Manager, RCM

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    "Title": "Manager, RCM",
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    "ExternalDescriptionStr": "The Manager of Revenue Cycle Management (RCM) provides leadership and oversight for end-to-end revenue cycle operations across multiple dental specialties within an Epic-enabled environment. This role is accountable for operational performance, workflow governance, and cross-functional alignment supporting scalable, compliant, and high-performing revenue cycle operations.\r\n\r\nThe Manager plays a key leadership role in supporting Community Connect, an integrated program encompassing Revenue Cycle Management, Dental–Medical Integration (DMI), communications, Epic workflows, analytics, and system integrations. The role ensures operational readiness, consistency, and performance as programs and participating practices scale.\r\n\r\nThis position partners closely with Analytics, IT, Epic, Operations, Credentialing, Payor Relations, Communications, and Clinical teams to provide strategic direction, operational oversight, and continuous improvement across revenue cycle and program workflows\r\n\n",
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    "CorporateDescriptionStr": "Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: \n<div>\n <ul>\n  <li>Competitive base and incentive pay&nbsp;</li>\n  <li>401(k) with robust matching and non-matching contributions</li>\n  <li>Rich medical &amp; pharmacy benefits</li>\n  <li>100% employer-paid dental and vision benefits</li>\n  <li>Holistic wellbeing program with deep financial incentives</li>\n  <li>Generous paid time off plus 12 paid holidays and your birthday off</li>\n  <li>Culture of growth and learning: career development; tuition reimbursement; recognition program</li>\n  <li>Family support: adoption assistance, fertility treatment, child, elder &amp; pet care assistance</li>\n  <li>Social responsibility and volunteer opportunities</li>\n  <li>Employee discount program</li>\n </ul>\n</div>\n<div>\n <ul>\n </ul>\n</div>\n<div>\n <div>\n  <div>\n   <u>Fair Chance Ordinances and Criminal Background Considerations</u>&nbsp;\n  </div>\n  <div>\n   This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.\n  </div>\n </div>\n</div>\n<div>\n <br/>\n</div>\n<div>\n <div>\n  <span class=\"TextRun SCXW157412751 BCX0\" style=\"background-origin: padding-box;background-clip: border-box;border-image: none 100% / 1 / 0 stretch;border-color: rgb(0, 0, 0);border-collapse: separate;border-end-end-radius: 0px;border-end-start-radius: 0px;border-width: 0px;border-style: none;border-spacing: 0px;border-start-end-radius: 0px;border-start-start-radius: 0px;border-radius: 0px;margin: 0px;overflow-clip-margin: 0px;padding: 0px;scroll-margin-block: 0px;scroll-margin: 0px;scroll-margin-inline: 0px;scroll-padding-block: auto;scroll-padding: auto;scroll-padding-inline: auto;shape-margin: 0px;text-decoration-style: solid;text-decoration-color: rgb(0, 0, 0);text-decoration-skip-ink: auto;border-block-end: 0px none rgb(0, 0, 0);border-block-start: 0px none rgb(0, 0, 0);border-inline-end: 0px none rgb(0, 0, 0);-webkit-border-image: none;border-inline-start: 0px none rgb(0, 0, 0);margin-block: 0px;margin-inline: 0px;-webkit-mask: none 0% 0% / auto repeat border-box border-box;padding-block: 0px;padding-inline: 0px;\"><span class=\"NormalTextRun SCXW157412751 BCX0\">#LI-Hybrid</span></span>\n </div>\n</div>",
    "ExternalPostedStartDate": "2026-06-02T16:51:00+00:00",
    "ExternalQualificationsStr": "Minimum Qualifications<br><li>8+ years w/Bachelor’s degree; 1+ years supervisory/management <br></li><li>Additional experience may be accepted in lieu of education or degree</li><br><br>Additional Experience<br><li>10+ years of progressive experience in Revenue Cycle Management, Billing Operations, or Healthcare Finance.\r\n•\tDemonstrated experience leading multi-disciplinary teams, including billing, communications, and analytical functions.\r\n•\tExperience working within Epic billing environments; dental experience strongly preferred.\r\n•\tProven ability to partner with Analytics and IT teams to define reporting requirements, develop dashboards, and drive performance improvement.\r\n•\tExperience supporting practice onboarding, integrations, and scalable operating models within large, multi-practice or enterprise healthcare environments.\r\n•\tStrong executive communication, judgment, and cross-functional leadership skills.\r\n</li><br>Knowledge, Skills, Abilities<br><li>Knowledge of end-to-end revenue cycle functions, including billing, claims, denials, appeals, and accounts receivable management.</li>\n<li>Knowledge of Epic billing workflows, system integrations, and compliant healthcare operations.</li>\n<li>Skill in leading teams, setting expectations, and supporting staff performance and development.</li>\n<li>Ability to oversee workflow standardization, revenue cycle performance, and practice onboarding across multiple sites.</li>\n<li>Skill in reviewing performance data, tracking KPIs, and using insights to improve operations.</li>\n<li>Ability to collaborate across departments and communicate effectively with operational and executive stakeholders.</li>\n<li>Ability to identify process improvements, support change initiatives, and scale operations efficiently.</li><br><u>Base Pay Information</u><br><br>The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. <br>Pay Grade D. $ - $\n",
