Company Description

Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer. For more information, visit guardanthealth.com and follow the company on LinkedIn, X (Twitter) and Facebook.

Position Summary:

The Manager, Revenue Cycle Management - Front-End Reimbursement provides strategic leadership and operational oversight for all pre-billing functions across the revenue cycle. This role is responsible for ensuring the accuracy, efficiency, and compliance of front-end processes, including patient access, insurance verification, prior authorization, and intake case management.

This leader plays a critical role in minimizing downstream denials, accelerating cash flow, and improving the patient financial experience by driving high-quality data capture and standardized workflows prior to claim submission. The Manager oversees both onshore and offshore (BPO) teams, establishes quality and compliance frameworks, and leads scalable process improvements aligned with organizational growth and Average Sales Price (ASP) performance objectives.

The role requires a strong balance of operational execution, data-driven decision-making, and cross-functional leadership to ensure consistent, sustainable performance across the front-end revenue cycle.

Key Responsibilities:

• Front-End Revenue Cycle Operations:
  • Oversee all pre-billing activities, including patient registration, demographic and insurance data entry, eligibility verification, benefits investigation, and prior authorization workflows.
  • Ensure completeness and accuracy of documentation and payer-specific requirements prior to service or claim submission.
  • Implement standardized workflows that reduce errors, prevent downstream denials, and improve clean claim rates.
  • Manage intake and workqueue operations (eligibility, authorization, and problem cases) to ensure timely processing and resolution within defined SLAs.
  • Establish and maintain quality assurance (QA/QC) frameworks to ensure accuracy in patient data, eligibility verification, and authorization documentation.
  • Monitor and report on key performance indicators (KPIs), including quality, productivity, turnaround times, and workqueue aging. Identify trends in errors, denials, and process inefficiencies; implement corrective actions and continuous improvement initiatives.
  • Ensure compliance with healthcare regulations, payer requirements, and internal policies across all frontend workflows
  • Partner with cross-functional teams to optimize end-to-end revenue cycle workflows and enhance efficiency, reduce cycle times, and improve data accuracy.
  • Leverage technology (e.g., Salesforce, automation tools, eligibility platforms) to streamline operations and reduce manual effort.
  • Collaborate with leadership, including Associate Directors, the Director, and VP, to conduct in-depth data analysis that identifies inefficiencies and opportunities for improvement.

• Leadership Development and Vendor Management:
  • Lead, mentor, and develop a team of people managers and individual contributors, conducting regular performance reviews, coaching sessions, and team meetings to align priorities and expectations.
  • Promote operational sustainability by aligning team performance with ASP and organizational goals.
  • Oversee offshore vendor operations, ensuring adherence to SLAs, quality standards, and productivity expectations.
  • Partner with leadership on staffing models, training programs, and performance management.
  • Lead transitions, onboarding, and scaling strategies for offshore operations to support business growth without operational disruption.
  • Foster a culture of accountability, continuous improvement, and operational excellence.

• Cross-functional Collaboration:
  • Partner with cross-functional teams to optimize end-to-end revenue cycle workflows and enhance efficiency, reduce cycle times, and improve data accuracy.
  • Leverage technology (e.g., Salesforce, automation tools, eligibility platforms) to streamline operations and reduce manual effort.
  • Collaborate with leadership, including Associate Directors, the Director, and VP, to conduct in-depth data analysis that identifies inefficiencies and opportunities for improvement.

Travel Requirements:

This role may require some travel (quarterly/biannually/annually) that may include, but is not limited to:

• Participation in corporate meetings, leadership summits, and strategic planning sessions.
• Engagement in leadership development programs and industry conferences.
• Onsite visits for team building, training, and cross-functional collaboration to foster a strong, united workplace culture.

Qualifications

• A bachelor's degree in related fields such as healthcare administration, business administration, or engineering is preferred, but equivalent work experience is acceptable.
• 5-8+ years of experience in revenue cycle management, with a strong focus on front-end/pre-billing operations.
• Proven leadership experience, with a minimum of 3 years of experience managing teams, including people managers and/or offshore (BPO) operations.
• Familiarity with laboratory billing, (e.g., Salesforce, eligibility platforms, clearinghouses), Xifin, Telcor, and national as well as regional payers throughout the US are a plus.
• Experience in scaling operations across global or offshore teams.
• Must be proficient using a computer, PC software, specifically Microsoft Office Suite, particularly Excel, and have above average typing skills
• Analytical mindset with experience in data -driven decision-making, analytical capability and process optimization.
• Excellent communication and interpersonal skills to facilitate collaboration across departments.

This role offers a challenging yet rewarding opportunity for a dynamic leader ready to drive sustainable improvements in a high-impact area of revenue cycle management.

Hybrid Work Model:This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.

The annualized base salary ranges for the primary location and any additional locations are listed below. This range does not include benefits or, if applicable, bonus, commission, or equity. Each candidate's compensation offer will be based on multiple factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need.Primary Location: Remote-USA-CAPrimary Location Base Pay Range: $113,850 - $156,555Other US Location(s) Base Pay Range: $107,525 - $147,858If the role is performed in Colorado, the pay range for this job is: $113,850 - $156,555

Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.

Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to [email protected]

A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).

Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

All your information will be kept confidential according to EEO guidelines.

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Please visit our career page at: http://www.guardanthealth.com/jobs/