Health Provider Revenue Cycle Manager
About the role
Lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. Deep expertise across Patient Access (scheduling, registration, eligibility, prior authorization), Mid-Cycle/Revenue Integrity (CDM, charge capture, CDI, coding), and Back-End Operations (billing, collections, denials management, underpayment recovery).
Responsibilities
- Reimagine and redesign revenue cycle operating models.
- Lead workflow redesign, policy and procedure development, organizational and workforce realignment, and the design of KPIs and performance governance frameworks tied to net revenue improvement, denial rate reduction, and cash acceleration.
- Identify and prioritize client value creation opportunities based on rigorous analysis, developing business cases and value propositions, benchmarking, and a clear-eyed view of performance gaps, and strategic priorities.
- Develop implementation plans and lead cross-functional teams to deliver project outcomes on schedule, within budget, and against defined performance targets.
- Direct business pilots and client deployment activities and ensure planned outcomes are achieved and sustained after go-live.
- Embed AI, automation, and advanced analytics into revenue cycle operations to drive measurable improvement, applying tools such as Tableau, Power BI, and Python to surface revenue leakage, model financial scenarios, and target use cases including denials prediction, propensity-to-pay analytics, underpayment detection, prior authorization, and coding support.
- Advise clients on payer contracting strategy, managed care optimization, and reimbursement model performance to address margin pressure and support the transition from fee-for-service to value-based care.
- Help clients navigate a complex and evolving regulatory environment, including HIPAA compliance, CMS billing and coding requirements, No Surprises Act obligations, price transparency mandates, and prior authorization reform.
- Stand up or transition clients to managed services and extended business office (EBOS) models, including SLA/OLA design, staffing governance, playbook development, and vendor performance management.
- Support technology enablement across provider IT, EHR (e.g., Epic, Oracle, Athena), and revenue cycle systems, advising on system optimization, interoperability, and workflow configuration aligned to revenue cycle objectives.
- Design and execute the engagement's overall communication and change management approach, tailored to the client's organizational culture and readiness.
- Manage engagement risk, project economics, deliverable quality, and client satisfaction throughout the engagement lifecycle.
Requirements
- Minimum of 5 years of finance and management consulting experience.
- Minimum of 5 years of healthcare provider Revenue Cycle experience, with demonstrated knowledge across patient access, mid-cycle, and back-end operations.
- Minimum of 2 years leading revenue cycle transformation engagements with measurable impact on net revenue, denial rates, cash acceleration, or operational efficiency.
- Minimum of 2 years of direct people management experience, including leading, coaching, and developing consultant or analyst teams in a project delivery environment.
- Familiarity with the RCM regulatory environment, including HIPAA, CMS billing and coding requirements, price transparency rules, and prior authorization mandates.
- Strong financial acumen, including the ability to build business cases, model revenue scenarios, forecast engagement economics, and develop early warning indicators.
- Prior experience in a consulting firm environment with a track record of business development, client expansion, and proposal development.
- Bachelor’s degree.
Qualifications
- Experience advising on or deploying AI, automation, and RPA in revenue cycle contexts, such as analytics for denials prediction, coding, prior authorization, or patient financial engagement.
- Hands-on experience with payer contracting strategy, managed care optimization, or underpayment recovery.
- Prior experience with managed services or EBOS governance, including SLA/OLA design and vendor performance management.
- Proficiency in data visualization and analytics tools such as Tableau, Power BI, and Python, applied to revenue cycle performance improvement.
- Experience implementing or optimizing major EHR and revenue cycle platforms in a consulting or delivery capacity.
- MBA, MHA, or equivalent advanced degree.
Benefits
Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below.
Pay
Annual Salary Range: $94,400 to $293,800
Schedule
Travel as needed, up to 80%.