Manager, Revenue Cycle Systems Architect

Title: Manager, Revenue Cycle Architect Report to: VP, Billing and Credentialing Classification: People Manager Location: Boston (Hybrid)Job description revision number and date: V1.0; 08.03.2026Organization SummaryCommunity Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.Job SummaryThe Senior Consultant serves as a strategic leader responsible for managing a team of consultants delivering specialized expertise in patient registration, clinical workflows, and revenue and denial management under the Billing and Credentialing Shared Service. This role holds accountability for the consultant team working on the redesign of operational workflows to improve the financial performance of FQHCs. The Senior Consultant oversees end-to-end optimization of billing, registration, and clinical workflows, as the subject matter expert on revenue cycle strategy. This includes architecting technical designs and overseeing their successful execution. This position is best suited for a revenue cycle expert with knowledge of Epic workflows across multiple disciplines. Collaboration with customer-facing teams across Revenue Integrity, Clinical Operations, Finance and IT is essential.Responsibilities:Directly manage team of multi-disciplined consultant analysts across multiple areas in Epic including registration, clinical and billingProvides direction and support to consultant team to ensure departmental effectiveness and efficiencyInterview, hire, orient and train new consultantsSet clear expectations for consultants at each phase of the engagement, including defining deliverables, timelines, and quality standardsAppropriately match team member skills and strengths to project responsibilities and workstreamsConducting regular one-on-ones and team check-ins to discuss deliverable status, shared issues, end-user concerns, and upcoming milestonesIdentifying and supporting staff development needs, providing guidance on lessons learned and key success factorsEvaluate performance of staff, documenting areas for growth, improvement and areas where staff are excellingPlan, assign, and direct work of consultants for engagement with customersDesign of consulting framework including engagement initiation, discovery process and pre-engagement scopingCreation of Statement of work for engagement, including full scope of work, clearly defined deliverables, timeline and costsDesign of documentation templates to report out recommendations and status updates to customersCreate and maintain sustainable processes in Epic for revenue enhancementConduct audits of consultant team recommendations on workflows and implement corrective actions to eliminate issuesAct as the primary Epic subject-matter expert for revenue, clinical and reporting applicationBuild and refine Epic work queues, charge router rules, claims edits, handler tasks and other configurationLead testing strategies to validate system build and ensure accuracyPartner with IT and Epic support (CTC) to identify issues and develop enhancementsConsult with individual FQHCs to identify processes and technology improvements to improve the effectiveness and efficiency of revenue cycle operationsManage the development of dashboards and reporting tools to track key revenue integrity metricsProvide detailed analysis and insights to leadership, recommending improvements to optimize revenue cycle performanceMonitor denial patterns and lead cross-functional corrective action plans in collaboration with billing teamSupport FQHC expansion, and new revenue cycle initiativesDevelop training programs focused on documentation standards, Epic workflows, coding accuracy, and payer complianceCollaborate with Billing, Finance, Clinical, Compliance, and IT teams to ensure consistent and compliant revenue cycle practicesCollaborate with internal and external constituents to execute improvementsServe as a trusted advisor across departments, leveraging in-depth system knowledge to enhance operational efficiencyContribute to shaping the vision for C3 as the preferred resource for an affordable and efficient MSO in Billing and CredentialingPerform other duties as assignedRequired Skills:Epic expertise in registration, clinical, billing, data extracts, GL and reportingStrong knowledge of Massachusetts billing regulations, payer requirements, and FQHC/ACO reimbursement frameworksDemonstrated leadership and ability to guide complex system builds, optimizations, and Community Connect implementationsExcellent communication skills, analytical thinking, and cross-functional collaboration abilitiesAbility to manage multiple projects simultaneously in a fast-paced, evolving environmentHigh attention to detail and a strong commitment to quality assurance and customer serviceProficiency with Microsoft Office SuiteStrong commitment to C3’s missionDesired Other Skills:Multiple Epic revenue cycle certifications (Charge Router, PB/Resolute, EpicCare Ambulatory or related Epic modules)Familiarity with the MassHealth ACO programExperience working in Federally Qualified Health Centers (FQHCs)Qualifications:Bachelor’s degree in healthcare administration, business, finance, or a related field preferredMinimum of 5 years of Epic implementation and build experience** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **