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EverCommerce

SaaS software for service-based businesses

Manager, RCM Operations & Analytics

Business OperationsPosted on Nov 11
Full-timeRemote in USA$80k - $90k /yr

About the Job

Requirements

  • At least 5 years of healthcare revenue cycle management experience, including substantial experience with end-to-end ambulatory revenue cycle management workflows.
  • At least 3 years in revenue cycle management analytics, performance management, or operational improvement, with evidence of implementing measurable change.
  • 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 business process outsourcing performance, service-level agreements, 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, accounts receivable management, and relevant billing requirements.

Responsibilities

  • Own standardized revenue cycle management key performance indicator definitions, data sources, targets, controls, and reporting for days in accounts receivable, accounts receivable aging, clean claim rate, first-pass resolution, denial and rejection rates, net collection rate, charge lag, posting timeliness, and other core measures.
  • Establish independent, timely visibility into transaction volumes, work queues, processing status, productivity, quality, and backlog across internal teams and business process outsourcing partners, reducing dependence on vendor-prepared data.
  • Partner with Product, Engineering, Clearinghouse, and vendors to improve data access, reconciliation, accuracy, and reporting automation.
  • Deliver actionable client-, portfolio-, and vendor-level dashboards, operating reviews, trend analysis, root-cause findings, and recommended actions.
  • Identify at-risk clients, revenue leakage, denial patterns, and operational bottlenecks; track corrective actions, owners, due dates, and verified outcomes.
  • Lead prioritized, cross-functional process improvement initiatives across charge capture, claims, denials, accounts receivable follow-up, payment posting, onboarding, and credentialing and enrollment handoffs.
  • Map current- and future-state workflows, identify rework and delays, and partner with accountable operations leaders to standardize scalable processes and standard operating procedures.
  • 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 revenue cycle management 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 service-level agreements, 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 business process outsourcing 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, artificial intelligence, workflow, and reporting opportunities that reduce manual work, improve first-pass yield, and increase operational visibility.
  • Translate operational needs into business requirements, support user acceptance testing, and quantify benefits after deployment.
  • Analyze payer and clearinghouse edit performance and recommend enhancements; technical rule ownership remains with Product and Clearinghouse teams.
  • Partner with Service Management on client-facing insights, Finance on forecasts, and Sales and Implementation on demand and onboarding capacity.
  • Monitor payer policy and compliance-related trends, flag operational risks, and support appropriate process updates with responsible subject-matter experts.

Desired Qualifications

  • Experience in a multi-client revenue cycle management services organization, ideally supporting ambulatory or multi-specialty practices.
  • Familiarity with electronic health record and practice management systems, clearinghouses, and DrChrono.
  • Experience with vendor transaction-based pricing, invoice reconciliation, margin analysis, and capacity planning.
  • Hands-on experience with artificial intelligence-assisted analytics, reporting automation, or revenue cycle management workflow automation.
  • Lean, Six Sigma, certified revenue cycle representative, certified revenue cycle specialist, certified professional coder, certified professional biller, or related training or certification.

About the Company

EverCommerce

SaaS software for service-based businesses

EverCommerce provides software for marketing, business management, and customer experience to service-based businesses. It grows through a mix of organic expansion and acquisitions, and by integrating software from multiple brands to improve workflows and customer retention. Revenue comes from subscription fees, service charges, and partnerships; it serves remodeling and trades contractors, healthcare providers, and other service-based businesses. Its goal is to help service-based businesses accelerate growth, streamline operations, and deliver predictable, convenient experiences for customers.

Company size
1,001-5,000
Company stage
IPO
Headquarters
Denver, CO
Founded
2017

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