Rcm Performance Analytics Manager

Summary

Join ModMed's Revenue Cycle team as a Manager, RCM Performance Analytics! This role involves leading a team of analysts, overseeing performance metric collection and reporting, identifying areas for improvement in revenue cycle processes, and collaborating with cross-functional teams. You will contribute to strategic planning, design training programs, and ensure data accuracy. The ideal candidate possesses strong analytical and communication skills, along with experience in RCM or performance analytics. ModMed offers a competitive benefits package including comprehensive medical, dental, and vision benefits, 401k matching, generous PTO and parental leave, life and disability insurance, professional development opportunities, and more.

Requirements

• Bachelor's degree preferred
• 5 years RCM or performance analytics experience
• Proven ability to lead and manage teams, with experience in training and mentoring staff
• Ability to analyze financial and operational data to identify trends and discrepancies
• Proficiency in data analysis tools (i.e. Excel, Google Sheets, etc) and experience with data software (i.e. Power BI)
• Strong analytical skills to address complex issues and develop effective solutions
• Analytical thinking, attention to detail and decision-making abilities
• Exceptional written, verbal and interpersonal communication skills required
• Knowledge of medical billing/coding, front-office, physician practice management and healthcare business processes
• Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs
• Ability to manage and integrate information located in multiple software systems
• Experience working with global vendors

Responsibilities

• Manage and mentor a team of RCM Performance Analysts, fostering a culture of collaboration, accountability, and continuous improvement
• Oversee the collection, analysis, and reporting of RCM performance metrics. Develop dashboards and reports to communicate insights and trends to senior management and stakeholders
• Identify areas for improvement within the revenue cycle processes, implementing strategies to enhance efficiency, reduce denials, and optimize revenue capture
• Work closely with cross-functional teams, including Coding, Client Success, Operations and other BOOST departments to ensure alignment on client performance goals and initiatives
• Facilitate communication between billing, coding, finance, and operations teams to ensure alignment on performance goals and data integrity
• Contribute to the development of strategic plans aimed at improving overall revenue cycle performance, leveraging data insights to drive decision-making
• Design and implement training programs for staff on RCM metrics, data interpretation, and best practices in performance analytics
• Ensuring the accuracy and reliability of the RCM Performance Analysts data to inform decision-making
• Identifying bottlenecks or inefficiencies in BOOST processes that lead to delays or revenue loss
• Analyzing patterns in claim denials and developing strategies to reduce their occurrence

Benefits

• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
• 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep
• Generous Paid Time Off and Paid Parental Leave programs
• Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs
• Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
• Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles
• Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters