Posted 1w ago

PACE Senior Revenue Cycle Analyst

@ Valir Health
Oklahoma City, Oklahoma, United States
HybridFull Time
Responsibilities:Own revenue cycle operations, Validate capitation payments, Manage accounts receivable
Requirements Summary:Senior level revenue cycle experience in healthcare; strong knowledge of payer workflows, cash acceleration, and AR management.
Technical Tools Mentioned:ICD-10, CPT, HCPCS, EDi, RAPS, EDS, EDI, CMS, Clearinghouse workflows
Save
Mark Applied
Hide Job
Report & Hide
Job Description

About Valir Health



Valir Health is building a differentiated, multi-state platform focused on PACE, hospice, and value-based care for aging populations.



We are not a traditional provider—and not a passive payer. We operate at the intersection of clinical care delivery, managed care economics, and regulatory rigor.



This role is for someone who understands that revenue cycle is not billing—it focuses on operational performance with supported outcomes.



Position Summary



The Senior Revenue Cycle Analyst is responsible for end-to-end operational performance of the revenue cycle, including:




  • PACE capitation (Medicaid / Medicare) validation and reconciliation

  • Claims and encounter submission (RAPS, EDS, EDI)

  • Billing, collections, and participant liability

  • Accounts receivable and denial management

  • Insurance claims adjudication awareness (payor logic)

  • Eligibility, enrollment, and revenue alignment

  • Financial reporting, controls, and audit readiness



This role blends provider-side execution with payer-side intelligence—a critical capability in PACE and value-based care environments.



You will partner across Finance, Clinical, Enrollment, Compliance, and Operations to drive cash, eliminate leakage, and build scalable infrastructure.