Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted yesterday

Lead Revenue Analyst

UCSF672 open roles

Where
Emeryville, CA, United States
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen nowLead Revenue AnalystUCSF · Emeryville, CA, United States

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on UCSF's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

9.0% of postings close within 7 days. Measured by our own scanner across the market. UCSF postings stay open a median of 5 days.

Share of postings closed within
  1. 1.8%1 day
  2. 3.9%3 days
  3. 9.0%7 days
  4. 15.5%14 days
  5. 34.1%30 days
This job: posted yesterday

UCSF median: 5 days open

The posting

Job Description

The Lead Revenue Analyst functions independently with a full understanding of all components of the revenue cycle and serves as a senior-level, lead worker within the Pediatric and California Children’s Services (CCS) Authorization Unit. The incumbent completes complex projects of diverse scope and/or portions of large projects, while providing day-to-day operational oversight, workflow coordination, and subject-matter expertise in support of complex financial clearance and authorization activities. The role supports a high-volume, high-impact operation responsible for securing treatment authorizations for CCS patient populations across inpatient, NICU, outpatient surgical, and ancillary services, contributing to the management of approximately $30 million in weekly Discharged Not Billed (DNB) accounts across the enterprise and any UCSF facilities. The Pediatric lead will demonstrate knowledge of pediatric authorization requirements for high cost drugs and a variety of services provided with experience navigating diverse insurance plans and coordinating prior authorizations across commercial and government payers, including Medicaid and other public insurance programs.

Under the general direction of the Revenue Cycle Manager and/or Supervisor, the incumbent functions with a high degree of independence and exercises independent judgment in prioritizing, coordinating, and resolving complex authorization issues to sustain a positive financial outcome. The Pediatric Lead will ensure that routine and elective services are prospectively financially secured within established timelines (e.g., ≥3 days prior to date of service), while proactively managing urgent, high-risk, and escalated cases that may impact patient care or organizational financial performance.

The role provides functional leadership to a team of approximately 10–15+ authorization staff, including workflow distribution, work queue oversight, productivity monitoring, and quality assurance review. The incumbent serves as a primary escalation point and subject matter resource for complex cases, payor issues, and interdepartmental coordination, while supporting staff training, onboarding, coaching, and ongoing skills development in partnership with unit leadership.

The Pediatric Lead will apply advanced knowledge and a comprehensive understanding of revenue cycle operations, government payor guidelines, commercial payer guidelines, and medical necessity criteria to independently secure authorizations, resolve denials, and optimize reimbursement outcomes. This includes reviewing medical documentation, coordinating peer-to-peer reviews, facilitating Letters of Agreement (LOAs), PAFRs, and other financial clearance activities, and collaborating with clinical, administrative, and billing stakeholders to ensure accurate and timely processing.

The position independently manages and contributes to complex projects with diverse scopes and/or to defined portions of larger departmental or enterprise initiatives. The Pediatric Lead plays a key role in monitoring and improving operational performance by analyzing work queue activity, denial trends, and key metrics; identifying opportunities and making recommendations for workflow improvements; and supporting the implementation of process enhancements that improve efficiency, reduce denials, and enhance patient access. The incumbent regularly communicates with management and practice leadership to provide performance updates, escalate issues, and support strategic initiatives.

The Pediatric Lead interacts with a wide range of internal and external stakeholders, including providers, practice managers, payors, and patients, and is responsible for delivering high-quality customer service, independently resolving complex inquiries, and supporting service recovery efforts. The role requires strong analytical, organizational, and communication skills, as well as the ability to exercise sound judgment and manage competing priorities in a fast-paced environment.

This position operates within a patient-centered, mission-driven academic medical center and is expected to consistently demonstrate UCSF PRIDE values—Professionalism, Respect, Integrity, Diversity, and Excellence—while supporting organizational goals related to patient care, access, and financial performance.

Certain terms and conditions of employment for this position, including the rate of pay, benefits, etc., are currently subject to negotiation with the appropriate union.

