RCM Operations Lead — Capitation & Payer Strategy

Imagine Pediatrics; United States; On-site; USD 100,000 - 130,000; Full time

Benefits offered by this job

Competitive medical, dental, and vision insurance

401(k) with 4% match

20 days PTO + 10 Company Holidays

Job summary

Imagine Pediatrics is seeking a Revenue Cycle Manager to lead billing and coding operations, ensuring compliance with payer policies and driving performance improvements. The role requires over 8 years of revenue cycle experience, including substantial leadership in complex multi-payer environments. Key responsibilities include tracking KPIs, collaborating with cross-functional teams for compliance, and optimizing operational workflows. This position offers a salary of $100,000 - $130,000, alongside generous benefits including medical insurance, 401(k) matching, and paid time off.

Qualifications

• 8+ years of progressive revenue cycle experience.
• 5+ years in leadership roles with performance accountability.
• Hands-on experience with capitated and value-based payment models.

Responsibilities

• Lead billing and coding operations across payment models.
• Track core RCM KPIs and surface insights to leadership.
• Ensure compliance with CMS, OIG, and payer audit standards.

Skills

Revenue Cycle Management

Payer Policy Interpretation

Excel

Predictive Analytics

Leadership

Education

Certified Professional Coder (AAPC or AHIMA)

Lean Six Sigma or PMP

Tools

Athenahealth

Tableau

Job description

Imagine Pediatrics is seeking a Revenue Cycle Manager to lead billing and coding operations, ensuring compliance with payer policies and driving performance improvements. The role requires over 8 years of revenue cycle experience, including substantial leadership in complex multi-payer environments. Key responsibilities include tracking KPIs, collaborating with cross-functional teams for compliance, and optimizing operational workflows. This position offers a salary of $100,000 - $130,000, alongside generous benefits including medical insurance, 401(k) matching, and paid time off.