Sr. Manager, Revenue Strategy & Recovery

The Sr. Manager, Revenue Strategy & Recovery owns Lingraphica's full payor revenue engine, end to end - from maximizing every dollar through contract negotiation and payor strategy on the front end, to billing, collections, cash posting, and reconciliation on the back end. This role sets our minimum allowable contract pricing and drives ASP performance through negotiation, then ensures that value is fully realized once a claim is submitted through the point cash lands and is applied correctly. The Sr. Manager directly manages the Reimbursement Manager, Cash Posting & Reconciliation Manager, and Payor Strategy Manager; sets strategy and standards for the department; and owns AR health and cash performance at a strategic level - bringing payor strategy and contracting together with billing, collections, and cash operations under a single, dedicated leader. The role reports directly to the Director, Operations.

Set and drive the strategy for payor access and expansion, prioritizing markets and payors that advance Lingraphica's growth plan.

Lead negotiation of payor contract terms and reimbursement rates, directly or through the Payor Strategy Manager, to strengthen Lingraphica's rate position.

Own payor policy tracking and payor analytics, translating payor trends and performance data into pricing, contracting, and access strategy.

Build and lead the Payor Strategy Manager, ensuring contracting has the staffing and analytical support to scale.

Oversee the Reimbursement Manager and billing/collections team to ensure timely, accurate claims submission and follow-up.

Own collections performance, aging, and denial-management workflows, identifying and resolving systemic issues at the root cause.

Partner with the Senior Manager, Payor Readiness to ensure a clean handoff from funding/authorization into billing.

Drives cash flow performance across the revenue cycle, including preparation and ongoing management of the cash forecast to support accurate financial planning.

Oversee the Cash Posting & Reconciliation Manager to ensure cash received is accurately posted and reconciled against contracted rates.

Establish reconciliation processes that flag underpayments or rate discrepancies against negotiated contract terms, closing the loop back to payor strategy.

Build and report on KPIs spanning payor access, contract rates, billing/collections performance, and cash reconciliation accuracy.

Bring a data-driven business case to payor negotiations and prioritization decisions.

Maintains current, expert-level knowledge of payor reimbursement terms, billing regulations, and collections compliance requirements

7+ years of experience in healthcare revenue cycle management, including direct experience with payor contracting or reimbursement rate negotiation with at least 5 years of management experience

Proven people-leadership experience managing managers and multi-team departments.

Strong knowledge of billing, collections, and cash reconciliation workflows in a healthcare or DME/HME environment.

Track record of using data and analytics to inform payor and contracting strategy.

Excellent negotiation, communication, and cross-functional influence skills.

Ability and willingness to travel within the U.S. (including airline travel) is required up to 2 times per year for in-person team and all-company meetings

Experience in speech-generating devices, durable medical equipment, or related healthcare technology space.

Experience building or scaling a dedicated payor strategy or managed care department.

Familiarity with payor policy analytics and reimbursement modeling tools.

Work is performed remotely from a home office. The individual is expected to maintain a safe, productive workspace with reliable and secure internet access. This role requires the ability to operate a computer, with or without reasonable accommodation.

At Lingraphica, we are committed to creating an inclusive and accessible environment for all employees. To perform this job successfully, an individual must be able to complete each essential duty and physical demand. The requirements listed above represent the knowledge, skills, and abilities required, as well as the physical demands associated with the role. We recognize that everyone’s needs are unique, and we are happy to provide reasonable accommodations to support individuals with disabilities in performing the essential functions of the job.

If you require accommodation, please reach out to Human Resources at for assistance. We are here to help!

At Lingraphica, we are committed to fair and equitable compensation practices. The starting salary range for this position is $91,600 - 110,000 per year. Placement in the starting pay is based on factors such as experience, skills, education, and internal equity. We regularly review our compensation structures to ensure they align with industry standards, promote fairness, and support career growth. In addition to competitive base pay, we offer a comprehensive benefits package and a commitment to fostering an inclusive and supportive workplace. We encourage open conversations about compensation and are dedicated to maintaining transparency throughout the hiring process.

Voluntary benefits such as Short and Long Term Disability, Critical Illness, Hospital Indemnity and AD&D insurance

To learn more about Lingraphica, visit: ! To learn more about our benefits offerings, click here!

This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.

Lingraphica is a mission-driven organization that provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey.

- 5+ years of experience in payor contracting, revenue cycle management, or healthcare reimbursement strategy

- Proven leadership managing managers and cross-functional teams (billing, collections, cash posting, payor strategy)

- Strong negotiation skills with track record of improving reimbursement rates and contract terms

- Deep understanding of Medicare, Medicaid, and commercial payor policies, billing codes, and denial management

- Ability to set strategic direction and translate data into actionable contracting and operational decisions

- Excellent communication and stakeholder management, with ability to partner across departments (e.g., Payor Readiness, Operations)

- Bachelor’s degree in business, healthcare administration, finance, or related field; MBA or equivalent preferred