Manager, RCM Operations – Analytics

🔥 17 hours ago

🇺🇸 United States – Remote

💵 $80k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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EverCommerce

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2016

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Private Equity Round on 2019-07

Healthcare • Consulting • Logistics

EverCommerce is the leading service commerce platform, providing vertically-tailored, integrated SaaS solutions to over 500,000 global service-based businesses. Established in 2016, EverCommerce offers software solutions that help businesses market their services, streamline day-to-day operations, and enhance customer engagement. The company specializes in powering the service economy with digital transformation across multiple industries, including Home & Field Services, Health Services, and Fitness & Wellness. EverCommerce's technology aims to accelerate growth, improve operations, and increase retention for small and medium-sized businesses, transforming the way they interact with customers through modern digital and mobile applications.

📋 Description

• Lead performance intelligence, operational analytics, and continuous improvement for the Revenue Cycle Management Services organization • Own standardized RCM KPI definitions, data sources, targets, controls, and reporting • Establish independent visibility into transaction volumes, work queues, processing status, productivity, quality, and backlog across internal teams and BPO partners • Partner with Product, Engineering, Clearinghouse, and vendors to improve data access, reconciliation, accuracy, and reporting automation • Deliver dashboards, operating reviews, trend analysis, root-cause findings, and recommended actions • Identify at-risk clients, revenue leakage, denial patterns, and operational bottlenecks; track corrective actions and verified outcomes • Lead cross-functional process improvement initiatives across charge capture, claims, denials, AR follow-up, payment posting, onboarding, and credentialing/enrollment handoffs • Map workflows, identify rework and delays, and standardize scalable processes and SOPs • Develop quality measurement and audit frameworks; recommend training or workflow changes • Measure onboarding performance and time-to-value for new RCM clients • Manage improvement initiatives from business cases through implementation, adoption, and post-launch benefit validation • Define, validate, and report vendor SLAs, transaction volumes, productivity, turnaround time, accuracy, and quality measures • Develop vendor scorecards and monitor corrective actions • Support forecasting, work allocation, staffing assumptions, vendor transitions, and contract negotiations through analysis • Reconcile vendor invoices and flag discrepancies and savings opportunities • Build transaction-level cost models and unit economics by client, service, function, and BPO partner • Track vendor savings, cost-to-collect, service margin, and productivity with Finance • Develop capacity and throughput models for vendor allocation, staffing decisions, and backlog recovery • Identify automation, AI, workflow, and reporting opportunities • Translate operational needs into business requirements, support UAT, and quantify deployment benefits • Analyze payer and clearinghouse edit performance and recommend enhancements • Partner with Service Management, Finance, Sales, and Implementation on insights, forecasts, demand, and onboarding capacity • Monitor payer policy and compliance-related trends and support process updates

🎯 Requirements

• 5+ years of healthcare revenue cycle management experience, including substantial experience with end-to-end ambulatory RCM workflows • 3+ years in RCM analytics, performance management, or operational improvement, with evidence of implementing measurable change • Demonstrated proficiency in SQL and/or a business intelligence platform such as Power BI, Tableau, or Looker, plus advanced Excel and data validation skills • Experience assessing outsourced or offshore BPO performance, SLAs, quality, and transaction-level productivity • Ability to reconcile multiple data sources, build actionable financial and operational models, and communicate findings to senior leaders • Working knowledge of payer reimbursement, claims processing, denials, AR management, and relevant billing requirements • Strong cross-functional influence, project execution, communication, and problem-solving skills • Experience in a multi-client RCM services organization, ideally supporting ambulatory or multi-specialty practices • Familiarity with EHR/PM systems, clearinghouses, and DrChrono • Experience with vendor transaction-based pricing, invoice reconciliation, margin analysis, and capacity planning • Hands-on experience with AI-assisted analytics, reporting automation, or RCM workflow automation • Lean, Six Sigma, CRCR, CRCS, CPC, CPB, or related training/certification (preferred) • Must be eligible to work without sponsorship in the United States

🏖️ Benefits

• Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid • Continued investment in your professional development • Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend • 401k with up to a 4% match and immediate vesting • Flexible and generous (FTO) time-off • Employee Stock Purchase Program

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