AI-Driven RCM Solutions Architect

HealthRecon Connect; United States; Remote; USD 120,000 - 180,000; Full time

Job summary

HealthRecon Connect seeks an experienced professional to assess end-to-end Revenue Cycle Management workflows and design AI-enabled workflows that are HIPAA-compliant. You will create blueprints, process maps, and implementation roadmaps, then build and deploy AI agents and multi-agent systems to solve real-world operational challenges.

You will integrate AI solutions with EHR/PM systems, clearinghouses, RPA, and document management while defining governance for security, privacy, and

Qualifications

• Bachelor's degree required in CS/Engineering/Math.
• 5+ years in Information Technology space.
• 2 years in U.S. Healthcare Revenue Cycle Management.
• 2 years designing and deploying AI/Agent solutions in production.
• Knowledge of HIPAA, PHI handling and security controls.
• Experience with cloud platforms and healthcare interoperability standards.

Responsibilities

• Assess end-to-end RCM workflows (Patient Access, Coding, Charge Capture, Claims, Denials, Payments, AR, Correspondence) and identify automation opportunities.
• Design AI-enabled and Agentic workflow solutions using HIPAA-compliant components and architectures.
• Create solution blueprints, process flows, business cases, and implementation roadmaps.
• Build and deploy AI agents and multi-agent workflows to solve real-world operational problems.
• Integrate AI solutions with EHR, PM, clearinghouse, RPA, document management, and communication platforms.
• Define governance frameworks covering security, privacy, auditability, human-in-the-loop controls, and compliance requirements.
• Collaborate with Operations, Product, Engineering, Compliance, and Client stakeholders to deliver scalable solutions.
• Measure and continuously optimize automation outcomes using operational KPIs and ROI metrics.

Skills

AI/Automation design

Agentic AI

Cloud platforms

APIs integration

Stakeholder communication

Education

Bachelor's degree in Computer Science, Engineering, or Mathematics

Tools

LLMs

Orchestration frameworks

Prompt engineering

Retrieval architectures

Agent frameworks

Cloud platforms (AWS/Azure/GC)

Job description

HealthRecon Connect seeks an experienced professional to assess end-to-end Revenue Cycle Management workflows and design AI-enabled workflows that are HIPAA-compliant. You will create blueprints, process maps, and implementation roadmaps, then build and deploy AI agents and multi-agent systems to solve real-world operational challenges.

You will integrate AI solutions with EHR/PM systems, clearinghouses, RPA, and document management while defining governance for security, privacy, and