    "InternalQualificationsStr": "Minimum Qualifications<br><li>8+ years w/Bachelor’s degree; 1+ years supervisory/management <br></li><li>Additional experience may be accepted in lieu of education or degree</li><br><br>Additional Experience<br><li>10+ years of progressive experience in Revenue Cycle Management, Billing Operations, or Healthcare Finance.\r\n•\tDemonstrated experience leading multi-disciplinary teams, including billing, communications, and analytical functions.\r\n•\tExperience working within Epic billing environments; dental experience strongly preferred.\r\n•\tProven ability to partner with Analytics and IT teams to define reporting requirements, develop dashboards, and drive performance improvement.\r\n•\tExperience supporting practice onboarding, integrations, and scalable operating models within large, multi-practice or enterprise healthcare environments.\r\n•\tStrong executive communication, judgment, and cross-functional leadership skills.\r\n</li><br>Knowledge, Skills, Abilities<br><li>Knowledge of end-to-end revenue cycle functions, including billing, claims, denials, appeals, and accounts receivable management.</li>\n<li>Knowledge of Epic billing workflows, system integrations, and compliant healthcare operations.</li>\n<li>Skill in leading teams, setting expectations, and supporting staff performance and development.</li>\n<li>Ability to oversee workflow standardization, revenue cycle performance, and practice onboarding across multiple sites.</li>\n<li>Skill in reviewing performance data, tracking KPIs, and using insights to improve operations.</li>\n<li>Ability to collaborate across departments and communicate effectively with operational and executive stakeholders.</li>\n<li>Ability to identify process improvements, support change initiatives, and scale operations efficiently.</li><br><u>Base Pay Information</u><br><br>The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. <br>Pay Grade D. $ - $\n",
    "OrganizationDescriptionStr": "<div>\n <div>\n  <div>\n   Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment.&nbsp; Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category.&nbsp; Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.\n  </div>\n  <div>\n   <br/>\n  </div>\n  <div>\n   Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, Hawaii, Maine, Nebraska, New Hampshire, North Dakota, Oklahoma, Vermont, West Virginia, Wyoming, Washington DC, Puerto Rico or other US Territories or outside of the United States at this time.<br/>\n  </div>\n </div>\n</div>",
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    "ExternalResponsibilitiesStr": "<li>Revenue Cycle Management Leadership\r\n•\tOversee and provide strategic direction for end-to-end revenue cycle operations, including insurance verification and eligibility, billing and coding workflows, claims submission and management, payment posting, denial and appeal resolution, and insurance A/R management.\r\n•\tBe accountable for revenue cycle performance outcomes, including collections, A/R aging, payer responsiveness, and operational efficiency.\r\n•\tEnsure consistent, compliant billing practices aligned with payer requirements, organizational standards, and Epic workflows.\r\n•\tServe as the senior escalation point and subject matter expert for complex payer rules, documentation requirements, and revenue cycle issues.\r\n </li>\n<li>Leadership & Team Management\r\n•\tProvide leadership, direction, and performance oversight for the Billing Lead, billing teams, Communications Agents, and Fee Analyst.\r\n•\tEstablish clear expectations, operating standards, workflows, and escalation paths across billing and communications functions.\r\n•\tOversee hiring, onboarding, training, and ongoing development of RCM staff in partnership with HR and Operations.\r\n•\tAct as a strategic coach to team leads while maintaining visibility into complex operational and performance challenges.\r\n </li>\n<li>Epic, Integrations & Workflow Governance\r\n•\tProvide governance and oversight for Epic-based billing and communications workflows, ensuring standardization, scalability, and compliance.\r\n•\tPartner with IT, Epic, and integration teams to guide system enhancements, workflow optimization, and issue resolution.\r\n•\tProvide operational leadership for integrations, system migrations, and workflow changes impacting billing, reporting, communications, referrals, and data exchange.\r\n•\tEvaluate workflow performance and recommend system or process changes informed by data trends and operational needs.\r\n </li>\n<li>Community Connect Program Leadership\r\n•\tProvide strategic and operational leadership supporting the design, implementation, and ongoing evolution of Community Connect workflows and operating models.\r\n•\tPartner with Operations, IT, Analytics, Epic, and Communications teams to ensure scalable, standardized workflows for participating practices.\r\n•\tHelp establish governance structures, onboarding standards, performance expectations, and post–go-live stabilization processes.\r\n•\tContribute revenue cycle expertise to inform program sequencing, prioritization, and long-term sustainability.\r\n </li>\n<li>Dental–Medical Integration (DMI) Enablement\r\n•\tSupport Dental–Medical Integration (DMI) initiatives within Community Connect focused on transforming the dental experience through enhanced screenings, documentation, and care coordination.\r\n•\tPartner with clinical, operational, and technology teams to ensure DMI workflows are operationally supported within Epic and aligned with revenue cycle, reporting, and compliance requirements.