Revenue Cycle Client Manager MD Live Hybrid

Position Summary

The Revenue Cycle Client Manager (RCM & Claims) is responsible for providing comprehensive Revenue Cycle Management and claims support to the Account Management and Implementation teams the broader organization and assigned clients. This role partners closely with clients and internal stakeholders to address claims-related issues and their downstream financial and client experience impacts.

Serving as a strategic liaison between clients payors and internal teams the Revenue Cycle Client Manager combines deep expertise in revenue cycle and claims operations with strong consultative account-facing communication skills. The role is accountable for proactively monitoring analyzing and mitigating claims-related risks and open items while translating complex technical RCM concepts into clear actionable insights for both technical and non-technical audiences.

Embedded within the Account Management organization the Revenue Cycle Client Manager acts as a trusted advisor to clients and payors and a key partner to internal RCM Claims and Implementation/Professional Services (PSO) teams. This individual ensures alignment transparency and proactive issue resolution across the full client lifecycle supporting effective collaboration and improved operational and financial outcomes.

Essential Job Functions

• Serve as the primary RCM and claims subject matter expert for assigned accounts acting as a client- and payor-facing liaison as well as an internal partner conduit.

• Lead and support discussions with clients and payors regarding claims performance denial trends reimbursement issues and process improvements.

• Translate complex RCM billing and claims workflows into clear non-technical language for clients payors and internal stakeholders.

• Build trusted relationships with client and payor counterparts by demonstrating expertise accountability and proactive communication.

• Monitor claims performance open items denial trends aging and reimbursement risks across assigned accounts.

• Proactively identify flag and escalate risks issues or systemic gaps impacting claims outcomes or client satisfaction.

• Partner with RCM Operational and technical teams to drive root cause analysis mitigation strategies and corrective action plans.

• Partner with Account Management to track issues through resolution ensuring visibility ownership and timely follow-up.

• Act as a key liaison between Account Management CSE RCM Ops Product and Implementation/PSO teams.

• Support Implementation/PSO teams during onboarding go-lives and transitions by advising on readiness and risk mitigation.

• Ensure client feedback and payor insights are looped back to internal teams to improve processes and outcomes.

• Advocate for the client internally while balancing operational realities and best practices.

• Contribute to account planning by identifying claims related risks optimization opportunities and performance improvement initiatives.

• Support renewal and growth/expansion by providing data-driven insights and RCM expertise.

• Participate in the development of process and procedure improvements

• Clearly communicate the progress of monthly/quarterly initiatives to internal and external stakeholders.

• Identify opportunities to develop process improvements and implement solutions for clients

• Complete assigned tasks and projects according to appropriate timelines agreed upon with stakeholders.

• Atlassian Jira Smartsheet and Salesforce knowledge is preferred

• Other duties as assigned

Required Knowledge/Skills/Abilities

• Strong working knowledge of claims lifecycles denials management payor rules reimbursement methodologies and RCM workflows.

• Experience working directly with healthcare clients and/or payors in a consultative client-facing capacity.

• Ability to translate technical or operational concepts into clear business-friendly communication.

• Ability to understand health care industry terminology

• Superior collaboration and interpersonal communication skills flexibility and responsiveness.

• Ability to communicate effectively and follow written and verbal instructions

• Possess strong analytical and process management skills and have a broad understanding of business strategy and operations.

• Must be able to handle multiple tasks and work in a fast pace environment

• High level of accuracy and attention to detail

• Ability to adapt to changing procedures policies and work environment

• Critical thinking skills

• Must be able to demonstrate integrity and a commitment to values.

• Excellent documentation skills

• Ability to present to a variety of audiences

• Ability to adapt to changing procedures policies and work environment

• Bachelors Degree in Health Care IT Finance (or related field) preferred

• Masters Degree preferred

• 5 years in Revenue Cycle Management claims operations billing or related roles.

• Client/customer service experience required

About Evernorth Health Services

Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.