Manager RCM and PMO

Job Summary

The Manager, Revenue Cycle Management (RCM) PMO & Transformation is responsible for the day-to-day delivery of assigned RCM projects. The Manager builds the work plan, runs project meetings, follows up on commitments, identifies delays, coordinates testing and training, and stays involved through launch and stabilization. This role reports to the Director, RCM PMO & Transformation.

What This Role Owns

• Assigned project plan: A detailed list of work, owners, due dates, dependencies, and deliverables.
• Project follow-up: Clear documentation and follow-through on actions, risks, issues, and decisions.
• Implementation readiness: Confirmation that requirements, testing, procedures, training, staffing, communications, and support are ready before launch.
• Project communication: Accurate status updates that explain what is complete, what is late, what is at risk, and what help is needed.
• Project closeout: Documented results, remaining work, operational ownership, and lessons learned.

Key Responsibilities

Define the work before execution starts

• Meet with the sponsor and operational owner to clearly state the problem, affected teams, expected result, project boundaries, and target date.
• Break the project into specific tasks and deliverables with one accountable owner and due date for each item.
• Identify dependencies such as system changes, payer requirements, vendor work, data availability, staffing, policy review, training, and operational capacity.
• Document what is not included in the project so the team does not add work without an explicit decision.

Run the project and hold owners accountable

• Lead working sessions with a written agenda, clear decisions, assigned follow-ups, and documented due dates.
• Contact owners before deadlines when work is at risk rather than waiting for the next status meeting.
• Keep action, risk, issue, and decision logs current and easy for the team to understand.
• Escalate missed commitments, unclear ownership, resource conflicts, and unresolved decisions with recommended options.
• Update the project plan when approved changes affect scope, timing, cost, or resources.

Translate workflow discussions into clear operating steps

• Document the current workflow and the future workflow, including who performs each step, what information is needed, what system is used, and where the handoff occurs.
• Identify failure points, duplicate work, missing controls, unclear queues, and exceptions that need a defined response.
• Confirm that operational leaders agree to the future workflow and understand the staffing, productivity, and service-level impact.
• Coordinate with Clinical Operations, Coding, Market Access, Finance, IT, Product, Compliance, Analytics, and vendors as required by the project.

Coordinate testing, launch, and stabilization

• Create test scenarios that reflect common cases, complex cases, and known failure conditions.
• Track whether each requirement passed testing, document defects, assign owners, and confirm fixes were retested.
• Maintain a launch checklist covering procedures, job aids, training, access, configuration, staffing, communications, reports, escalation contacts, and contingency plans.
• Run go-live check-ins, track production issues, and keep support in place until the operational owner agrees the process is stable.

Measure and close the project

• Work with Analytics and the business owner to document the starting metric, target, data source, and review date.
• Compare post-launch results with the target and identify gaps in adoption, workflow, system performance, vendor delivery, or training.
• Transfer open operational items to named owners with due dates before closing the project.
• Complete a short closeout summary describing what changed, what result was achieved, what remains open, and what should be done differently next time.

What This Role Does Not Own

• Setting RCM strategy or independently deciding which projects receive enterprise priority.
• Daily supervision of operational staff or responsibility for production targets after handoff.
• Making clinical, coding, legal, compliance, finance, or payer-policy decisions without the authorized owner.
• Accepting vendor statements as proof that work is complete; deliverables must be reviewed and tested.
• Owning the business outcome alone; the Manager coordinates delivery while the operational leader owns sustained performance.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, information systems, a clinical discipline, or a related field, or equivalent relevant experience.
• 5+ years of healthcare project management, implementation, consulting, or operational-improvement experience.
• Experience leading cross-functional projects through planning, testing, launch, stabilization, and closeout.
• Working knowledge of healthcare RCM, including patient access, authorization, billing, claims, reimbursement, denials, and payer requirements.
• Strong organization, facilitation, documentation, communication, analytical, and problem-solving skills.
• Ability to challenge unclear ownership or unrealistic dates professionally and directly.

Preferred Qualifications

• Experience in diagnostic, molecular, genetic, pathology, or specialty laboratory RCM.
• PMP, CAPM, Lean Six Sigma, Prosci, Agile, Scrum, or comparable credential.
• Experience with Jira, Microsoft project tools, Quadax, Salesforce, clearinghouses, payer portals, laboratory systems, integrations, UAT, data migration, or automation.

How Success Will Be Measured

• Every active project has a current plan with clear owners, dates, risks, and decisions.
• Project meetings result in specific decisions and completed follow-ups.
• Requirements are tested and material defects are resolved before launch.
• Procedures, training, staffing, access, reports, and support are ready before go-live.
• Launch issues are tracked to closure and the operational owner accepts the handoff.
• Post-launch results are measured against the approved target.