Revenue Cycle Manager- US Healthcare
Core
Lead and scale a 10–15 member team to deliver end-to-end Revenue Cycle Management (RCM) services, specifically Prior Authorization, for US healthcare clients.
Role type
Senior IC RCM Category Head / Team Lead
Builds
Prior Authorization workflows and RCM operations for healthcare payers
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
RCM operations management, team leadership (10-15 people), client onboarding, SLA/KPI management, HIPAA compliance, quality audit design, training program development, stakeholder communication
Preferred skills
Experience scaling RCM operations
Technologies
HEDIS frameworks, payer guidelines
Responsibilities
Own overall performance of the Prior Authorization vertical, lead and mentor remote RCM professionals, participate in new client discovery and onboarding, present performance dashboards and insights, supervise compliance frameworks and quality audits
Seniority
Senior, hands-on IC with team leadership