Revenue Lead, ROPS Setup

DaVita Kidney Care

. Independently complete complex Claim Content, Plan Code evaluation, contract loading, CDM attribute, metadata, and Setup Change Project work in Nautilus and related systems .

Posted 11/6/2026full-timeRemote • South Carolina • United StatesSenior💰 $23 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Claim Content evaluation, contract loading, and compliance with DaVita policies and SOX controls. Proficient in Excel for data analysis and quality assurance, with strong communication and coaching abilities in a regulated healthcare environment.

Highest-signal resume keywords

Claim Content EvaluationExcel ProficiencyHealthcare Revenue Cycle ExperienceCoaching and MentoringProcess Improvement Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim Content EvaluationContract LoadingData Integrity StandardsQuality AssuranceRoot-Cause AnalysisExcel VLOOKUPExcel Pivot TablesData OrganizationConfiguration DocumentationWorkflow Adoption

Soft Skills

Independent Problem-SolvingAttention to DetailClear CommunicationEmpathySound Judgment

Tools & Technologies

NautilusBilling SystemsSOPsJob AidsChecklists

Industry Keywords

Healthcare Revenue CycleMedical ClaimsRegulated OperationsSOX ControlsCompliance Policies

About the role

Key responsibilities & impact

Independently complete complex Claim Content, Plan Code evaluation, contract loading, CDM attribute, metadata, and Setup Change Project work in Nautilus and related systems
Research unclear requirements and resolve claim-formatting and system-edit issues through validation and closure
Escalate blockers with findings and recommended next steps
Follow DaVita compliance policies, SOX controls, and data integrity standards
Document configuration decisions and supporting evidence
Serve as a day-to-day technical resource and onboard Revenue Specialists
Coach specialists and peers through complex setup tickets
Identify knowledge gaps and maintain SOPs, job aids, and checklists
Perform pre-bill and post-implementation quality assurance and root-cause analysis
Use Excel VLOOKUPs, Pivot Tables, and formulas to audit configurations and monitor aging and error trends
Share actionable findings with supervisors
Identify rework and workflow bottlenecks
Lead or co-lead process improvements, test setup changes, update procedures, and support workflow adoption
Coordinate handoffs and issue resolution with Billing, Collections, IT, Payor Partnerships, and other ROPS Teams
Explain setup impacts, clarify next steps, and keep partners informed through completion
Model Core Values, communicate with empathy and respect, foster belonging, and support leadership initiatives and projects

Requirements

What you’ll need

High School Diploma or equivalent
Demonstrated initiative, independent problem-solving, attention to detail, and ability to manage competing priorities in a remote, highly regulated environment
Intermediate Excel proficiency, including VLOOKUP/XLOOKUP, Pivot Tables, data organization, and formulas
Confidence navigating complex systems
Clear written and verbal communication
Sound judgment with ambiguous requirements
Ability to coach peers with patience and empathy
Preferred: Associate’s or Bachelor’s degree
Preferred: Experience in healthcare revenue cycle, billing system setup, medical claims, or other highly regulated operations
Preferred: Experience as an informal lead, peer trainer, or mentor

Benefits

Comp & perks

Medical, dental, and vision coverage
401(k) match
Paid time off
PTO cash out
Family resources
EAP counseling sessions
Headspace® access
Backup child and elder care
Maternity/paternity leave
Professional development programs
On-demand virtual leadership and development courses through StarLearning