Serve as the go-to expert for back-end RCM, specializing in denials, underpayments, AR management, and claims workflows.
Lead and execute high-impact RCM initiatives, ensuring alignment with payer trends, regulatory shifts, and reimbursement models.
Apply economic value-add (EVA) methodologies to assess financial impact and drive ROI-positive solutions.
Leverage data-driven insights to optimize RCM operations, identifying trends and opportunities for automation and efficiency.
Utilize advanced data analytics to evaluate RCM performance, operational bottlenecks, and financial opportunities.
Develop compelling presentations, reports, and data visualizations to communicate findings to executive leadership, product teams, and industry stakeholders.
Collaborate with product and engineering teams to design scalable RCM solutions rooted in economic value and operational efficiency.
Act as a trusted advisor, shaping industry discussions on modern RCM challenges and innovations.
Stay ahead of regulatory changes, payer trends, and emerging technologies to ensure our solutions remain cutting-edge and high-impact.
Requirements
5 years: Experience breaking down complex revenue cycle challenges into structured, framework-driven solutions.