Healthcare Revenue Cycle Process Lead (Forward Deployed)

r1rcm

United States

On-site

USD 175,000 - 306,000

Full time

3 days ago
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Benefits offered by this job

Competitive benefits package

Job summary

R1 RCM Inc. is seeking a Forward Deployed Process Engineer Lead to bridge executive strategy with operational execution in healthcare revenue cycle management. Travel up to 50% is required to engage with clients and stakeholders.

The role calls for 10+ years in healthcare revenue cycle, 5+ years in management, and strong expertise in process improvement, project management, and AI-enabled transformation. Certified coding credentials (CIC/CPC/CCS/RHIA/RHIT) are preferred.

Qualifications

  • Minimum 10 years experience in healthcare revenue cycle management including HB and PB Follow Up, Denials and Coding.
  • Minimum 5 years in a management role.
  • Significant experience in project management, process improvement, and implementation support.
  • Adept with AI tools and enthusiastic about the conversion of technology and operations.
  • Familiarity with healthcare operations or enterprise software environments preferred.
  • Excellent communication, problem-solving, and analytical skills.
  • Strong knowledge of ICD-10-CM/PCS & CPT/HCPCS coding guidelines and reimbursement methodologies.
  • AAPC or AHIMA Certified coding professional: CIC, CPC, CCS, RHIA, RHIT preferred.

Responsibilities

  • Provide use case business case quantification by identifying the customer’s objectives and quantifying ROI of use case implementation.
  • Designs and optimizes consulting delivery processes in coordination with internal teams to ensure seamless execution of use cases.
  • Leads and mentors Solution Consultants while aligning team efforts with client goals and operating metrics.
  • Collaborate with Solution Consultants to create product roadmap, future state process flows, and implementation plan.
  • Supports the development of training and change management plans to drive adoption of best practices.
  • Provides technical product and operational leadership throughout the solution lifecycle.
  • Evaluates emerging operational and technical opportunities and assesses future use case business cases.
  • Proactively engages with customers and supports decision-making with data-driven insights.
  • Ensures proactive issue resolution and continuous improvement in service delivery.
  • Supports the development of sustainable mechanisms to monitor KPIs and SLAs for steady state operations.
  • Travel up to 50% to engage with clients and stakeholders.

Skills

Healthcare revenue cycle
Project management
Process improvement
AI in healthcare
Leadership
Communication
Analytics
Coding knowledge

Education

AHIMA/AAPC coding certification preferred

Tools

AI tools

Job description

R1 RCM Inc. is seeking a Forward Deployed Process Engineer Lead to bridge executive strategy with operational execution in healthcare revenue cycle management. Travel up to 50% is required to engage with clients and stakeholders.

The role calls for 10+ years in healthcare revenue cycle, 5+ years in management, and strong expertise in process improvement, project management, and AI-enabled transformation. Certified coding credentials (CIC/CPC/CCS/RHIA/RHIT) are preferred.

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