Senior Manager, Content Performance & Coding Compliance

Position Overview

The Senior Manager, Content Performance & Coding Compliance, will strategically leverage quality trends, client data, and content sources to drive E2E performance improvement of Rialtic’s content development process and ensure coding compliance. This is a foundational leadership role within a high-growth startup, requiring a dynamic leader who blends thought leadership with decisive execution, thrives in ambiguity, and builds structure in fast-evolving environments.

We're looking for a hands-on, forward-thinking leader who understands the payer-centric landscape, embraces new ways of working, and brings a sharp sense of tempo and adaptability to everything they do. This person will help reimagine how content is created, deployed, and governed — using modern tooling, including AI-enabled solutions, to scale effectively.

Success in this role demands both creativity and rigor, a collaborative spirit, and a mindset oriented toward performance and compliance. You will work cross-functionally to embed process improvement, automation solutions, and continuous quality improvement into Rialtic’s content development and management efforts, ensuring a consistent, high-value experience for our customers.

Key Responsibilities

Team Development

• Grow and lead a high-performing team of Content Policy Managers and Analysts
• Serve as a player-coach, creating an environment of ownership, resilience, and high accountability — without micromanaging

Policy Inquiry Support

• Research potential policy defects and resolve inquiries submitted by clients and colleagues from across the enterprise
• Troubleshoot policy defects and collaborate with Content and Engineering teams to adjust and resolve policy design to deliver the intended functionality

Performance Improvement

• Lead root cause analysis (RCA) of identified policy defects to determine additional controls needed to drive E2E continuous quality improvement
• Proactively leverage policy utilization trend data to monitor, investigate, and mitigate insight rate anomalies
• Leverage the combined policy defect and utilization trend data to identify and develop process changes, automation/tooling enhancements, and scalable, AI-enabled approaches to drive increased efficiency and quality across the E2E Content development process
• Partner with Product and Engineering teams to define and drive strategic Content platform enhancements
• Maintain a strong sense of speed of play — balancing urgency with quality

Coding Compliance

• Lead the ongoing maintenance of Rialtic’s policy library to ensure policies remain accurate and up-to-date with source changes
• Lead the implementation of new CPT, HCPCS, and ICD-10 codes across Rialtic