Manager, Revenue Cycle Systems Architect

Socket.dev; Boston (MA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Community Care Cooperative (C3) in Boston seeks a Manager, Revenue Cycle Architect to lead a multidisciplinary team of consultants focused on patient registration, clinical workflows, and revenue/denial management within Epic.

The role oversees end-to-end design and optimization of billing and registration processes, ensuring alignment with MA regulations and payer requirements while driving financial performance for FQHC partners.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or a related field preferred.
• Minimum of 5 years of Epic implementation and build experience.
• Strong knowledge of Massachusetts billing regulations, payer requirements, and FQHC/ACO reimbursement frameworks.

Responsibilities

• Directly manage team of multi-disciplined consultant analysts across Epic registrations, clinical, and billing.
• Provides direction and support to consultant team to ensure departmental effectiveness and efficiency.
• Interview, hire, orient and train new consultants.
• Set clear expectations for consultants at each phase of the engagement, including defining deliverables, timelines, and quality standards.
• Plan, assign, and direct work of consultants for engagement with customers.
• Lead testing strategies to validate system build and ensure accuracy.
• Collaborate with Billing, Finance, Clinical, Compliance, and IT teams to ensure consistent and compliant revenue cycle practices.

Skills

Epic expertise

Massachusetts billing rules

Leadership

Communication skills

Project management

MS Office

Education

Bachelor's degree in healthcare administration or related field

Tools

Epic software suite

Job description

Title: Manager, Revenue Cycle Architect
Report to:VP, Billing and Credentialing
Classification:People Manager
Location:Boston (Hybrid)

Job description revision number and date: V1.0; 08.03.2026

Organization Summary

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

Job Summary

The Senior Consultant serves as a strategic leader responsible for managing a team of consultants delivering specialized expertise in patient registration, clinical workflows, and revenue and denial management under the Billing and Credentialing Shared Service. This role holds accountability for the consultant team working on the redesign of operational workflows to improve the financial performance of FQHCs. The Senior Consultant oversees end-to-end optimization of billing, registration, and clinical workflows, as the subject matter expert on revenue cycle strategy. This includes architecting technical designs and overseeing their successful execution. This position is best suited for a revenue cycle expert with knowledge of Epic workflows across multiple disciplines. Collaboration with customer-facing teams across Revenue Integrity, Clinical Operations, Finance and IT is essential.

Responsibilities:

• Directly manage team of multi-disciplined consultant analysts across multiple areas in Epic including registration, clinical and billing
• Provides direction and support to consultant team to ensure departmental effectiveness and efficiency
• Interview, hire, orient and train new consultants
• Set clear expectations for consultants at each phase of the engagement, including defining deliverables, timelines, and quality standards
• Appropriately match team member skills and strengths to project responsibilities and workstreams
• Conducting regular one-on-ones and team check-ins to discuss deliverable status, shared issues, end-user concerns, and upcoming milestones
• Identifying and supporting staff development needs, providing guidance on lessons learned and key success factors
• Evaluate performance of staff, documenting areas for growth, improvement and areas where staff are excelling
• Plan, assign, and direct work of consultants for engagement with customers
• Design of consulting framework including engagement initiation, discovery process and pre-engagement scoping
• Creation of Statement of work for engagement, including full scope of work, clearly defined deliverables, timeline and costs
• Design of documentation templates to report out recommendations and status updates to customers
• Create and maintain sustainable processes in Epic for revenue enhancement
• Conduct audits of consultant team recommendations on workflows and implement corrective actions to eliminate issues
• Act as the primary Epic subject-matter expert for revenue, clinical and reporting application
• Build and refine Epic work queues, charge router rules, claims edits, handler tasks and other configuration
• Lead testing strategies to validate system build and ensure accuracy
• Partner with IT and Epic support (CTC) to identify issues and develop enhancements
• Consult with individual FQHCs to identify processes and technology improvements to improve the effectiveness and efficiency of revenue cycle operations
• Manage the development of dashboards and reporting tools to track key revenue integrity metrics
• Provide detailed analysis and insights to leadership, recommending improvements to optimize revenue cycle performance
• Monitor denial patterns and lead cross-functional corrective action plans in collaboration with billing team
• Support FQHC expansion, and new revenue cycle initiatives
• Develop training programs focused on documentation standards, Epic workflows, coding accuracy, and payer compliance
• Collaborate with Billing, Finance, Clinical, Compliance, and IT teams to ensure consistent and compliant revenue cycle practices
• Collaborate with internal and external constituents to execute improvements
• Serve as a trusted advisor across departments, leveraging in-depth system knowledge to enhance operational efficiency
• Contribute to shaping the vision for C3 as the preferred resource for an affordable and efficient MSO in Billing and Credentialing
• Perform other duties as assigned

Required Skills:

• Epic expertise in registration, clinical, billing, data extracts, GL and reporting
• Strong knowledge of Massachusetts billing regulations, payer requirements, and FQHC/ACO reimbursement frameworks
• Demonstrated leadership and ability to guide complex system builds, optimizations, and Community Connect implementations
• Excellent communication skills, analytical thinking, and cross-functional collaboration abilities
• Ability to manage multiple projects simultaneously in a fast-paced, evolving environment
• High attention to detail and a strong commitment to quality assurance and customer service
• Proficiency with Microsoft Office Suite
• Strong commitment to C3's mission

Desired Other Skills:

• Multiple Epic revenue cycle certifications (Charge Router, PB/Resolute, EpicCare Ambulatory or related Epic modules)
• Familiarity with the MassHealth ACO program
• Experience working in Federally Qualified Health Centers (FQHCs)

Qualifications:

• Bachelor's degree in healthcare administration, business, finance, or a related field preferred
• Minimum of 5 years of Epic implementation and buildexperience

** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **