Workstream Project Manager, Revenue Cycle
Core
Lead the end-to-end Revenue Cycle workstream for the EHR Transformation program, ensuring billing ops, financial integration, and uninterrupted charge capture across 2,600 clinics.
Role type
Senior Project Manager (Revenue Cycle)
Builds
Integrated revenue cycle system configuration, billing, payer plans, claim edits, work queues, and charge description master (CDM) integration.
Domain
Healthcare / Revenue Cycle Management
Required skills
Healthcare revenue cycle operations, EHR implementation leadership, project management, financial integration, claims processing, denials management, accounts receivable conversion, regulatory compliance, stakeholder coordination, budgeting and scheduling, vendor management, post-go-live monitoring.
Preferred skills
MBA or MHA, PMP Certification, HFMA CRCR, CHFP, AHIMA, AAPC, EHR Certifications.
Technologies
EHR platforms, clearinghouses, ERP platforms, financial systems, payer systems.
Responsibilities
Own and manage the end-to-end Revenue Cycle workstream plan, milestones, resources, and integration into the EHR program master schedule; Lead revenue cycle design and validation activities across registration, eligibility, authorization, charge capture, coding, claims, remittance, denials, and patient collections; Partner with Finance, Revenue Integrity, Patient Financial Services, Clinical Operations, and Information Technology teams to ensure business requirements are accurately reflected in system design and implementation plans; Coordinate revenue cycle SMEs, analysts, operational leaders, and build teams to ensure readiness and decision closure throughout the program lifecycle; Oversee Integrated rev cycle system configuration, including billing, payer plans, claim edits, work queues, and charge description master (CDM) integration; Ensure readiness for all deployment waves by managing revenue protection activities including charge continuity planning, claim hold and release strategies, accounts receivable conversion, financial contingency planning, and post-go-live monitoring; Manage third-party integrations and readiness activities with clearinghouses, payers, financial systems, and ERP platforms; Own the revenue cycle testing strategy, including charge testing, claims testing, payer testing, remittance validation, parallel processing, and end-to-end financial testing; Lead revenue protection and cutover planning, including charge capture continuity, claim hold/release processes, accounts receivable conversion, and first billing cycle readiness; Monitor post-go-live financial performance metrics including charge lag, clean claim rate, denial rates, unbilled balances, and accounts receivable performance, driving issue resolution where needed; Provide ongoing governance, risk management, status reporting, and cross-functional coordination with Clinical, Deployment, Training & Change, Finance, PMO, and ITS teams to protect revenue throughout all deployment waves.
Seniority
Senior, hands-on IC with team leadership