improvement, automation, and strategic alignment across the denials ecosystem, impacting both Hospital Billing and Professional Billing.
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H1B Sponsor Likelynote

Responsibilities

Provide direct oversight, leadership, and development of Enterprise Denials Project Managers supporting Hospital Billing and Professional Billing initiatives
Set strategic priorities, clarify ownership, and ensure consistent execution across HB and PB workstreams
Review project plans, deliverables, timelines, and outcomes to ensure alignment with enterprise denials strategy and leadership expectations
Coach and mentor project managers in executive communication, project rigor, stakeholder engagement, and performance accountability
Serve as a strategic partner to the Director of Enterprise Denials Management, supporting operational oversight, strategic planning, leadership preparedness, and execution of departmental priorities
Lead enterprise denials operational meetings, including cross-functional performance reviews, enterprise workgroups, and leadership alignment sessions
Present clear, data-driven insights on denial trends, root-cause patterns, variances, and enterprise opportunities
Serve as an operational partner to the CRCO, Revenue Cycle VPs, and senior leaders to ensure visibility, alignment, and prioritization of denials initiatives
Coordinate follow-up actions and ensure accountability across multiple stakeholder groups
Lead and coordinate all EDM process improvement initiatives using structured project management methodologies
Maintain the Enterprise Denials Project Planner, ensuring transparency of milestones, risks, dependencies, ownership, and outcomes
Partner with senior operational leaders to align process improvement initiatives with enterprise priorities, root-cause trends, and CFO reporting requirements
Identify workflow gaps across Access, CPD, HIM, Coding, Billing, and clinical departments and recommend strategies to reduce denials and improve performance
Serve as the primary EDM partner to Analytics leadership to ensure data accuracy, consistency, and enterprise alignment
Collaborate on validation of denial datasets, dashboards, and analytic outputs prior to distribution to leadership and operational partners
Ensure alignment between analytic reporting, root-cause findings, process improvement initiatives, and operational workflows
Translate analytic insights into clear narratives and executive-level materials for Director, VP, and CRCO audiences
Partner with Emory Digital and Analytics teams to identify and advance automation and AI-enabled opportunities across the denials lifecycle
Translate operational needs into clear business requirements and support design, testing, and validation activities
Evaluate ROI, performance impact, and operational readiness for digital and automation initiatives
Communicate progress, risks, and strategic alignment to senior leadership
Provide regular updates, risk assessments, and strategic recommendations to the Director, CRCO, and Revenue Cycle VPs
Develop executive summaries, presentations, and leadership-ready materials
Serve as a liaison across EDM, Revenue Cycle leadership, clinical departments, Emory Digital, and Analytics teams
Promote a culture of transparency, accountability, and continuous improvement across the enterprise
Additional Duties as Assigned

Qualification

Revenue cycle operationsDenials managementData analysisProject managementProcess improvementAutomation initiativesEpic workflowsLeadership skillsCommunication skillsPMP certificationLean Six SigmaPower BI

Required

Bachelor's degree in Business, Healthcare Administration, Finance, Analytics, or a related field or ten (10) or more years of progressive revenue cycle experience in lieu of degree
Minimum of five (5) years of experience in revenue cycle operations, denials management, or healthcare project management
Demonstrated experience leading cross-functional initiatives and managing project resources
Experience partnering with senior leaders at the Director and Vice President level
Strong understanding of hospital and professional billing denials, root-cause analysis, and payer requirements
Advanced analytical and critical-thinking skills with the ability to translate complex data into operational strategy
Strong people leadership skills, including coaching and developing project managers
Excellent communication, facilitation, and executive presentation skills
Ability to influence without direct authority and manage competing enterprise priorities
High degree of organization, accuracy, and follow-through

Preferred

Master's degree in Business Administration, Healthcare Administration, Public Health, or a related field
Experience leading or mentoring project managers or analysts
Experience partnering with digital or analytics teams on automation, dashboards, or AI-enabled initiatives
Familiarity with Epic Hospital Billing (HB) and Professional Billing (PB) workflows and denial reporting tools
PMP, Lean Six Sigma, or equivalent certification
Experience with enterprise analytics and reporting platforms such as Power BI or similar tools
Experience supporting executive-level reporting, governance forums, or board-facing materials
Strong strategic mindset combined with disciplined execution

Company

Emory Healthcare

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Emory Healthcare is the largest healthcare system in the state of Georgia., United States.

H1B Sponsorship

Emory Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (48)
2024 (68)
2023 (30)
2022 (25)
2021 (12)
2020 (7)

Funding

Current Stage
Late Stage

Leadership Team

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Jennifer Schuck
Chief Executive Officer
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Joon S Lee MD
Chief Executive Officer
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Company data provided by crunchbase