REVENUE OPERATIONS & FINANCE MANAGER

Healthcare Diagnostics Private Equity-Backed Near Reisterstown, MD Hybrid / On-site Full-Time

Reports to: COO Key Collaborators: CEO & Fractional Controller

THE OPERATIONAL AND FINANCIAL ENGINE OF THE BUSINESS.

We’re looking for an analytical, hands-on operator who can hold our RCM partner accountable in the morning and help shape the CEO’s Board deck in the afternoon. Someone who sees the connection between a denial trend and the cash forecast—and does something about it.

AUDIT. ANALYZE. OPTIMIZE. REPORT.

THE OPPORTUNITY

Real Diagnostics is a growing healthcare diagnostics company built around a simple idea: Humanizing Healthcare—one patient at a time. We combine diagnostic expertise, responsiveness, and genuine human connection to help providers deliver better care.

We are scaling—and we want a Revenue Operations & Finance Manager who wants to help build what comes next. This critical, full-time role reports to our Chief Operating Officer and works closely with our CEO and fractional Controller, with meaningful exposure to executive leadership and our private equity and lending partners.

This role bridges the gap between daily laboratory operations, revenue collection, and executive strategy. You will divide your focus between driving cash optimization by holding our third-party Revenue Cycle Management (RCM) partner accountable and analyzing financial trends that help the CEO and Controller deliver PE-ready monthly reporting packages.

THE PERSON WE WANT

YOU ARE…

Analytical and naturally curious
Confident holding a vendor to its commitments
Fluent in healthcare billing data
Able to turn complex data into a clear story
Hands-on and detail-oriented

YOU THINK…

“Why is this payer paying below contract?”
“What is really driving this denial trend?”
“How does this change our cash in 13 weeks?”
“The data should tell us the story.”
“No task is beneath me.”

BECOME OUR RCM DATA DETECTIVE

REVENUE OPERATIONS & VENDOR ACCOUNTABILITY COO DIRECTIVE

Our revenue is 100% reimbursement-driven, including Medicare. We partner with a third-party RCM organization—and you will be their primary operational point of contact, responsible for making sure they deliver.

Actively manage and audit our RCM partner’s performance against strict contract Service Level Agreements (SLAs).
Analyze daily and weekly payer denial trends, clearinghouse logs, and underpayments.
Direct the RCM partner on targeted appeal strategies to maximize cash collections.
Monitor and improve critical healthcare billing KPIs, including driving down Days Sales Outstanding (DSO) and optimizing the Clean Claim Rate (CCR).
Audit reimbursement rates against third-party payer contracts to identify systemic underpayments, contract deviations, and fee schedule discrepancies.
Walk into an RCM meeting prepared to ask: “I see the numbers. Now explain what is driving this trend.”

REAL DIAGNOSTICS / REVENUE OPERATIONS & FINANCE MANAGER

TURN DATA INTO DECISIONS

FINANCIAL ANALYSIS & EXECUTIVE REPORTING CEO & CONTROLLER SUPPORT

Real Diagnostics is a data-rich healthcare organization, and we want to become significantly better at using that data to make smarter decisions.

Evaluate complex datasets to identify operational and financial trends, including volume fluctuations, payer mix shifts, geographic margins, and cost-per-test metrics.
Collaborate with our fractional Controller during the month-end close to reconcile operational billing logs with ledger revenue and cash deposits.
Translate raw financial data into executive narratives, helping prepare the monthly management discussion and analysis (MD&A) and variance reports (Actual vs. Budget).
Build core operational slides for the CEO’s Board deck.
Maintain and update a rolling 13-week cash flow forecast based on real-time RCM collection metrics.

OPERATIONAL ENOUGH FOR THE LAB. STRATEGIC ENOUGH FOR THE BOARD.

QUALIFICATIONS

REQUIRED

Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related quantitative field
4–6 years of healthcare corporate finance, Rev Ops, or Revenue cycle mgt, or practice management experience
Advanced Excel (financial modeling, VLOOKUPs, Pivot Tables)
Ability to distill complex billing data into concise summaries

PREFERRED

Direct experience in a diagnostic laboratory environment
Experience with Business Intelligence (BI) software
Experience with laboratory billing clearinghouses

COMPENSATION & BENEFITS

Base Salary: $120,000 – $135,000, commensurate with experience.
Bonus: Eligible for an annual bonus tied to performance metrics (see Appendix).
Benefits: Competitive benefits package, including health insurance and other customary employee benefits.

WHY REAL DIAGNOSTICS?

This is not a maintain-the-status-quo job. You will help build the revenue and financial infrastructure of a growing healthcare company.

High visibility with the COO, CEO, Controller (fractional), and private equity and lending partners.
Real ownership and the ability to build better systems, reporting, and processes.
A fast-moving, entrepreneurial environment where ideas—and smart use of analytics, technology, and AI—become action.
A meaningful advancement path t into more senior financial and/or operational roles, as the Company grows and you succeed.

SUCCESS IN YEAR ONE

An RCM partner held accountable based on metrics you help develop (avg reimbursement rates, billing exceptions, DSO, etc.).
Underpayments identified and pursued, and a reliable forecasting to support CEO and Board.
Provide Analysis and insights across the organization to assist Board reporting—a reputation as a trusted partner to leadership.

IF YOU WANT TO AUDIT, ANALYZE, OPTIMIZE, AND REPORT—WE WANT TO MEET YOU.

Real Diagnostics Northwest Baltimore County (near Reisterstown), Maryland Hybrid / On-site Full-Time

Pay: $120,000.00 - $135,000.00 per year

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance

Application Question(s):

Have you held title of VP Finance or Controller in past 5 years?

Experience:

insurance billing/Revenue Cycle Management: 1 year (Preferred)

Work Location: Hybrid remote in Reisterstown, MD 21136

Real Diagnostics

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Revenue Operations and Finance Manager