Revenue Lead, ROPS Setup

11/06/2026

109 Greenland Dr, Goose Creek, South Carolina, 29445-5354, United States of America

The Revenue Lead, ROPS Setup Team supports the Supervisor(s) and Manager through advanced setup work, technical guidance, coaching, and project leadership. The Lead independently resolves complex issues, strengthens configuration accuracy, and helps prevent downstream billing exceptions.

Success requires initiative, analytical curiosity, sound judgment, and the ability to explain complex workflows clearly. Healthcare revenue cycle experience is helpful but not required.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Advanced Technical Setup & Operational Execution (40%)

Scope of Work / Operational Expertise: Independently complete complex Claim Content, Plan Code evaluation, contract loading, CDM attribute, metadata, and Setup Change Project (SCP) work in Nautilus and related systems.

Get the Right Stuff Done — Taking Ownership: Research unclear requirements, resolve claim-formatting and system-edit issues, and carry work 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.

2. Peer Training, Mentorship & Skill Development (25%)

Develop Self and Others: Serve as a day-to-day technical resource, onboard Revenue Specialists, and coach specialists and peers through complex setup tickets using clear explanations and constructive feedback.

Identify knowledge gaps and maintain SOPs, job aids, and checklists for recurring workflows. Seek feedback and build expertise in unfamiliar setup work.

3. Quality Control, Data Analysis & Trend Monitoring (15%)

Operational Expertise — Root-Cause Problem-Solving: Perform pre-bill and post-implementation QA; including root cause analysis on recurring errors.

Use Excel vlookups, Pivot Tables, and formulas to audit configurations, monitor aging and error trends, and share actionable findings with supervisors.

4. Process Improvement & Project Leadership (15%)

Drive Change: Identify recurring rework and workflow bottlenecks; lead or co-lead practical improvements, test setup changes, update procedures, and help specialists and peers adopt new workflows.

Effective Communication / Influence: 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.

5. Other Duties as Assigned (5%)

Lead the DaVita Way: Model Core Values, communicate with empathy and respect, and foster belonging through team meetings and Village activities.

Required Qualifications & Core Skills

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, and the ability to coach peers with patience and empathy.

Preferred Qualifications

Associate’s or Bachelor’s degree.

Experience in healthcare revenue cycle, billing system setup, medical claims, or other highly regulated operations. System workflows and healthcare rules will be trained.