Revenue Cycle Management / RCM Leader
About the Role
The Revenue Cycle Management (RCM) Lead is a senior leader responsible for overseeing the full spectrum of revenue cycle operations across Candid Health's portfolio of clients. This role drives enterprise-wide financial performance, and operational excellence in billing, denial management & prevention, reconciliation, and payer relations. This senior leader is responsible for day-to-day management of the Candid RCM team, including being hands-on alongside billers. This person will also own cross-functional initiatives to optimize revenue cycle workflows, enhance data transparency, and support scalable growth aligned with Candid Health’s evolving business needs. This role will also represent Candid Health externally with customers, partners, payers, and internally as a mentor and leader of high-performing teams.
What You’ll Be Doing
- Hire, manage and lead high-performing onshore and offshore teams, responsible for delivering strong revenue cycle operations within billing, EDI, denial management, and payment posting for Candid’s portfolio of customers.
- Drive RCM KPIs and outcomes by getting into the details on specific claim-level and claim cohort level issues alongside Billers and Billing Leads (This position has a high degree of operational and tactical execution).
- Build & scale the department by creating and refining playbooks, standardized processes, and data management frameworks.
- Oversee customer portfolios by dynamically adjusting resourcing and priorities to ensure high-quality service delivery.
- Monitor key metrics to adjust resourcing and priorities, ensuring capacity aligns with fluctuating demand and new customer onboarding.
- Act as the primary point of contact for complex customer issues, providing expert consultation and decisive resolutions to maintain client trust in partnership with our Customer Strategy & Operations team.
- Partner closely with Customer Support and Customer Strategy & Operations teams to ide...