Health Provider Revenue Cycle Manager

Job Description

As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment through implementation, and you hold yourself accountable for results.

You build relationships with CROs, Revenue Cycle VPs, and operational leaders, and you know how to communicate findings in a way that leads to action. You’re comfortable managing up and managing across, keeping clients aligned, teams moving, and work streams on track. You understand that good transformation work isn’t just about recommendations; it’s about bringing people along with you.

You keep up with what’s changing in the industry, from AI and automation to prior authorization reform, value-based reimbursement, and shifting payer dynamics, and you can help clients think through what those changes mean for their operations. You also know how to develop people, and you take that part of the job seriously.

• Lead end-to-end Revenue Cycle engagements for complex, large-scale health care providers, with 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).
• 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.

• Build and maintain strong relationships with key client stakeholders, including Revenue Cycle VPs, CROs, and operational leaders, across all stages of the engagement.
• Facilitate complex meetings, executive presentations, and cross-functional workshops that build client commitment, resolve competing…