Responsibilities

The Lead Revenue Analyst functions independently with a full understanding of all components of the revenue cycle and serves as a senior-level, lead worker within the Pediatric and California Children’s Services (CCS) Authorization Unit. The incumbent completes complex projects of diverse scope and/or portions of large projects, while providing day-to-day operational oversight, workflow coordination, and subject-matter expertise in support of complex financial clearance and authorization activities. The role supports a high-volume, high-impact operation responsible for securing treatment authorizations for CCS patient populations across inpatient, NICU, outpatient surgical, and ancillary services, contributing to the management of approximately $30 million in weekly Discharged Not Billed (DNB) accounts across the enterprise and any UCSF facilities. The Pediatric lead will demonstrate knowledge of pediatric authorization requirements for high cost drugs and a variety of services provided with experience navigating diverse insurance plans and coordinating prior authorizations across commercial and government payers, including Medicaid and other public insurance programs.

Under the general direction of the Revenue Cycle Manager and/or Supervisor, the incumbent functions with a high degree of independence and exercises independent judgment in prioritizing, coordinating, and resolving complex authorization issues to sustain a positive financial outcome. The Pediatric Lead will ensure that routine and elective services are prospectively financially secured within established timelines (e.g., ≥3 days prior to date of service), while proactively managing urgent, high-risk, and escalated cases that may impact patient care or organizational financial performance.

The role provides functional leadership to a team of approximately 10–15+ authorization staff, including workflow distribution, work queue oversight, productivity monitoring, and quality assurance review. The incumbent serves as a primary escalation point and subject matter resource for complex cases, payor issues, and interdepartmental coordination, while supporting staff training, onboarding, coaching, and ongoing skills development in partnership with unit leadership.

The Pediatric Lead will apply advanced knowledge and a comprehensive understanding of revenue cycle operations, government payor guidelines, commercial payer guidelines, and medical necessity criteria to independently secure authorizations, resolve denials, and optimize reimbursement outcomes. This includes reviewing medical documentation, coordinating peer-to-peer reviews, facilitating Letters of Agreement (LOAs), PAFRs, and other financial clearance activities, and collaborating with clinical, administrative, and billing stakeholders to ensure accurate and timely processing.

The position independently manages and contributes to complex projects with diverse scopes and/or to defined portions of larger departmental or enterprise initiatives. The Pediatric Lead plays a key role in monitoring and improving operational performance by analyzing work queue activity, denial trends, and key metrics; identifying opportunities and making recommendations for workflow improvements; and supporting the implementation of process enhancements that improve efficiency, reduce denials, and enhance patient access. The incumbent regularly communicates with management and practice leadership to provide performance updates, escalate issues, and support strategic initiatives.

The Pediatric Lead interacts with a wide range of internal and external stakeholders, including providers, practice managers, payors, and patients, and is responsible for delivering high-quality customer service, independently resolving complex inquiries, and supporting service recovery efforts. The role requires strong analytical, organizational, and communication skills, as well as the ability to exercise sound judgment and manage competing priorities in a fast-paced environment.

This position operates within a patient-centered, mission-driven academic medical center and is expected to consistently demonstrate UCSF PRIDE values—Professionalism, Respect, Integrity, Diversity, and Excellence—while supporting organizational goals related to patient care, access, and financial performance.

Certain terms and conditions of employment for this position, including the rate of pay, benefits, etc., are currently subject to negotiation with the appropriate union.

Qualifications

Requirements:

  • High School diploma or GED and seven years of relevant work exp. OR a Bachelor's degree and three (3) or more years of relevant work experience.
  • Knowledge of healthcare eligibility and insurance verification processes.
  • Understanding of hospital and outpatient clinic registration, referral, authorization, and billing processes.
  • Ability to interpret eligibility information and communicate requirements accurately.
  • Strong customer service and interpersonal communication skills.
  • Knowledge of compliance with California Children’s Services (CCS) requirements, hospital policies, HIPAA, and applicable regulatory standards.
  • Experience with Medi-Cal and other California public healthcare programs.
  • Experience working with pediatric patients and their families.
  • Experience with electronic health records and hospital registration or revenue-cycle systems.
  • Demonstrates knowledge of pediatric authorization requirements and processes, with experience navigating diverse insurance plans and coordinating prior authorizations across commercial and government payers, including Medicaid and other public insurance programs.
  • The ability to work onsite two days a week or when required in Emeryville.
From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against UCSF's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on UCSF's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    UCSF's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.