RCM Automation Strategist – RCM Experience

🔥 7 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

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Netsmart

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1973

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

Netsmart is a leading provider of comprehensive EHR solutions tailored for a wide range of care settings, especially in behavioral health, addiction treatment, autism, geriatrics, and intellectual and developmental disabilities. The company offers a range of software products that streamline operations, enhance care coordination, and promote value-based care across healthcare communities. In addition to EHRs, Netsmart provides technology solutions for care coordination, telehealth, population health management, and revenue cycle management, aiming to support the delivery of integrated and person-centered care. Their solutions are used in a variety of sectors including human services, post-acute care, and public health, making Netsmart a significant player in the healthcare technology industry.

📋 Description

• Lead RCM Automation Strategy • Identify and prioritize high-value automation opportunities across revenue cycle workflows, including claims management, prior authorization, eligibility verification, coding, charge capture, denials, and payment reconciliation. • Develop and maintain a strategic automation roadmap that aligns with business objectives and client needs. • Evaluate current-state processes and determine where automation can drive efficiency, scalability, and improved outcomes. • Build the Foundation for Scalable Automation • Create and own a comprehensive library of automation playbooks. • Establish documentation and process standards that enable repeatable, high-quality automation development. • Partner Across Teams and Clients • Collaborate with RCM leaders, operational subject matter experts, automation consultants, RPA developers, and clients to design and implement automation solutions. • Facilitate discovery sessions, process assessments, and workflow evaluations to ensure automation initiatives align with operational goals. • Serve as a trusted advisor and automation champion for both internal stakeholders and external clients. • Drive Governance and Continuous Improvement • Define automation governance standards, quality frameworks, naming conventions, and version control practices. • Track solution performance and measure outcomes against operational and financial benchmarks. • Analyze results and continuously refine automation strategies to improve future implementations. • Serve as the RCM Automation Subject Matter Expert • Provide guidance and direction on complex workflow logic, process optimization, and automation best practices. • Support automation teams with troubleshooting, process design decisions, and exception management. • Stay informed on emerging automation, AI, and healthcare technology trends to help shape future capabilities.

🎯 Requirements

• 10+ years of experience in healthcare revenue cycle management, healthcare technology, or a combination of both. • 5+ years of experience implementing, configuring, or supporting automation platforms such as UiPath, Automation Anywhere, Blue Prism, Microsoft Power Automate, or similar technologies. • Deep knowledge of revenue cycle operations • Experience creating process documentation, operational playbooks, workflow maps, and implementation guides. • Strong process improvement, analytical, and problem-solving skills. • Experience leading cross-functional projects and managing stakeholders through change. • Comfortable working directly with clients and presenting recommendations to leadership. • Proficiency with Excel, data analysis tools, and project management platforms. • Experience establishing automation governance standards, Centers of Excellence (CoE), or enterprise automation frameworks. • Six Sigma, Lean, or other process improvement certification. • Experience with Smartsheet or similar project management applications. • Familiarity with AI-enabled automation solutions and emerging healthcare automation technologies. • Knowledge of Netsmart solutions, including myUnity and other RCM-related workflows. • Experience working within a healthcare technology, health IT, payer, provider, or managed services organization. • Understanding of healthcare data standards such as HL7, EDI X12, or FHIR. • Experience launching new programs, methodologies, or greenfield initiatives where success required building processes from the ground up.

🏖️ Benefits

• This is more than a process improvement role, it's an opportunity to help define the future of revenue cycle automation. • Shape the automation strategy for a growing area of the business. • Work at the intersection of healthcare, AI, RPA, and operational excellence. • Partner directly with clients and senior leaders to solve meaningful challenges. • Build scalable solutions that drive measurable impact across healthcare organizations. • Grow alongside a team that is investing heavily in innovation and automation.