Program Manager (Oncology Revenue Optimization)
Job Description
Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
Position Summary
The Program Manager will lead the strategic development and implementation of key initiatives supporting Oncology Care Coordination. This role provides program-level oversight of processes related to the review and auditing of documentation, charges, claims, and denials across services such as Principal Illness Navigation, Chronic Care Management, Health Assessments, Social Determinants of Health, and Advance Care Planning.
You will design standardized workflows, establish performance metrics, and drive system-wide tracking and reporting to ensure accurate and comprehensive revenue capture. This highly collaborative role partners across clinical, operational, IT, and revenue cycle teams to optimize documentation, billing, and program effectiveness while aligning with organizational priorities.
As a successful candidate, you will:
- Lead the strategic development, implementation, and continuous improvement of documentation, billing, and audit processes
- Analyze denials and reimbursement trends to identify payor patterns and optimization opportunities
- Design and implement standardized workflows to ensure consistent and accurate revenue capture
- Establish and monitor key performance metrics to drive program success and improvements
- Identify gaps in documentation, billing processes, or EMR functionality and lead enhancements
- Develop tools, training materials, and resources to improve documentation quality and billing accuracy
- Build strong cross-functional relationships to advance Oncology Care Coordination initiatives
- Represent revenue optimization efforts in system-wide committees and planning forums
- Lead project management efforts, ensuring timelines, milestones, and deliverables are achieved
- Oversee implementation of new processes and evaluate outcomes against strategic goals
Your qualifications should include:
- Bachelor’s Degree in Business, Healthcare Administration, or a related field
- Minimum of five (5) years of experience in the healthcare industry
- At least three (3) years of experience in professional billing
- Strong knowledge of coding systems including CPT-4, HCPCS, and ICD-10
- AAPC and/or CPC certification preferred
- Demonstrated ability to lead cross-functional initiatives and drive process improvements
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
City of Hope is an equal opportunity employer.
To learn more about our Comprehensive Benefits, please CLICK HERE.
Salary / Pay Rate Information:
Pay Rate: $40.82 - $63.27 / hour
The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.
City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.
