The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims.
● Bachelor’s degree in Business Administration, Healthcare Operations, Management, or
related field (Master’s preferred).
● 10+ years of professional operations experience, ideally in multi-state, high-growth,
or highly regulated environments; healthcare operations experience strongly preferred.
● Proven experience building and scaling administrative or operational functions in a
fast-paced organization.
● Experience with RCM, credentialing, compliance workflows, or clinical operations.
● Demonstrated leadership managing large teams, distributed/offshore teams, or
multi-functional operational units.
● Strong analytical background with comfort using dashboards, KPIs, and data-driven
decision-making.
● Excellent communication, project management, and cross-functional collaboration skills.
Preferred Skills
● Experience in telehealth, digital health, or multi-state clinical operations.
● Familiarity with healthcare billing rules, provider licensure frameworks, credentialing
workflows, or payer requirements.
● Experience partnering with product/engineering teams to automate workflows.
● Knowledge of Lean/Six Sigma or similar process-improvement methodologies.
● BA in management and or healthcare administration, MBA Preferred
Revenue Cycle Management Leadership
● As an individual contributor, take direct ownership of early RCM processes while
preparing the foundation for scale.
● Hire, onboard, and eventually lead the RCM Manager as the function
grows—transitioning this responsibility as the team expands.
● Build the initial components of a comprehensive revenue cycle function from the ground
up, including claims submission workflows, payment posting, denial management, and
payer follow-up.
● Establish scalable SOPs, accountability structures, and performance standards to
support future team growth.
● Partner with Finance and Product to improve RCM tooling, workflow automation, and
visibility into reimbursement outcomes—ensuring the team is set up for long-term
success.
Credentialing Ownership & Onboarding Support
● Fully own and manage the end-to-end provider credentialing lifecycle, including
multi-state licensure, payer enrollment, application submission, verification, and ongoing
status tracking.
● Build and maintain a centralized credentialing infrastructure with clear timelines,
progress tracking, dashboards, and documentation standards.
● Partner with Medical Operations, Recruiting, and HR to support a streamlined
onboarding experience—ensuring providers receive systems access, orientation
materials, and readiness checkpoints aligned with operational timelines.
● Continuously optimize credentialing and onboarding workflows to reduce cycle time,
improve provider readiness, and support rapid expansion into new states and service
lines.
● Identify bottlenecks and implement process improvements that enhance visibility,
predictability, and overall throughput across both credentialing and onboarding functions.
Offshore Support Operations
● Lead the offshore operations team responsible for administrative support, provider
support tasks, and patient coordination.
● Develop clear productivity metrics, QA procedures, and training pathways to ensure
consistent service delivery.
● Integrate offshore workflows with RCM, scheduling, credentialing, and provider
operations.
● Identify and resolve operational bottlenecks to improve throughput and service quality.
Medical Operations & BizOps Partnership
● Collaborate with Medical Operations on KPI reporting, workforce analytics, provider
performance visibility, and provider-support efficiency.
● Partner with BizOps on dashboarding, analytics, internal documentation, and
cross-functional process standardization.
● Work with HR and Recruiting to support provider hiring, staffing forecasts, onboarding
needs, and compliance requirements.
● Ensure accurate and updated documentation within the internal wiki, aligning Central
Ops processes with company-wide standards.
Process Improvement, Scalability & Operational Excellence
● Drive continuous process improvement across credentialing, onboarding, RCM, and
offshore support to increase efficiency, accuracy, and throughput.
● Build, document, and optimize SOPs, workflows, and escalation paths to create
repeatable, scalable systems across all central operations functions.
● Implement quality checks, performance metrics, and workflow automation to elevate
operational reliability and reduce friction between teams.
● Lead initiatives that improve operational readiness for new-state launches, new service
lines, and expanding clinical programs—ensuring processes scale smoothly as volume
grows.
● Partner cross-functionally to identify bottlenecks, streamline handoffs, and enhance
provider-support workflows that enable faster, more predictable execution
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