Revenue Cycle Process Optimization Manager - Remote - Nationwide

Overview

Remote, Nationwide – Revenue Cycle Process Optimization Manager e pay range: $/yr - $/yr. This role is fully remote with opportunities across the country.

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. If you ever need to move, you can take your job with you.

• Lead the analysis and optimization of end-to-end revenue cycle workflows and processes, including patient access, charge capture, billing, coding, collections, denials management, and payment posting. Analyze to identify inefficiencies, bottlenecks, and areas for improvement.
• Utilize revenue cycle expertise to enhance automation, data accuracy and reporting capabilities.
• Lead and manage process optimization projects from planning through execution and evaluation.
• Collaborate with cross-functional teams including billing, coding, patient access, IT, and compliance to identify operational inefficiencies and implement sustainable solutions.
• Serve as the subject matter expert (SME) for IDX system functionality, configuration, and optimization.
• Develop and maintain documentation for new processes, workflows, and system enhancements.
• Monitor and analyze KPIs to assess impact and ensure continuous improvement with reporting to track the impact of optimization efforts.
• Drive adoption of best practices, industry trends, and regulatory changes; foster a culture of innovation and accountability.
• Enhance transparency and accountability in revenue processes.
• Support organizational goals through data-driven decision making.
• Partner with RCM Learning & Development to deliver training for revenue cycle staff on new or optimized processes.
• Lead root cause analyses and performance audits to identify inefficiencies and improve reimbursement timelines and payer compliance.
• Develop and implement strategies to improve RCM KPIs such as AR days, first-pass resolution rate, denial rate, and net collection rate.
• Ensure successful delivery of projects with documentation, budget adherence, and on-time delivery.
• Identify gaps in workflow, training, or systems and create sustainable process improvement plans using Lean, Six Sigma, or similar methodologies.
• Create performance dashboards, executive reports, and business cases for optimization projects for senior leadership.
• Establish and track benchmarks to monitor the impact of changes and ensure sustained process optimization.
• Ensure process improvements comply with relevant regulations and industry standards; stay current with payer changes and regulatory requirements.

• Bachelor’s degree in healthcare administration, Business, Finance, or related field required.
• Minimum 5 years of experience in revenue cycle management, with at least 2 years focused on process improvement.
• Proven experience working with IDX (GE Centricity Business) in a healthcare setting.
• Established track record of success in optimizing complex processes.
• Certified Associate in Project Management (CAPM), Project Management Professional (PMP), or Lean Six Sigma certification required.
• Master’s degree preferred.
• Experience with data visualization tools (e.g., Tableau, Power BI) preferred.
• Familiarity with other EHR/PM systems and healthcare IT platforms preferred.
• Change management experience in a healthcare environment preferred.
• Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations; deep understanding of healthcare revenue cycle management.
• IDX system proficiency; proficiency in data analysis tools and revenue cycle software.
• Excellent analytical, leadership, problem-solving, and project management skills.
• Strong communication and interpersonal skills with the ability to influence stakeholders at all levels.
• Ability to manage multiple projects from inception to successful implementation.
• Proficiency in Microsoft Office suite (Outlook, Word, Excel, PowerPoint).

• Comprehensive benefits package with health plan options, dental, vision, and life insurance.
• Top-tier 401(k) with employer match; generous PTO and holidays.
• Professional development programs and EAP support.
• Wellness programs and virtual community events; flexible work hours.

EEO notice: Vituity does not discriminate on race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, veteran status, pregnancy or related condition, or any other basis protected by law.

Applicants only. No agencies please.