Summary: The Strategic Initiatives Program Manager, RCM leads strategic, cross-functional programs that drive operational efficiency across Billing Services in direct support of the Billing Services leadership team. This role owns the planning, execution, and reporting of high-impact initiatives spanning all revenue cycle functions and operations.
A significant focus of the role is the development, execution, and ongoing oversight of the offshore delivery strategy - including vendor and partner management, transition planning, service level governance, quality assurance, and performance reporting. The ideal candidate combines strong revenue cycle knowledge with disciplined program management, data-driven analysis, and the ability to influence and align stakeholders at all levels.
Essential Duties and Responsibilities: - Lead strategic programs and projects that drive operational efficiency, cost reduction, and performance improvement across Billing Services
- Partner with the COO and Billing Services leadership team to translate strategic priorities into structured programs with clear scope, milestones, owners, and measurable outcomes
- Build and maintain program roadmaps, project plans, status reporting, risk and issue logs, and executive-level dashboards
- Serve as program lead for the offshore strategy, including scoping of work to be transitioned, readiness assessments, transition planning, and go-live execution
- Provide ongoing oversight of offshore partners and teams, including service level agreements (SLAs), key performance indicators (KPIs), quality standards, capacity planning, and escalation management
- Establish governance routines with offshore vendors and internal stakeholders, including recurring business reviews, performance scorecards, and corrective action plans
- Analyze workflows, staffing models, and productivity data to identify automation, standardization, and process improvement opportunities across the revenue cycle
- Develop business cases, cost/benefit analyses, and return on investment models to support leadership decision-making on strategic initiatives
- Partner with Operations, Development, IT/Product, Compliance, Finance, HR, and Training to ensure programs are resourced, sequenced, and delivered on time
- Ensure all onshore and offshore processes meet federal, state, and payer regulatory requirements, including HIPAA, PHI handling, and data security standards
- Define and document standard operating procedures (SOPs), workflow documentation, and training materials required to support new or transitioned processes
- Track realized benefits post-implementation and report results, risks, and course corrections to leadership
- Lead change management and communication plans to drive adoption of new processes across onshore and offshore teams
- Support integration and onboarding activities related to acquisitions, new clients, and new service lines as assigned
- Facilitate cross-functional meetings, drive accountability for action items, and remove barriers to program execution
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Qualifications: - Education: Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field preferred
- 5+ years of experience in revenue cycle management, healthcare operations, or a related field preferred
- 3+ years of program or project management experience leading cross-functional, multi-site initiatives
- Experience managing or supporting offshore, outsourced, or business process outsourcing (BPO) operations strongly preferred
- Strong knowledge of the end-to-end revenue cycle, including billing, coding, claims, denials, collections, and payer requirements
- Demonstrated experience building business cases, performance scorecards, and executive-level reporting
- Project management certification (PMP, Lean, Six Sigma, or equivalent) preferred
- Advanced proficiency in Microsoft Office (Excel, PowerPoint, Outlook, Word); experience with project management and business intelligence tools preferred
- Excellent analytical skills with the ability to translate data into actionable insights and recommendations
- Strong communication, facilitation, and stakeholder management skills, including with executive leadership and external partners
- Ability to influence cross-functional teams and drive change without direct authority
- Highly organized with the ability to manage multiple concurrent priorities and deadlines
- Experience working in a metrics-driven, fast-paced operational environment
- Commitment to accuracy, compliance, and continuous improvement
- Ability to work across time zones to support offshore teams and periodic travel as required
We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan.
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