RCM Manager- Remote

Summary
As a RCM Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Responsibilities

• Manages the day-to-day production regimen of multiple operational groups, with a focus on technology-driven processes and financial/banking operations.

• Provides direction to operational teams, communicating departmental and organizational goals and objectives.

• Identifies and manages service improvements to increase customer satisfaction, ensuring delivery of projects meets client and company expectations and needs.

• Serves as liaison between Operations and various cross-functional groups (IT, Client Engagement), emphasizing technology integration.

• Acts as the direct escalation point for client-identified operational issues.

• Partners with functional areas or departments to integrate new, enhanced, and existing service offerings for accounts, particularly in financial services.

Essential Job Functions

• Supervises a team comprised of exempt, non-exempt employees, or contingent workforce with a well-defined scope, including directing daily work activities/priorities, time tracking, people recruitment and development, cost management, and workforce planning.

• Provides supervision and guidance within multiple functional areas, with a strong emphasis on technology and financial operations.

• Responsible for hiring tasks.

• Manages team and individual performance, monitoring team members’ progress on goals.

• Ensures services are provided on time and with robust quality.

• Ensures processes and procedures are documented and reviewed/updated regularly.

• Coordinates with cross-functional teams to implement client change requests, focusing on technological solutions.

• Leads team toward operational excellence by monitoring KPIs, ensuring team goals and contractual commitments are met.

• Monitors Service Level Agreements (SLAs).

• Provides and presents production data to upper management as appropriate.

• Demonstrates strong people management abilities and handles all people care-related activities.

• Creates a working environment conducive to individual growth, high performance, and continuous improvement.

What We’re Looking For

• 3+ years of experience in revenue cycle management or healthcare operations.

• Bachelor's degree in Business, Healthcare Administration, Finance, or related field.

• 3+ years of leadership/supervisory management experience in medical billing, coding, claims, or payer processes, and managing associated professional or clerical staff.

• 5+ years of experience in RCM or healthcare claims processing.

• Hands-on experience with healthcare claims management software/systems (e.g., Epic, Oracle, Meditech, Cerner, or similar).

• Strong communication and customer service skills.

What You Should Expect in This Role

• Work Arrangement: Remote within the United States.

• Position Type: Full-time position.

This position is for pipeline purposes, and we welcome applications on an ongoing basis.

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