Full Job Description
Position Summary:
The Revenue Cycle Manager - Optimization & Innovation supports the strategic goals of the Revenue Cycle team by executing performance improvement initiatives, enhancing Epic system workflows, and managing day-to-day operations of optimization projects. The Manager leads a team of analysts and collaborates with cross-functional stakeholders to implement automation, improve KPIs, and support Epic upgrades and enhancements.
Position Responsibilities:
Key Areas of Responsibility
Operational Planning and Execution (20%)
Support the development and execution of departmental revenue cycle optimization strategies aligned with organizational goals.
Coordinate and manage tactical roadmaps across revenue cycle and support areas.
Assist in vendor coordination to ensure alignment with performance expectations.
Revenue Cycle Automation (30%)
Implement automation initiatives to streamline workflows and reduce manual intervention.
Collaborate with IT and operations to deploy automated systems for billing, coding, and claims processing.
Maintain oversight of RPA bots and ensure ongoing effectiveness.
Performance Improvement (40%)
Monitor KPIs such as AR days, denial rates, and collection rates to identify improvement opportunities.
Lead implementation of best practices to drive operational excellence.
Support standard work development, education, and training across revenue cycle teams.
Compliance and Industry Trends (10%)
Stay informed on industry trends, regulatory changes, and emerging technologies.
Ensure compliance with revenue cycle regulations and standards.
Provide insights to leadership based on industry developments.
Other Duties as Assigned (5%)
Contributes to long-range planning, supports enterprise initiatives, and responds to emerging organizational needs or innovation opportunities.
Working Relationships:
This Job Reports To: Director, Revenue Cycle Optimization & Innovation
# Workers Responsible For:
o Direct Reports: 8
Nature of Supervision:
o Internal: Collaborates with operational revenue cycle teams, analytics, IT, and leadership
o External: Partners with vendors and solution providers to support implementation and optimization
Qualifications:
Requirements and Specifications:
Education
Minimum: Bachelor's degree in relevant Healthcare field, Business, Information Systems, or a related field; or equivalent work experience
Preferred: Master's degree in relevant Healthcare field, Business, or related field preferred; or equivalent work experience
Experience:
Minimum:
o 5+ years of progressive experience in healthcare revenue cycle operations, training, or process improvement.
o 2+ years of leadership experience, including direct people management.
o Epic Systems experience, with working knowledge of revenue cycle KPIs and workflow optimization.
o Exposure to automation technologies (e.g., RPA) in a healthcare setting.
o Background in adult learning, instructional design, or training development for operational teams.
Preferred (Minimum Qualifications +):
o 7+ years of experience in healthcare revenue cycle, with a focus on performance improvement, automation, and Epic optimization.
o 3+ years of leadership experience, including managing cross-functional teams and leading strategic initiatives.
o Advanced Epic proficiency, including workflow configuration, KPI dashboarding, and upgrade support.
o Proven success implementing automation technologies, such as RPA or AI-driven tools, to streamline billing, coding, or claims workflows.
o Experience with performance improvement methodologies, such as Lean, Six Sigma, or similar frameworks.
o Demonstrated impact on KPIs, including AR days, denial rates, and collection efficiency.
o Strong understanding of healthcare compliance standards and ability to apply regulatory changes to operational processes.
o Experience developing and delivering training programs, especially those tied to optimization initiatives or system enhancements.
o Vendor management experience, particularly in coordinating automation or optimization solutions.
Language Skills:
Proficient in English; strong written and verbal communication skills required
Knowledge, Skills and Ability Requirements:
Proven track record leading enterprise-level transformation projects
Ability to manage high-complexity, cross-functional initiatives
Strong financial and operational acumen with understanding of revenue cycle KPIs
Expertise in change leadership and stakeholder engagement
Competency in translating analytics into strategy
Ability to foster a culture of innovation, accountability, and continuous learning
