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 Healthโs 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 Youโll 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 Candidโs 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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