Manager, RCM Operations & Analytics

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Manager, RCM Operations & Analytics based in the United States.

The Manager, RCM Operations & Analytics will lead performance intelligence, operational analytics, and continuous improvement across a healthcare Revenue Cycle Management (RCM) services organization. Reporting to the Head of Professional Services, this role partners with teams across Operations, Finance, Product, Engineering, Service Management, and external vendors to turn reliable data into measurable business results. You will own the RCM performance measurement framework, strengthen visibility into internal and outsourced workflows, and identify opportunities to improve revenue-cycle efficiency and financial performance.

The position combines hands‑on data analysis, financial modeling, process improvement, and cross‑functional project leadership. You will help establish trusted reporting, improve vendor accountability, optimize unit economics, and support scalable operational practices. This is a full‑time remote opportunity open to candidates across the United States, with occasional travel to company offices.

• Performance Intelligence & Reporting
  • Own standardized RCM KPI definitions, data sources, targets, controls, and reporting for key metrics such as days in accounts receivable (AR), AR aging, clean claim rate, first‑pass resolution, denial and rejection rates, net collection rate, charge lag, and payment posting timeliness.
  • Establish independent and timely visibility into transaction volumes, work queues, processing status, productivity, quality, and backlogs across internal teams and business process outsourcing (BPO) partners.
  • Collaborate with Product, Engineering, Clearinghouse, and vendor teams to improve data access, reconciliation, accuracy, and reporting automation.
  • Deliver actionable dashboards, operating reviews, trend analyses, root‑cause findings, and recommendations at client, portfolio, and vendor levels.
  • Identify at‑risk clients, revenue leakage, denial patterns, and operational bottlenecks, and track corrective actions through to verified results.
• Operational Excellence & Process Improvement
  • Lead cross‑functional improvement initiatives across charge capture, claims processing, denials, AR follow‑up, payment posting, onboarding, and credentialing and enrollment handoffs.
  • Map current and future workflows, identify inefficiencies and rework, and partner with operations leaders to establish scalable processes and standard operating procedures.
  • Develop quality measurement and audit frameworks, analyze results, and recommend workflow or training improvements.
  • Measure onboarding performance and time‑to‑value for new RCM clients, including readiness, early production performance, and stabilization.
  • Manage improvement initiatives from business‑case development through implementation, adoption, and validation of results.
• Vendor & BPO Performance Management
  • Partner with the Vendor Manager to define, validate, and report vendor service‑level agreements (SLAs), transaction volumes, productivity, turnaround times, accuracy, and quality measures.
  • Develop consistent vendor scorecards for weekly reviews and quarterly business reviews, using reconciled source data wherever possible.
  • Quantify performance gaps, recommend corrective actions, and monitor progress with vendor and operations stakeholders.
  • Support transaction forecasting, work allocation, staffing assumptions, vendor transitions, and contract negotiations through data‑driven analysis.
  • Reconcile vendor invoices against contracted rates, eligible transaction types, and verified volumes, identifying discrepancies and potential…