Revenue Cycle Management Transformation Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in assessing the current state of RCM diagnostics by collecting, verifying, and analyzing operational and financial information.

• Record existing workflows and aid in the design of future processes and roles.

• Carry out designated tasks within transformation workstreams, such as data retrieval, process reviews, and stakeholder interviews.

• Manage financial models and benefit-tracking schedules that underpin cost-to-collect and net revenue business cases.

• Gather comparative data for evaluations related to managed services, outsourcing, and automation/AI.

• Organize working sessions for RCM stakeholders and monitor action items.

• Develop status reports and materials for leadership and governance evaluations.

• Collaborate with stakeholders across various areas including coding, charge capture, hospital and professional billing, cash posting, denials management, and accounts receivable follow-up.

⛳️ Requirements

• A bachelor's degree in finance, accounting, healthcare administration, or a related field, coupled with over 5 years of experience in revenue cycle operations, healthcare finance, or healthcare-focused strategy consulting.

• Practical experience in one or more back- or middle-office RCM functions such as coding, billing, denials management, cash posting, or AR follow-up.

• An equivalent combination of education and experience will be considered.

• Familiarity with back- and middle-office revenue cycle operations.

• Capability to collect, verify, and analyze RCM operational and financial data accurately, even under time constraints.

• Skills to assist in process workflow design and documentation.

• Proficient knowledge of Epic revenue cycle modules and reporting tools necessary to extract and validate data.

• Competence in executing analytical and documentation tasks accurately with general supervision.

• Ability to establish working relationships with revenue cycle operations personnel who are not direct reports.

• Excellent written and verbal communication abilities.

• Capacity to apply structured project management methodologies in complex, multi-workstream projects.

• An MBA, MHA, or other advanced degree is preferred.

• Previous experience supporting RCM transformation projects with external consulting firms is preferred.

• Familiarity with Epic revenue cycle modules and reporting tools, including Resolute HB/PB, Slicer Dicer, or Cogito is preferred.

• CRCR, CHFP, or similar certifications in revenue cycle or healthcare finance are preferred.

🏝️ Benefits

• Medical, dental, vision, and pharmacy coverage.

• Discretionary annual bonuses.

• Merit-based salary increases.

• Flexible Spending Accounts.

• 403(b) retirement savings matches.

• Paid time off.

• Opportunities for career advancement.

• Resources to promote employee and family well-being.