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Managed Services - Physician Revenue Cycle - Manager

pwcEast Cleveland, OH

3 days ago

Occupations

Medical and Health Services ManagersPhysicians, All OtherFamily Medicine Physicians

Industries

Offices of PhysiciansOffices of Physicians, Mental Health SpecialistsGeneral Medical and Surgical Hospitals
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About the role

Overview: In this role, you lead physician revenue cycle operations and client service delivery within PwC's Advisory practice. You will optimize performance across RCM functions, manage blended delivery teams, and drive process improvements, automation, and technology-enabled solutions to enhance service quality and client outcomes. You work closely with cross-functional stakeholders to resolve issues and deliver measurable value for IDN and multi-specialty clients. This position offers impact through scalable revenue cycle improvements and long-term client partnerships. You will help shape PwC's managed services offering in a high-demand healthcare domain. Compensation / Benefitsmedical, dental, vision 401kholiday payvacationpersonal and family sick leave
Responsibilities:
  • Oversee physician revenue cycle activities across billing, collections, insurance AR follow-up, denials and appeals, underpayments, payer escalation, cash posting, reconciliation, and credit resolutions
  • Lead blended onshore/offshore delivery teams within IDN and multi-specialty settings
  • Drive performance on aging/DAR, cash collection, denials, write-offs, and self-pay via inventory health and improvement initiatives
  • Conduct root-cause analysis of denials and edits; implement corrective actions and mid-cycle fixes
  • Establish operating standards, workflows, playbooks, and process improvements across engagements
  • Manage weekly operations reporting and monthly executive performance reviews
  • Collaborate with Access, Coding, Technology, Client Delivery, and other leaders to resolve cross-functional issues
  • Lead automation, workflow optimization, and digital transformation to improve scale and service quality
  • Hire, coach, and manage team leads; align capacity with priorities
  • Ensure compliance with industry standards, client requirements, and operating procedures
Key requirements:
  • Bachelor's degree or higher
  • At least 5 years of progressive Revenue Cycle Management experience
  • Substantial physician RCM leadership within IDN and multi-specialty operations
  • Working knowledge of CPT, HCPCS, ICD-10, modifiers, clearinghouse/EDI processes, professional billing reimbursement, and HIPAAExperience managing insurance AR follow-up, denials/appeals, underpayments, payer escalation, cash reconciliation, and credit balances
  • Led blended onshore/offshore physician billing teams of 50–100+ associates
  • Proven track record of improving aging/DAR, cash, denials, and other RCM KPIsExperience with automation frameworks, workflow optimization, and digital transformation
  • Experience with Epic in physician RCM or professional billing environmentsleadership and coachingstrategic collaborationanalytical thinkingCPTHCPCSICD-10

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JOB OVERVIEW

Experience level

Manager

Location

East Cleveland, OH

Occupation

Medical and Health Services Managers

Industry

Offices of Physicians

Posted

3 days ago

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