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Managed Services - Physician Revenue Cycle - Manager

$99k - $232k

PricewaterhouseCoopers

Industry/SectorNot ApplicableSpecialismManaged ServicesManagement LevelManagerJob Description & SummaryThe OpportunityAs a Managed Services Revenue Cycle Manager, you will lead physician revenue cycle operations and client service delivery within our Advisory practice. You will focus on optimizing performance across revenue cycle functions, managing blended delivery teams, and implementing process improvement, automation, and technology solutions that enhance service quality and client outcomes.As a Manager, you will supervise, develop, and coach teams, lead client workstreams, and build meaningful relationships with client stakeholders. You will apply business knowledge, analytical thinking, and operational leadership to solve complex issues, improve performance, and support delivery against client expectations and service commitments.In this role, you will drive continuous improvement across physician revenue cycle operations, using performance data, root-cause analysis, and technology-enabled solutions to strengthen operational results and support the growth of our managed services offerings.Responsibilities- Leading physician revenue cycle operations across billing, collections, insurance AR follow-up, denial and appeal management, underpayment pursuit, payer escalation, cash posting and reconciliation, credit resolution, and financial clearance- Managing physician revenue cycle teams across blended onshore and offshore delivery models within IDN and multi-specialty environments- Driving performance against aging/DAR, cash collection, denial, write-off, self-pay, and other key operational metrics through inventory health management and targeted improvement initiatives- Leading root-cause analysis of denials, rejections, and claim edits, implementing corrective actions and preventive mid-cycle fixes that reduce billing defects and aged accounts receivable- Implementing physician revenue cycle operating standards, workflows, playbooks, and process improvements across client engagements- Managing weekly operational reporting and monthly executive performance reviews, providing a consistent performance story across client stakeholders- Partnering with Access, Coding, Technology, Client Delivery, and other functional leaders to resolve cross-functional issues and escalate systemic revenue cycle concerns- Leading automation, workflow optimization, and digital transformation initiatives to improve scalability, efficiency, and service quality- Hiring, coaching, and performance-managing team leads across functions while aligning capacity and priorities across the operating unit- Confirming compliance with applicable industry standards, client requirements, and revenue cycle operating proceduresWhat You Must Have- At least a Bachelor's degree- At least 5 years of progressive Revenue Cycle Management experienceWhat Sets You Apart- Preference for at least one of the following fields of study: Business Administration/Management, Engineering- Demonstrating substantial physician revenue cycle leadership experience within IDN and multi-specialty operations- Applying working knowledge of CPT, HCPCS, ICD-10, modifiers, clearinghouse/EDI processes, professional billing reimbursement, and HIPAA requirements- Managing insurance AR follow-up, denial and appeal resolution, underpayment recovery, payer escalation, cash reconciliation, and credit balances- Leading blended onshore and offshore physician billing teams of 50–100+ associates- Driving measurable improvements in aging/DAR, cash, denial, write-off, and other revenue cycle KPIs- Utilizing automation frameworks, workflow optimization, and digital transformation to improve operational performance- Working with Epic in physician revenue cycle or professional billing environmentsTravel RequirementsUp to 40%Job Posting End DateThe salary range for this position is: $99,000 - $232,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: more about how we work: only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: FL-Tampa; MI-Grand Rapids; NC-Raleigh; NC-Charlotte; FL-Jacksonville; OH-Cincinnati; OH-Cleveland; SC-Columbia; MO-Kansas City; OH-Columbus; TX-Dallas; NV-Las Vegas; AR-Little Rock; KY-Louisville; NY-Rochester; CA-Sacramento; AL-Birmingham; MO-St. Louis; UT-Salt Lake City; TX-San Antonio; SC-Spartanburg; NY-Albany; OH-Toledo; OK-Tulsa; TX-Austin; FL-Miami; WI-Milwaukee; MN-Minneapolis; CO-Denver; VT-Montpelier; IA-Des Moines; TN-Nashville; MI-Detroit; LA-New Orleans; NY-Buffalo; TX-Fort Worth; NC-Greensboro; AZ-Phoenix; PA-Pittsburgh; TX-Houston; OR-PortlandType: Full time

Vacancy posted 3 days ago
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