adaptive-innovations - RCM Strategy Lead

Houston, Texas, United States3w ago

Remote Staff NA Healthcare Head of Strategy

Requirements

• 4+ years of experience, including 2+ years in healthcare-focused consulting or advisory, ideally complemented by time in an operating role • Working knowledge of the end-to-end revenue cycle • Demonstrated ownership of an analytics function • Track record of driving cross-functional initiatives to completion • Strong judgment to distinguish what's urgent from what's merely loud • Experience at a multi-state or rapidly expanding provider organization, or in tech-enabled care delivery • Experience in post-acute care (home health, hospice, personal care) • Familiarity with clearinghouses, PM/EHR billing modules (ideally HCHB), and RCM automation tools

Responsibilities

• Own RCM analytics end to end • Lead root-cause analysis on denials, underpayments, and revenue leakage, and drive fixes to completion • Build expected-reimbursement and cash forecasting models that Finance and Operations can rely on • Own the RCM automation roadmap • Partner with Product and Engineering to define requirements and business cases for RCM tooling and automation • Lead revenue cycle strategy for new market launches • Own revenue cycle diligence on acquisition targets

Benefits

• Collaborative team valuing innovation and problem-solving • Flexible time off policy—we expect most employees to take at least 3 weeks of vacation per year • In-office lunches, dinners, and snacks to fuel your focus and well-being • Comprehensive health insurance, dental, and commuter benefits • 401(k) retirement plan with employer contribution