Senior Manager, RCM Optimization & Strategy
Core
Strategic optimization of Revenue Cycle Management (RCM) workflows, billing systems, and analytics to reduce denials, front-end rejections, and revenue leakage in pediatric mental health care.
Role type
Senior Manager, RCM Optimization & Strategy (Individual Contributor)
Builds
Optimized RCM workflows, billing system configurations, and KPI dashboards for pediatric anxiety and OCD care.
Domain
Healthcare / Revenue Cycle Management / Billing & Claims
Required skills
Healthcare RCM operations, root-cause analysis of denials, billing system configuration, KPI framework design, payor contract analysis, CPT/ICD-10 coding, SQL, BI reporting, cross-functional project management
Preferred skills
Behavioral health/telehealth billing, RPA/AI solutions, custom clearinghouse rules, Apero/Sigma/Mahler platforms
Technologies
Apero, Sigma, Mahler, SQL, Looker, Power BI, EHR/PM systems, Clearinghouse rule builders
Responsibilities
Analyze end-to-end RCM workflows to eliminate manual processes and bottlenecks; Own billing system setup and payor billing logic; Build and refine RCM KPI dashboards; Perform root-cause analyses on claim denials and underpayments; Serve as internal checkpoint for claims escalations; Partner with Technology teams to implement automation; Manage internal and clearinghouse configuration rules; Lead change management for new billing tools; Deliver executive-level RCM insights and financial reporting.
Seniority
Senior Manager, strategic individual contributor