Sr. Manager, RCM

Primary Responsibilities

• Responsible for overseeing the entire RCM operations for the Practice Specialty to ensure end-to-end workflows are created and maintained
• Directly responsible to manage the pre-bill, EDI and accounts receivable team members for the Practice specialty
• Hire new team members as necessary and manage the performance of all existing team members
• Create and maintain a staffing model that adequately meets the demand of the practice
• Develop and maintain standard workflows in collaboration with other RCM leaders
• Work with direct reports to reduce denials by examining root cause and correcting gaps upstream
• Communicate effectively with practice staff and operational leadership to improve performance of the overall revenue cycle
• Act as a subject matter expert on the Practice Specialty to maximize revenue and maintain compliant workflows and billing
• Cross-functional Alignment - Ensure alignment between Practice staff, operational leadership and the RCM team

Required Qualifications

• Bachelor’s degree or equivalent experience
• 5+ years of experience in RCM operations
• 3+ years in leading teams
• 2+ years in the Practice Specialty
• Deep understanding of RCM workflows
• Proven experience leading global teams and vendor partners
• Strong working knowledge of healthcare compliance
• Experience designing and delivering role-based training programs for staff, including onboarding, workflow changes, and system updates
• Experience with workflow optimization, system implementation, and training delivery
• Experience working cross-functionally with clinical, operational, and RCM teams

Essential Competencies

• Attendance is an essential job function.
• Ability to lead end-to-end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing change
• Establish governance standards and ensure alignment between clinical and revenue cycle stakeholders
• Design, deliver, and sustain role-based training programs tailored to clinical and operational audiences
• Skilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actions
• Demonstrated continuous improvement mindset, with experience scaling best practices across sites or markets
• Proven ability to drive operational performance and revenue improvement
• Strong collaboration, verbal, and written communication skills