[Hiring] Revenue Cycle Project Manager @The Wilshire Group

Role Description

We are seeking an experienced Revenue Cycle Project Manager with deep expertise across the full continuum of care—front-end, mid-cycle, and back-end revenue operations. This individual will lead complex initiatives focused on optimizing revenue cycle performance, improving workflows, and driving system enhancements within Epic.

Key Responsibilities

• Lead end-to-end revenue cycle projects spanning:
• Front-end: Scheduling, registration, insurance verification, authorization
• Mid-cycle: Charge capture, coding, clinical documentation improvement (CDI)
• Back-end: Billing, claims management, denials, AR follow-up, and collections
• Manage Epic-related implementations, upgrades, optimizations, and workflow redesigns (HB/PB focus)
• Collaborate cross-functionally with clinical, operational, and IT stakeholders
• Develop project plans, timelines, and deliverables; ensure projects stay on scope, schedule, and budget
• Identify revenue leakage opportunities and implement corrective strategies
• Monitor KPIs such as DNFB, clean claim rate, denial rates, and AR days
• Facilitate meetings, provide executive-level reporting, and communicate progress clearly
• Ensure compliance with regulatory requirements and payer guidelines

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or related field (required)
• 5+ years of healthcare revenue cycle experience across front, mid, and back-end functions
• Hands-on experience with Epic HB (Hospital Billing) and PB (Professional Billing)
• Proven experience managing complex healthcare or IT projects
• Strong understanding of revenue cycle metrics, workflows, and best practices
• Excellent communication, organizational, and leadership skills

Preferred Qualifications

• Epic certification(s) in HB, PB, or related modules
• PMP or equivalent project management certification
• Experience with revenue cycle transformation or optimization initiatives
• Knowledge of CPT, ICD-10, and payer rules

Benefits

• Contracted-6+ months
• W2
• $90.00 per hour