Senior Revenue Cycle Project Manager – Front, Middle & Back End, Epic Required

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🔥 14 hours ago

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The Wilshire Group

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare Insurance • Consulting • Enterprise

The Wilshire Group is a consultancy firm that specializes in optimizing revenue cycle operations and IT solutions for the healthcare industry. They provide services in patient access, health information management, revenue integrity, and billing for both hospital and professional settings. The firm focuses on enhancing financial experiences by partnering with clients to solve complex challenges at the intersection of operations and technology. The Wilshire Group is dedicated to helping organizations maximize their EHR investments and improve revenue recognition and workflow optimization, ensuring consistent and proven results.

📋 Description

• Own the strategic roadmap for enterprise revenue cycle initiatives, aligning project objectives to broader organizational and financial goals • Apply formal PM methodology and governance frameworks (PMP-aligned) to manage scope, schedule, budget, risk, and quality across complex, multi-workstream programs • Lead program-level risk management — proactively identifying systemic risks, building mitigation strategies, and escalating appropriately before issues become crises • Provide strategic counsel to senior leadership and executive sponsors on revenue cycle performance, transformation priorities, and resourcing decisions • Establish and enforce project governance structures, including steering committees, change control boards, and decision escalation paths • Lead, mentor, and develop cross-functional project teams and junior PMs; build accountability structures that drive performance without micromanagement • Serve as the senior point of alignment between clinical, operational, IT, and executive stakeholders — resolving conflicting priorities at the leadership level • Facilitate executive steering committee meetings and deliver polished, decision-ready reporting to C-suite and senior sponsors • Direct large-scale Epic implementations, upgrades, optimizations, and workflow redesigns (HB/PB focus), ensuring system changes map to strategic revenue cycle goals • Take ownership of enterprise-level KPI performance — DNFB, clean claim rate, denial rates, AR days — translating metric trends into strategic action plans • Proactively identify revenue leakage at a systemic level and lead the design of corrective, scalable strategies • Ensure all initiatives meet regulatory requirements and payer guidelines, embedding compliance into program design from the outset.

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business, or related field • 8+ years of healthcare revenue cycle experience spanning front, mid, and back-end functions, including senior or lead PM roles • PMP certification required (or equivalent advanced project/program management credential) • Hands-on experience with Epic HB (Hospital Billing) and PB (Professional Billing) • Demonstrated success leading large, complex healthcare or IT transformation programs with executive visibility • Deep understanding of revenue cycle metrics, workflows, and industry best practices at a strategic level • Strong executive presence — proven ability to advise, influence, and lead through senior stakeholders • A strategic, ownership-driven mindset: comfortable setting direction in ambiguous situations and being accountable for program-level outcomes.