RCM Optimization & Strategy Lead (Remote)

InStride Health, Inc.

United States

Remote

USD 130,000 - 145,000

Full time

6 days ago
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Benefits offered by this job

401k with match
Flexible PTO
Paid holidays
4 week paid sabbatical
12 week paid parental leave
health benefits starting day one
Fully virtual

Job summary

InStride Health, Inc. is seeking a Senior Manager, RCM Optimization & Strategy to identify root causes of denials and revenue leakage across RCM operations. Reporting to the Senior Director of RCM, you will own billing setup, lead deep-dive analyses, and build KPI dashboards to measure performance.

This is a fully remote position supporting the US team. You will collaborate with RCM, Payor Operations, Licensing & Credentialing, and IT to streamline workflows, reduce front-end errors, and scale

Qualifications

  • 6+ years in healthcare revenue cycle management with analytics or optimization focus.
  • Bachelor’s degree in a related field or 10+ years of healthcare RCM experience.
  • Proven ability to use data to streamline RCM, reduce denials, and recover revenue.
  • Experience configuring billing platforms and payor processes, CPT/ICD-10 knowledge.

Responsibilities

  • Analyze end-to-end RCM workflows to eliminate bottlenecks and revenue leakage.
  • Own billing system setup, including payor logic, fee schedules, and contracts.
  • Build and refine KPI dashboards (denial rate, clean claim rate, AR days).
  • Lead root-cause analyses on denials and underpayments; propose durable fixes.
  • Collaborate with IT, Payor Operations, Licensing & Credentialing, and others to optimize workflows.
  • Drive automation with technology to improve claim submission and revenue capture.

Skills

Project management
Analytical thinking
Communication skills
Cross-functional work
Billing systems
CPT/ICD-10 knowledge
Payor contract analysis
SQL / BI tools

Education

Bachelor’s degree in healthcare

Tools

Apero
Sigma
Mahler

Job description

InStride Health, Inc. is seeking a Senior Manager, RCM Optimization & Strategy to identify root causes of denials and revenue leakage across RCM operations. Reporting to the Senior Director of RCM, you will own billing setup, lead deep-dive analyses, and build KPI dashboards to measure performance.

This is a fully remote position supporting the US team. You will collaborate with RCM, Payor Operations, Licensing & Credentialing, and IT to streamline workflows, reduce front-end errors, and scale

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