\r\n•\tProvide input into workflow design supporting patient questionnaires, screenings, referrals, and downstream operational processes.\r\n•\tIdentify operational, documentation, and compliance considerations related to DMI initiatives and recommend workflow improvements.\r\n </li>\n<li>Analytics, Reporting & Performance Management\r\n•\tDefine reporting requirements and KPIs in partnership with Analytics and Epic reporting teams.\r\n•\tReview, validate, and interpret dashboards and reports to support operational management and leadership decision-making.\r\n•\tMonitor performance across claims, denials, A/R, collections, communications metrics, and Community Connect initiatives.\r\n•\tTranslate data insights into operational improvements, workflow refinements, and prioritization decisions.\r\n </li>\n<li>Practice Onboarding & Growth Support\r\n•\tPartner with Operations, IT, and Integration teams to oversee onboarding of new practices into Epic, Community Connect, and centralized RCM workflows.\r\n•\tEnsure billing, communications, and reporting processes are standardized, scalable, and operationally ready for new practices.\r\n•\tProvide leadership oversight during post–go-live stabilization to minimize revenue disruption and operational risk.\r\n </li>\n",
    "InternalResponsibilitiesStr": "<li>Revenue Cycle Management Leadership\r\n•\tOversee and provide strategic direction for end-to-end revenue cycle operations, including insurance verification and eligibility, billing and coding workflows, claims submission and management, payment posting, denial and appeal resolution, and insurance A/R management.\r\n•\tBe accountable for revenue cycle performance outcomes, including collections, A/R aging, payer responsiveness, and operational efficiency.\r\n•\tEnsure consistent, compliant billing practices aligned with payer requirements, organizational standards, and Epic workflows.\r\n•\tServe as the senior escalation point and subject matter expert for complex payer rules, documentation requirements, and revenue cycle issues.\r\n </li>\n<li>Leadership & Team Management\r\n•\tProvide leadership, direction, and performance oversight for the Billing Lead, billing teams, Communications Agents, and Fee Analyst.\r\n•\tEstablish clear expectations, operating standards, workflows, and escalation paths across billing and communications functions.\r\n•\tOversee hiring, onboarding, training, and ongoing development of RCM staff in partnership with HR and Operations.\r\n•\tAct as a strategic coach to team leads while maintaining visibility into complex operational and performance challenges.\r\n </li>\n<li>Epic, Integrations & Workflow Governance\r\n•\tProvide governance and oversight for Epic-based billing and communications workflows, ensuring standardization, scalability, and compliance.\r\n•\tPartner with IT, Epic, and integration teams to guide system enhancements, workflow optimization, and issue resolution.\r\n•\tProvide operational leadership for integrations, system migrations, and workflow changes impacting billing, reporting, communications, referrals, and data exchange.\r\n•\tEvaluate workflow performance and recommend system or process changes informed by data trends and operational needs.\r\n </li>\n<li>Community Connect Program Leadership\r\n•\tProvide strategic and operational leadership supporting the design, implementation, and ongoing evolution of Community Connect workflows and operating models.\r\n•\tPartner with Operations, IT, Analytics, Epic, and Communications teams to ensure scalable, standardized workflows for participating practices.\r\n•\tHelp establish governance structures, onboarding standards, performance expectations, and post–go-live stabilization processes.\r\n•\tContribute revenue cycle expertise to inform program sequencing, prioritization, and long-term sustainability.\r\n </li>\n<li>Dental–Medical Integration (DMI) Enablement\r\n•\tSupport Dental–Medical Integration (DMI) initiatives within Community Connect focused on transforming the dental experience through enhanced screenings, documentation, and care coordination.\r\n•\tPartner with clinical, operational, and technology teams to ensure DMI workflows are operationally supported within Epic and aligned with revenue cycle, reporting, and compliance requirements.\r\n•\tProvide input into workflow design supporting patient questionnaires, screenings, referrals, and downstream operational processes.\r\n•\tIdentify operational, documentation, and compliance considerations related to DMI initiatives and recommend workflow improvements.\r\n </li>\n<li>Analytics, Reporting & Performance Management\r\n•\tDefine reporting requirements and KPIs in partnership with Analytics and Epic reporting teams.\r\n•\tReview, validate, and interpret dashboards and reports to support operational management and leadership decision-making.\r\n•\tMonitor performance across claims, denials, A/R, collections, communications metrics, and Community Connect initiatives.\r\n•\tTranslate data insights into operational improvements, workflow refinements, and prioritization decisions.\r\n </li>\n<li>Practice Onboarding & Growth Support\r\n•\tPartner with Operations, IT, and Integration teams to oversee onboarding of new practices into Epic, Community Connect, and centralized RCM workflows.\r\n•\tEnsure billing, communications, and reporting processes are standardized, scalable, and operationally ready for new practices.\r\n•\tProvide leadership oversight during post–go-live stabilization to minimize revenue disruption and operational risk.\r\n </li>\n",
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