RCM Optimization & Strategy Senior Manager (Remote)

InStride Health, Inc.; United States; Remote; USD 130,000 - 145,000; Full time

Benefits offered by this job

401k with match

Flexible PTO

Paid holidays

Sabbatical (4 weeks)

Parental leave

Job summary

InStride Health, Inc. is seeking a Senior Manager, RCM Optimization & Strategy to identify root causes of denials, front-end rejections, and revenue leakage across our Revenue Cycle Management operations.

Reporting to the Senior Director of RCM, you will bridge billing, AR, and payor operations with analytics and technology to improve accuracy and speed. This fully remote role collaborates with RCM, Payor Operations, Credentialing, Eligibility, IT, and Clinical teams to streamline workflows,

Qualifications

• 6+ years in healthcare revenue cycle management with analytical/optimization focus
• Bachelor’s degree in Healthcare Administration, Finance, or Business Analytics (or 10+ years in healthcare RCM)
• Proven track record using data to improve RCM operations and reduce denials
• Strong project management and cross-functional collaboration skills
• Excellent written and verbal communication with ability to translate data into insights

Responsibilities

• Analyze end-to-end RCM workflows to eliminate manual steps and leakage
• Own billing system setup and configuration across RCM platforms (Apero, Sigma, Mahler)
• Build and refine KPI dashboards (clean claim rate, denial rate, days in AR, collection rate)
• Lead root-cause analyses on denials and underpayments and propose durable fixes
• Partner with Technology and Payor Operations to implement automation and address payor issues
• Manage internal/clearinghouse configuration to resolve pre-claim edits and rejections
• Coordinate with Licensing, Credentialing, and Eligibility to reduce intake-driven denials
• Lead change management for new billing tools and trainings
• Deliver executive RCM insights and financial performance reports

Skills

RCM optimization

Healthcare analytics

Denials management

Process improvement

Cross-functional collaboration

SQL

Project management

Communication skills

Education

Bachelor’s degree in Healthcare Administration / Finance / Business Analytics

Tools

Apero

Sigma

Mahler

Power BI

Looker

Job description

InStride Health, Inc. is seeking a Senior Manager, RCM Optimization & Strategy to identify root causes of denials, front-end rejections, and revenue leakage across our Revenue Cycle Management operations.

Reporting to the Senior Director of RCM, you will bridge billing, AR, and payor operations with analytics and technology to improve accuracy and speed. This fully remote role collaborates with RCM, Payor Operations, Credentialing, Eligibility, IT, and Clinical teams to streamline workflows,