[Hiring] Manager, RCM Operations & Analytics @EverCommerce

Role Description

We are looking for a Manager, RCM Operations & Analytics to lead performance intelligence, operational analytics, and continuous improvement for our Revenue Cycle Management (RCM) Services organization. Reporting to the Head of Professional Services, this role partners closely with RCM Operations, Service Management, the Vendor Manager, Finance, Clearinghouse, Product, and Engineering to translate reliable data into measurable operational and financial results.

This position owns the RCM performance measurement framework, strengthens independent visibility into internal and outsourced workflows, and drives cross-functional improvement initiatives across the revenue cycle. RCM Operations and Service Management remain accountable for day-to-day service execution and client outcomes; this role provides the measurement, insights, improvement plans, and follow-through that help those teams succeed.

The ideal candidate can develop a trusted dashboard, investigate a performance gap, build a financial model, facilitate corrective action, and verify that a process change delivers results.

Qualifications

• 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.

Requirements

• Lead prioritized, cross-functional process improvement initiatives across charge capture, claims, denials, AR follow-up, payment posting, onboarding, and credentialing/enrollment handoffs.
• Map current- and future-state workflows, identify rework and delays, and partner with accountable operations leaders to standardize scalable processes and SOPs.
• Develop quality measurement and audit frameworks with operational leaders; analyze results and recommend training or workflow changes.
• Measure onboarding performance and time-to-value for new RCM clients, including readiness, early production performance, and stabilization.
• Manage improvement initiatives from business cases through implementation, adoption, and post-launch benefit validation.
• Partner with the Vendor Manager to define, validate, and report vendor SLAs, transaction volumes, productivity, turnaround time, accuracy, and quality measures.
• Develop consistent vendor scorecards for weekly reviews and quarterly business reviews, using reconciled source data wherever available.
• Quantify performance gaps, recommend corrective actions, and monitor resolution with vendor and operations owners.
• Support transaction forecasting, work allocation, staffing assumptions, vendor transitions, and contract negotiations through fact-based analysis.
• Reconcile vendor invoices to contracted rates, eligible transaction types, and verified volumes; flag discrepancies and savings opportunities.
• Build and maintain transaction-level cost models and unit economics by client, service, function, and BPO partner.
• Track actual versus modeled vendor savings, cost-to-collect, service margin, and productivity; partner with Finance to validate assumptions and explain variances.
• Develop capacity and throughput models that inform vendor allocation, staffing decisions, and backlog recovery plans.
• Recommend opportunities to improve gross margin without compromising cash collections, quality, or client experience.
• Identify and prioritize automation, AI, workflow, and reporting opportunities that reduce manual work, improve first-pass yield, and increase operational visibility.
• Translate operational needs into business requirements, support UAT, and quantify benefits after deployment.
• Analyze payer and clearinghouse edit performance and recommend enhancements; technical rule ownership remains with Product and Clearinghouse teams.
• Monitor payer policy and compliance-related trends, flag operational risks, and support appropriate process updates with responsible subject-matter experts.

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.