RCM Architect
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Job Description
RCM Architect responsible for managing healthcare revenue cycle operations. Collaborating across teams to enhance financial systems and improve outcomes in RCM.
Responsibilities:
- Serve as the RCM knowledge layer across the organization
- Define what correct RCM looks like — and ensures the organization is executing toward it
- Translate RCM complexity into clear strategy, structured workflows, and actionable insights
- Audit claims and drive strategy
- Translate denial patterns into root causes and resolution pathways
- Build and maintain SOPs, specialty guides, and decision frameworks
- Analyze denial rates, aging, payer mix, and workflow gaps at onboarding
- Partner with Product and Engineering on feature release training
- Provide pre-sales RCM analysis for deals within ICP
- Partner with RCSMs on complex customer challenges
Requirements:
- 8+ years in Revenue Cycle Management with deep expertise in denials, AR follow-up, and payer behavior
- Hands-on experience analyzing claims data, denial trends, and revenue performance across multiple payers and specialties
- Experience working across functions — you’ve collaborated with Sales, Operations, or Product teams, not just stayed in a billing lane
- Experience designing or improving RCM workflows, SOPs, or decision frameworks — not just executing existing ones
- A track record of using AI tools, automation, or data to work smarter.
Benefits:
- Comprehensive healthcare benefits
- Unlimited PTO (with a minimum of 10 days off a year)
- Flexibility
- Professional development
- Regular team off-sites
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