Program Manager, Revenue Integrity

Job Description:

• Analyze and document provider revenue cycle processes, focusing on areas of concern identified through current revenue cycle methodologies
• Provide best-practice revenue cycle guidance and recommendations for provider revenue cycle operations
• Lead small teams and projects supporting consulting engagements
• Identify revenue cycle process challenges or opportunities in provider settings and escalate concerns timely
• Work directly with provider departments as needed
• Manage customer expectations and service-level agreements/timelines, keeping customers informed
• Provide client support for Revenue Integrity applications and end users
• Develop and maintain methodology knowledge, client-facing presentations, ROI calculator materials, internal education, product campaign cadence, and policy/procedure information
• Support internal sales, product development, RFPs, and large/multi-product deals as a subject matter expert
• Maintain industry and product knowledge, adapt to market and competition changes, participate in regional/national meetings and forums, and drive brand/deliverable awareness within the territory
• Complete special projects related to customer needs and support
• Collaborate across departments to achieve objectives

Requirements:

• Bachelor's degree in health care industry preferred
• Minimum of 6 years healthcare revenue cycle, audit denial and/or consulting experience required
• Relevant industry experience may substitute previous consulting requirement
• 5+ years of experience working with revenue cycle vendors
• Understanding of process mapping and workflow redesign preferred
• Lean management experience preferred
• Experience with healthcare information systems (HIS), EPIC, and Cerner strongly preferred
• Experience with third-party payors, denials management, and claims processing preferred
• Outstanding problem-solving and analytical skills
• Proven ability to work independently, meet deadlines, and prioritize multiple tasks in a fast-paced dynamic setting
• Strong customer service orientation
• Positive attitude, professional demeanor, and strong work ethic
• Excellent written and oral communication
• Proficient with Microsoft Office, especially Word, Excel, and Outlook
• Willingness to travel up to 25% for client engagements

Benefits:

• Annual cash bonus eligibility
• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) plan
• Remote work arrangement