Program Manager, Revenue Integrity

MRO Corporation; United States; On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Annual bonus

Comprehensive benefits

401(k) plan

Job summary

MRO Corporation in the United States seeks a Revenue Integrity Program Manager to lead consulting engagements with clients and internal stakeholders, optimizing revenue integrity workflows across products. You will serve as a subject matter expert, articulate benefits to C-suite finance teams, and support sales and product development while ensuring adoption of RI solutions.

The role requires strong communication, extensive healthcare revenue cycle experience, and the ability to travel up to 25%

Qualifications

• Bachelor's degree in healthcare; required or preferred.
• Minimum 6 years in healthcare revenue cycle, audit denial, or consulting.
• 5+ years with revenue cycle vendors.
• Understanding of process mapping/workflow redesign; Lean experience preferred.
• Experience with HIS systems (EPIC, Cerner strongly preferred).
• Experience with third-party payors, denials management, and claims processing.

Responsibilities

• Analyze and document provider revenue cycle processes and concerns.
• Provide best-practice revenue cycle guidance and recommendations.
• Lead small teams and projects for consulting engagements.
• Identify revenue cycle challenges in provider settings and address them.
• Collaborate with provider departments and manage customer expectations/SLA timelines.
• Provide client support for revenue integrity applications and users.

Skills

Revenue cycle

Process mapping

Lean management

Client communications

Project leadership

Executive-level communication

Healthcare analytics

Education

Bachelor's degree in healthcare

Tools

EPIC

Cerner

Microsoft Office

Job description

Overview

The Revenue Integrity Program Manager will work with clients and internal stakeholders in ensuring excellent subject matter expertise of the Revenue Integrity product lines. The RI Program Manager will consult with clients to optimize revenue integrity workflow using the Revenue Integrity suite of products. They will help support internal sales and product development teams as a subject matter expert. They should be a great communicator and able to articulate product benefits to c-suite within finance, revenue cycle or compliance. You will be a highly visible resource for our customers to ensure adoption and excellent utilization of our revenue integrity solutions.

Responsibilities

• Analyze and document provider revenue cycle processes, while focusing on specific areas of concern identified by using current revenue cycle methodologies
• Understand and provide best practice revenue cycle guidance and recommendations for provider revenue cycle operations
• Lead small teams and projects that support overall consulting engagements
• Recognize and identify revenue cycle process challenges or opportunities in a provider setting and accelerate concerns timely
• Work directly with provider departments, as needed
• Managing customer expectations and service level agreements/timelines, ensuring that customers are kept informed.
• Provide client support for all revenue Integrity applications and end users
• Develop and maintain, as needed, knowledge and resources for above methodologies, client facing presentation, ROI calculator materials and regular internal education for advancing the skillset and effectiveness of the Executive Directors, internal prospecting staff (Marketing
• Development Team), product campaign cadence and policy/procedure information for effective internal deal pursuit
• Maintain industry and product knowledge, adapting to changes in the market/competition, participation in regional/national meetings/forums, and driving brand/deliverable awareness within territory
• Complete special projects related to customer needs and support

Qualifications

• Bachelors degree in health care industry, preferred.
• Minimum of 6 years healthcare revenue cycle, audit denial and/or consulting experience required. Relevant industry experience may substitute previous consulting requirement
• 5+ years of experience working with revenue cycle vendors.
• Understanding of process mapping and workflow redesign preferred. Lean management experience preferred.
• Experience with healthcare information systems (HIS), EPIC, Cerner strongly preferred.
• Experience with third-party payors, denials management, and claims processing preferred
• Outstanding problem-solving and analytical skills
• Develop and maintain, as needed, knowledge and resources for above methodologies, client facing presentation, ROI calculator materials and regular internal education for advancing the skillset and effectiveness of the Executive Directors, internal prospecting staff (Marketing
• Development Team), product campaign cadence and policy/procedure information for effective internal deal pursuit
• Support RFP’s, Large/Multi-product deals, cross departmental collaboration to achieve objectives
• Maintain industry and product knowledge, adapting to changes in the market/competition, participation in regional/national meetings/forums, and driving brand/deliverable awareness within territory
• Proven ability to work independently, meet deadlines, and prioritize multiple tasks in a fast-paced dynamic setting
• Strong customer service orientation
• Positive attitude, professional demeanor, and a strong work ethic
• Excellent communicator (written and oral)
• Proficient with Microsoft Office, especially Word, Excel, and Outlook
• Willingness to travel up to 25% for client engagements

Total Compensation Base pay is one element of the total compensation package. Eligible employees may also receive an annual cash bonus and have access to a comprehensive benefits offering, including medical, dental, vision, life insurance, and a 401(k) plan.

Salary Range It is not typical for an individual to be hired at or near the top of the range. Individual pay may be influenced by factors such as skills, qualifications, experience, licensure, certifications, geographic location, and internal equity.

Pay Range

USD $85,000.00 - USD $115,000.00 /Yr.