Senior Manager/Principal, Provider RCM Business Development & Strategy
$165,000–$220,000 year
RemoteUnited States
Job Summary
Partner with Sales and Customer Success to identify, scope, and win new engagements, converting one-off projects into durable, multi-year partnerships. Serve as a trusted advisor to senior hospital and health system leaders, framing ambiguous problems into structured, data-driven engagements across strategic pricing, payer contracting, and net revenue improvement. Own engagements end to end by scoping, planning, executing, and delivering measurable client outcomes while pulling and analyzing price transparency, claims, and reimbursement data directly in SQL. Present findings to client executives to influence decisions on pricing and contracting strategies. Feed structured insights back to Product to surface recurring client needs and define requirements for productization. Operate as a thought partner to senior leadership on solution packaging, positioning, and value-based pricing.
Required Qualifications
- Bachelor's degree from a top tier institution
- 8+ years in RCM-focused management consulting, digital health, or provider-side revenue cycle strategy & operations
- track record of owning senior client relationships
- delivering measurable financial impact
- Deep, current command of the revenue cycle end to end: patient access, coding, charge capture, CDI, billing, claims adjudication, denials, and payer contracting/negotiations
- Demonstrated ability to build and deliver executive-level presentations
- distilling complex analyses into clear, board-ready narratives
- presenting with confidence to C-suite and senior client leadership
- Comfortable and curious, adopting AI tools to work faster and sharper
- forward-leaning on the technology without needing deep AI/ML expertise
- Strong grasp of reimbursement mechanics and payment methodology across care settings (hospital outpatient vs. ASC vs. physician)
- Genuine technical fluency: comfortable pulling and manipulating data directly in SQL (or equivalent)
- building your own analyses
- identifying and resolving data discrepancies without waiting on an analyst
- A structured, hypothesis-driven problem solver
- decompose ambiguity
- form a point of view
- revise it as the evidence changes
- A proven ability to build consensus
- drive decisions among senior internal and external stakeholders
- MBA/MPH
- HFMA designations such as CRCR (Certified Revenue Cycle Representative) or CHFP (Certified Healthcare Financial Professional)
- active HFMA membership
- AAPC coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), COC (Certified Outpatient Coder)
- US-based candidates
Desired Qualifications
- MBA/MPH strongly preferred
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