Corp Managed Svcs RCMS Senior Manager Operate

A career in our Advisory Acceleration Centre is the natural extension of PwCs leading class global delivery capabilities.

We provide premium, cost effective, high quality services that support process quality and delivery capability in support for client engagements.

To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level.

To help us achieve this we have the PwC Professional; our global leadership development framework.

It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.

As a Senior Manager, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution.

PwC Professional skills and responsibilities for this management level include but are not limited to.

Encourage everyone to have a voice and invite opinion from all, including quieter members of the team.

Deal effectively with ambiguous and unstructured problems and situations.

Initiate open and candid coaching conversations at all levels.

Move easily between big picture thinking and managing relevant detail.

Anticipate stakeholder needs, and develop and discuss potential solutions, even before the stakeholder realises they are required.

Contribute technical knowledge in area of specialism.

Contribute to an environment where people and technology thrive together to accomplish more than they could apart.

Navigate the complexities of cross-border and/or diverse teams and engagements.

Initiate and lead open conversations with teams, clients and stakeholders to build trust.

Uphold the firm's code of ethics and business conduct.

Job Summary -.

A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology.

Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions.

We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers.

We leverage our custom and automated workflow and quality assurance products to enable our clients.

to achieve better results, which ultimately allows them to provide better patient care.

Minimum Degree Required (BQ) *.

Bachelors Degree.

Degree Preferred.

Required Field(s) of Study (BQ).

Computer Science, Data Analytics, Accounting.

Preferred Field(s) of Study.

Minimum Year(s) of Experience (BQ) * US.

12 years of experience.

Certification(s) Preferred.

Preferred Knowledge/Skills *.

Key Responsibilities.

Team Leadership and Management.

Lead and manage a team of revenue cycle specialists and analysts.

Foster a culture of collaboration, excellence, and continuous improvement within the team.

Provide mentorship, guidance, and support to team members to ensure performance goals are met.

Revenue Cycle Optimization.

Develop and implement strategies to streamline revenue cycle processes from patient registration through to final billing and collections.

Identify and implement best practices to enhance revenue capture and minimize denials.

Monitor key performance indicators (KPIs) and metrics to track revenue cycle performance and ensure goals are achieved.

Financial Analysis and Reporting.

Analyze revenue cycle data to identify trends, issues, and opportunities for improvement.

Prepare and present regular reports to senior management on revenue cycle performance, including financial metrics, trends, and challenges.

Compliance and Risk Management.

Ensure compliance with regulatory requirements, payer policies, and internal policies related to revenue cycle operations.

Mitigate risks related to revenue integrity, billing accuracy, and compliance with industry standards.

Technology and System Integration.

Collaborate with IT and other departments to optimize revenue cycle management systems and technologies.

Implement upgrades, enhancements, and new software tools to improve operational efficiency and accuracy.

Training and Development.

Conduct training sessions for staff on revenue cycle processes, policies, and systems.

Keep abreast of industry trends and best practices in revenue cycle management and incorporate them into departmental operations.

Bachelors degree is a mandate.

Minimum of 12-15 years of experience in revenue cycle management, with at least 3 years in a managerial role.

Strong understanding of healthcare billing, coding, reimbursement methodologies, and revenue cycle operations.

Excellent leadership, communication, and interpersonal skills.

Proficiency in revenue cycle management software and analytics tools.

Ability to analyze complex data and financial information to drive decision-making.

Additional Requirements.

Knowledge of healthcare regulations (HIPAA, Medicare, Medicaid) and compliance requirements.

Working Conditions.

This position typically operates in a professional office environment.

Flexible to work in night shifts (US Time zone).

Required Skills.

Optional Skills.

Desired Languages (If blank, desired languages not specified).

Travel Requirements.

Not Specified.

Available for Work Visa Sponsorship.

No.

Government Clearance Required.

No.

Job Posting End Date.