Assoc Mgr, Revenue Cycle Mgmt

Job Overview

Lead and support revenue cycle transformation initiatives for healthcare clients driving operational efficiency financial performance and patient experience across the Revenue Cycle Management (RCM) continuum. Collaborate with stakeholders to analyze current processes identify improvement opportunities implement best practices and deliver sustainable business outcomes.

Essential Functions

• Partner with healthcare providers payers and internal stakeholders to assess design and optimize Revenue Cycle Management processes including Patient Access Eligibility Verification Prior Authorization Charge Capture Coding Billing Claims Management Denial Management Accounts Receivable and Payment Posting.
• Conduct current-state assessments process mapping gap analysis and root cause analysis to identify revenue leakage and operational inefficiencies.
• Lead business requirements gathering sessions and translate client needs into functional and operational solutions.
• Develop strategic recommendations to improve cash flow reduce denials enhance reimbursement accuracy and optimize key revenue cycle KPIs.
• Manage multiple client engagements ensuring project deliverables milestones and timelines are achieved with high quality and within budget.
• Facilitate stakeholder workshops executive presentations and governance meetings to communicate findings recommendations and project status.
• Support implementation of revenue cycle technologies workflow automation solutions reporting tools and process improvement initiatives.
• Analyze operational and financial data to identify trends performance gaps and opportunities for improvement.
• Develop business cases process documentation standard operating procedures training materials and transformation roadmaps.
• Collaborate with cross-functional teams including clinical operations finance compliance IT and patient financial services.
• Ensure compliance with healthcare regulations payer requirements coding standards and organizational policies.
• Mentor junior consultants and provide guidance on revenue cycle best practices and process improvement methodologies.
• Support proposal development solution design client presentations and business development activities.

Leadership Responsibilities

• Lead project teams and coordinate activities across multiple workstreams.
• Define resource requirements and support project staffing decisions.
• Monitor project performance risks issues and dependencies.
• Drive continuous improvement initiatives and promote operational excellence.
• Provide coaching and professional development support to team members.
• Build and maintain strong client relationships and serve as a trusted advisor.

Qualifications

• Bachelors Degree in Healthcare Administration Business Administration Finance Health Information Management Nursing or related field.
• 5 years of experience in Revenue Cycle Management Healthcare Consulting Patient Financial Services Healthcare Operations or related areas.
• Experience with revenue cycle processes including registration insurance verification coding billing claims adjudication denials management collections and accounts receivable management.
• Strong understanding of healthcare reimbursement methodologies payer operations and regulatory requirements.
• Experience leading process improvement business transformation or operational excellence initiatives.
• Excellent analytical problem-solving communication and stakeholder management skills.
• Demonstrated ability to manage multiple projects and deliver results in a client-facing environment.
• Proficient in healthcare analytics reporting tools and Microsoft Office applications.

Preferred Qualifications

• Experience with Epic Cerner Meditech Athenahealth or other healthcare information systems.
• Knowledge of Lean Six Sigma Agile or Process Excellence methodologies.
• Experience working with hospitals health systems physician groups or payer organizations.
• Relevant certifications such as HFMA CRCR Lean Six Sigma PMP or healthcare consulting certifications.

Core Competencies

• Revenue Cycle Optimization
• Denial Management & AR Improvement
• Healthcare Operations Consulting
• Business Process Reengineering
• Financial Performance Management
• Claims & Billing Operations
• Stakeholder Management
• Data Analysis & Reporting
• Project Management
• Change Management
• Healthcare Technology Enablement
• Strategic Advisory Services

IQVIA is a leading global provider of clinical research services commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements misrepresentations or material omissions during the recruitment process will result in immediate disqualification of your application or termination of employment if discovered later in accordance with applicable law. We appreciate your honesty and professionalism.