Manager, Revenue Cycle Operations - Payer Accountability

R1 RCM; United States; Remote; USD 69,000 - 115,000; Full time

Job summary

R1 RCM is seeking a Manager of Revenue Cycle Operations who will lead a team and engage directly with payers to drive operational improvements and resolve issues. The ideal candidate will possess strong leadership and analytical skills, fostering communication and collaboration across departments while understanding complex revenue cycle processes in a hospital setting.

Benefits

Competitive benefits package

Annual bonus plan

Qualifications

• 5-8 years of Revenue Cycle Management experience, with at least 2 years in management.
• Strong understanding of Revenue Cycle Operations in a hospital setting.
• Experience with complex Excel and Access, basic SQL and Visual Basic a plus.

Responsibilities

• Engage with payers to establish strong relationships and resolve escalated issues.
• Lead a team of analysts to meet performance targets.
• Facilitate meetings using data analytics to identify and solve payer-related issues.

Skills

Leadership Skills

Analytical Skills

Change Management

Education

Bachelor’s Degree

Job description

Manager, Revenue Cycle Operations - Payer Accountability

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Manager of Revenue Cycle Operations, you will leverage your managerial experience to develop members of the team to exceed expectations and achieve project objectives. Every day you will take the initiative to seek customer buy-in and develop a partnership to execute change. To thrive in this role, the successful candidate will exhibit judgment in adjusting communication style and effectively motivate the team to achieve desired results.

Here’s what you will experience working as a Revenue Cycle Operations Manager:

Payer Relations & Escalations. Day-in/day-out direct engagement with payers to establish and sustain strong relationships that drive mutually-value add results for our clients. Research and interpret contract terms to identify claims issues & lead and negotiate resolutions for escalated issues. Monitor and analyze payer performance, identifying issue trends impacting revenue.

Data-Driven Decision Making. Facilitate payer meetings utilizing data analytics to identify patterns and root causes of payer-related issues. Prepare and present reports on payer performance and escalation outcomes to senior leadership. Develop and monitor key performance indicators (KPIs) related to payer escalation.

Team Leadership & Development. Leads a team of analysts & drives leadership accountability to meet and exceed performance targets. Develop team members to proactively identify and understand revenue cycle issues in conjunction with payor contracts and adjudication practices.

Cross-Functional Collaboration & Innovate for Performance. Partner with R1 Product team to automate & improve workflow logic to identify potentially problematic accounts based on contractual terms, regulatory compliance, and results of customized analytics. Work closely with internal departments & global business partners.

Process Optimization & Compliance. Analyze and optimize existing payer escalation processes. Implement best practices that promote operating rigor & innovative solutions to drive increased efficiency and effectiveness.

Required Skills:

A Bachelor’s Degree

5-8 Years of Revenue Cycle Management experience – with at least 2 years of management experience

Strong understanding of Revenue Cycle Operations within a Hospital setting and/or demonstrated, relevant domain knowledge

Leadership Skills – Strong communication and leadership skills, while acting as a role model and coaching team members in R1’s core values

Change Management – The ability to help counterparts through difficult transitions to a new process, workflow, or situation

Analytical Skills – Understanding of complex Excel and Access and/or simple SQL and Visual Basic are a plus

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Manager of Revenue Cycle Operations, you will leverage your managerial experience to develop members of the team to exceed expectations and achieve project objectives. Every day you will take the initiative to seek customer buy-in and develop a partnership to execute change. To thrive in this role, the successful candidate will exhibit judgment in adjusting communication style and effectively motivate the team to achieve desired results.

Here’s what you will experience working as a Revenue Cycle Operations Manager:

• Payer Relations & Escalations. Day-in/day-out direct engagement with payers to establish and sustain strong relationships that drive mutually-value add results for our clients. Research and interpret contract terms to identify claims issues & lead and negotiate resolutions for escalated issues. Monitor and analyze payer performance, identifying issue trends impacting revenue.

• Data-Driven Decision Making. Facilitate payer meetings utilizing data analytics to identify patterns and root causes of payer-related issues. Prepare and present reports on payer performance and escalation outcomes to senior leadership. Develop and monitor key performance indicators (KPIs) related to payer escalation.

• Team Leadership & Development. Leads a team of analysts & drives leadership accountability to meet and exceed performance targets. Develop team members to proactively identify and understand revenue cycle issues in conjunction with payor contracts and adjudication practices.

• Cross-Functional Collaboration & Innovate for Performance. Partner with R1 Product team to automate & improve workflow logic to identify potentially problematic accounts based on contractual terms, regulatory compliance, and results of customized analytics. Work closely with internal departments & global business partners.

• Process Optimization & Compliance. Analyze and optimize existing payer escalation processes. Implement best practices that promote operating rigor & innovative solutions to drive increased efficiency and effectiveness.

Required Skills:

• A Bachelor’s Degree

• 5-8 Years of Revenue Cycle Management experience – with at least 2 years of management experience

• Strong understanding of Revenue Cycle Operations within a Hospital setting and/or demonstrated, relevant domain knowledge

• Leadership Skills – Strong communication and leadership skills, while acting as a role model and coaching team members in R1’s core values

• Change Management – The ability to help counterparts through difficult transitions to a new process, workflow, or situation

• Analytical Skills – Understanding of complex Excel and Access and/or simple SQL and Visual Basic are a plus

For this US-based position, the base pay range is $69,556.00 - $114,234.05 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 10.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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R1 RCM Inc. is an American revenue cycle management company servicing hospitals, health systems and physician groups across the United States.

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