RCM Strategy and Operations Manager
Core
Own RCM performance and lead a team to drive revenue growth by managing collections, denial rates, and clean claim rates while partnering with external vendors.
Role type
Senior RCM Strategy and Operations Manager
Builds
Proactive revenue optimization systems, scalable RCM infrastructure, and product features for claim scrubbing and eligibility checks.
Domain
Healthcare Revenue Cycle Management (RCM) / Autism Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
RCM operations management, team leadership (3-6 associates), revenue cycle metrics analysis, workflow design, product partnership, process automation, data-driven decision making
Preferred skills
Management consulting, investment banking, strategic finance, VC-backed startup experience, Candid Health platform experience
Technologies
AI tools (Claude, ChatGPT), Candid Health, Availity, Dialpad, AirTable, Slack, Payer Portals
Responsibilities
Manage a team of RCM associates to optimize collections and reduce denial rates; Design upstream workflows to prevent claim denials and delays; Partner with Product & Engineering to translate operational insights into scalable features; Build systems supporting rapid expansion across states and payers; Develop dashboards for real-time performance visibility and process improvement.
Seniority
Senior, hands-on IC with team leadership