Revenue Cycle Management Transformation Manager

POSITION SUMMARY:

The RCM Transformation Manager plays a critical role in advancing BMCHS's Revenue Cycle Management (RCM) transformation program by providing dedicated analytical and coordination support across the revenue cycle. Reporting to the Senior Director of Finance Transformation, with a dotted-line relationship to the Executive Director of Revenue Cycle Transformation, this role partners closely with stakeholders across front, middle, and back office RCM functions—including coding, charge capture/charge integrity, hospital and professional billing, cash posting, denials management, and accounts receivable follow-up—to drive process improvement and operational excellence.

The RCM Transformation Manager conducts current-state diagnostics, performs defined analyses, and develops process documentation that supports data-driven redesign decisions across the revenue cycle. This role builds internal analytical capacity that strengthens institutional knowledge and continuity, ensuring transformation work is sustained by dedicated BMCHS resources. Through timely, accurate analytical support, the RCM Transformation Manager helps the program advance toward its cost-to-collect and net revenue targets, contributing directly to the organization's financial performance and long-term operational sustainability.

Position: Revenue Cycle Management Transformation Manager

Department: Finance Administration

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Support current-state RCM diagnostics. Gathers, validates, and analyzes RCM operational and financial data (e.g., cost-to-collect, denial rates, AR aging, cash posting timeliness) to support the consulting team's current-state assessment of assigned back- and middle-office functions.
• Support future-state process design. Documents current-state process workflows and supports the design of future-state processes and role definitions for assigned RCM functions, under the direction of the Senior Manager and consulting leads.
• Execute assigned workstream tasks. Executes assigned tasks within RCM transformation workstreams, including data pulls, process walkthroughs, and stakeholder interviews.
• Maintain supporting financial tracking. Maintains supporting financial models and benefit-tracking schedules that roll up into the program's cost-to-collect and net revenue business case.
• Support vendor and technology evaluation. Compiles comparative data supporting the evaluation of managed-services, outsourcing, and automation/AI options for in-scope back- and middle-office RCM functions.
• Coordinate stakeholder working sessions. Coordinates working sessions with RCM operations stakeholders on assigned workstreams, prepares supporting meeting materials, and documents and tracks resulting action items.
• Prepare leadership status materials. Prepares status updates and supporting materials for leadership and governance reviews.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Disclaimer: Percentages are approximations used for job evaluation purposes. Actual time spent on specific duties may fluctuate based on operational needs and department priorities

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor's degree in finance, accounting, healthcare administration, or a related field; and 5+ years of experience in revenue cycle operations, healthcare finance, or healthcare-focused strategy consulting, including hands-on experience in one or more back- or middle-office RCM functions (e.g., coding, billing, denials management, cash posting, or AR follow-up)
• Or equivalent combination of education and experience.

PREFERRED EDUCATION AND EXPERIENCE:

• MBA, MHA, or other advanced degree
• Prior experience supporting RCM transformation initiatives delivered in partnership with external consulting firms
• Experience with Epic revenue cycle modules and reporting tools (e.g., Resolute HB/PB, Slicer Dicer, Cogito).

CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED:

• CRCR (Certified Revenue Cycle Representative), CHFP, or similar revenue cycle/healthcare finance certification.

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

• Working knowledge of back- and middle-office revenue cycle functions—including coding, charge capture, hospital and professional billing, cash posting, denials management, and AR follow-up.
• Ability to gather, validate, and analyze RCM operational and financial data accurately and under time pressure.
• Ability to support the design and documentation of process workflows in partnership with consulting resources and RCM operations staff.
• Working knowledge of Epic revenue cycle modules and reporting tools sufficient to pull and validate underlying data.
• Ability to execute assigned analytical and documentation tasks accurately with general direction, and to escalate issues appropriately.
• Ability to build working relationships with revenue cycle operations staff who are not direct reports, and strong written and oral communication skills sufficient to prepare clear analyses for leadership review.
• Ability to apply structured project management practices to track and complete assigned tasks within complex, multi-workstream initiatives.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. 

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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