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1 день назад

Manager, RCM Operations & Analytics (Remote, US)

80 000 - 90 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Manager, RCM Operations & Analytics (Healthcare RCM): Building performance intelligence, operational analytics, financial models, and improvement frameworks for end-to-end ambulatory revenue cycle management with an accent on KPI governance, BPO accountability, and unit economics. Focus on reconciling multi-source data, identifying revenue leakage and operational bottlenecks, improving claims and denial performance, and validating automation and process-change outcomes.

Location: Remote, United States; may require travel to the corporate headquarters in Denver or other North American offices. Must be eligible to work without sponsorship.

Salary: $80,000–$90,000 USD annually in most US locations.

Company

hirify.global provides end-to-end SaaS solutions for the service economy. EverHealth develops connected healthcare solutions for providers through five SaaS products serving more than 72,000 healthcare practices.

What you will do

  • Own RCM KPI definitions, data sources, controls, targets, dashboards, operating reviews, and performance reporting.
  • Build independent visibility into internal and outsourced workflows, including volumes, queues, productivity, quality, backlog, and vendor performance.
  • Lead cross-functional improvement initiatives across charge capture, claims, denials, AR follow-up, payment posting, onboarding, and credentialing handoffs.
  • Develop vendor scorecards, validate SLAs and invoices, support forecasting and staffing decisions, and monitor corrective actions.
  • Build transaction-level cost models, unit economics, capacity models, and analyses of savings, margins, and cost-to-collect.
  • Identify automation, AI, workflow, and reporting opportunities; translate needs into requirements, support UAT, and validate post-launch benefits.

Requirements

  • 5+ years of healthcare revenue cycle management experience, including substantial end-to-end ambulatory RCM experience.
  • 3+ years in RCM analytics, performance management, or operational improvement, with evidence of measurable change.
  • Proficiency in SQL and/or Power BI, Tableau, or Looker, plus advanced Excel and data validation skills.
  • Experience assessing outsourced or offshore BPO performance, SLAs, quality, and transaction-level productivity.
  • Ability to reconcile multiple data sources, build financial and operational models, and communicate findings to senior leaders.
  • Working knowledge of payer reimbursement, claims processing, denials, AR management, and billing requirements.
  • Strong cross-functional influence, project execution, communication, and problem-solving skills.

Nice to have

  • Experience in a multi-client RCM services organization supporting ambulatory or multi-specialty practices.
  • Familiarity with EHR/PM systems, clearinghouses, and DrChrono.
  • Experience with vendor transaction-based pricing, invoice reconciliation, margin analysis, and capacity planning.
  • Hands-on experience with AI-assisted analytics, reporting automation, or RCM workflow automation.
  • Lean, Six Sigma, CRCR, CRCS, CPC, CPB, or related training or certification.

Culture & Benefits

  • Remote, hybrid, or in-office flexibility within the country of employment.
  • Professional development investment and a health and wellness benefits package from day one, including an annual wellness stipend.
  • 401(k) with up to a 4% match and immediate vesting.
  • Flexible and generous time off and an Employee Stock Purchase Program.
  • The distributed organization works across multiple time zones; occasional travel may be required.

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