Candid Health

Revenue Cycle Management / RCM Leader

New York City

Role brief

What this role is asking for.

About the Role The Revenue Cycle Management (RCM) Lead is a senior leader responsible for overseeing the full spectrum of revenue cycle operations across Candid Health's portfolio of clients. This role drives enterprise-wide financial performance, and operational excellence in billing, denial management & prevention, reconciliation, and payer relations. This senior leader is responsible for day-to-day management of the Candid RCM team, including being hands-on alongside billers. This person will also own cross-functional initiatives to optimize revenue cycle workflows, enhance data transparency, and support scalable growth aligned with Candid Healthโ€™s evolving business needs. This role will also represent Candid Health externally with customers, partners, payers, and internally as a mentor and leader of high-performing teams. What Youโ€™ll Be Doing - Hire, manage and lead high-performing onshore and offshore teams, responsible for delivering strong revenue cycle operations within billing, EDI, denial management, and payment posting for Candidโ€™s portfolio of customers. - Drive RCM KPIs and outcomes by getting into the details on specific claim-level and claim cohort level issues alongside Billers and Billing Leads (This position has a high degree of operational and tactical execution). - Build & scale the department by creating and refining playbooks, standardized processes, and...

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