RCM Automation Strategist – RCM Experience
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Job Description
RCM Automation Strategist shaping revenue cycle operations by automating workflows and improving outcomes for healthcare providers. Collaborating with teams to implement innovative automation solutions.
Responsibilities:
- Lead RCM Automation Strategy
- Identify and prioritize high-value automation opportunities across revenue cycle workflows, including claims management, prior authorization, eligibility verification, coding, charge capture, denials, and payment reconciliation.
- Develop and maintain a strategic automation roadmap that aligns with business objectives and client needs.
- Evaluate current-state processes and determine where automation can drive efficiency, scalability, and improved outcomes.
- Build the Foundation for Scalable Automation
- Create and own a comprehensive library of automation playbooks.
- Establish documentation and process standards that enable repeatable, high-quality automation development.
- Partner Across Teams and Clients
- Collaborate with RCM leaders, operational subject matter experts, automation consultants, RPA developers, and clients to design and implement automation solutions.
- Facilitate discovery sessions, process assessments, and workflow evaluations to ensure automation initiatives align with operational goals.
- Serve as a trusted advisor and automation champion for both internal stakeholders and external clients.
- Drive Governance and Continuous Improvement
- Define automation governance standards, quality frameworks, naming conventions, and version control practices.
- Track solution performance and measure outcomes against operational and financial benchmarks.
- Analyze results and continuously refine automation strategies to improve future implementations.
- Serve as the RCM Automation Subject Matter Expert
- Provide guidance and direction on complex workflow logic, process optimization, and automation best practices.
- Support automation teams with troubleshooting, process design decisions, and exception management.
- Stay informed on emerging automation, AI, and healthcare technology trends to help shape future capabilities.
Requirements:
- 10+ years of experience in healthcare revenue cycle management, healthcare technology, or a combination of both.
- 5+ years of experience implementing, configuring, or supporting automation platforms such as UiPath, Automation Anywhere, Blue Prism, Microsoft Power Automate, or similar technologies.
- Deep knowledge of revenue cycle operations
- Experience creating process documentation, operational playbooks, workflow maps, and implementation guides.
- Strong process improvement, analytical, and problem-solving skills.
- Experience leading cross-functional projects and managing stakeholders through change.
- Comfortable working directly with clients and presenting recommendations to leadership.
- Proficiency with Excel, data analysis tools, and project management platforms.
- Experience establishing automation governance standards, Centers of Excellence (CoE), or enterprise automation frameworks.
- Six Sigma, Lean, or other process improvement certification.
- Experience with Smartsheet or similar project management applications.
- Familiarity with AI-enabled automation solutions and emerging healthcare automation technologies.
- Knowledge of Netsmart solutions, including myUnity and other RCM-related workflows.
- Experience working within a healthcare technology, health IT, payer, provider, or managed services organization.
- Understanding of healthcare data standards such as HL7, EDI X12, or FHIR.
- Experience launching new programs, methodologies, or greenfield initiatives where success required building processes from the ground up.
Benefits:
- This is more than a process improvement role, it's an opportunity to help define the future of revenue cycle automation.
- Shape the automation strategy for a growing area of the business.
- Work at the intersection of healthcare, AI, RPA, and operational excellence.
- Partner directly with clients and senior leaders to solve meaningful challenges.
- Build scalable solutions that drive measurable impact across healthcare organizations.
- Grow alongside a team that is investing heavily in innovation and automation.
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