Gainwell Technologies · 5 hours ago
RCM Manager- Remote
United States
Full-time
Remote
Mid, Senior Level
$87K/yr - $124K/yr
5+ years expGainwell Technologies is a company focused on leveraging technology to improve healthcare for vulnerable communities. The RCM Manager will manage operational teams, drive service improvements, and ensure project delivery meets client expectations while focusing on technology integration in financial operations.
Health CareInformation Technology
Responsibilities
Manages the day-to-day production regimen of multiple operational groups, with a focus on technology-driven processes and financial/banking operations
Provides direction to operational teams, communicating departmental and organizational goals and objectives
Identifies and manages service improvements to increase customer satisfaction, ensuring delivery of projects meets client and company expectations and needs
Serves as liaison between Operations and various cross-functional groups (IT, Client Engagement), emphasizing technology integration
Acts as the direct escalation point for client-identified operational issues
Partners with functional areas or departments to integrate new, enhanced, and existing service offerings for accounts, particularly in financial services
Supports revenue recovery initiatives, including denial management and appeals, in alignment with client and contractual requirements
Supervises a team comprised of exempt, non-exempt employees, or contingent workforce with a well-defined scope, including directing daily work activities/priorities, time tracking, people recruitment and development, cost management, and workforce planning
Provides supervision and guidance within multiple functional areas, with a strong emphasis on technology and financial operations
Responsible for hiring tasks
Manages team and individual performance, monitoring team members’ progress on goals
Ensures services are provided on time and with robust quality
Ensures processes and procedures are documented and reviewed/updated regularly
Coordinates with cross-functional teams to implement client change requests, focusing on technological solutions
Leads team toward operational excellence by monitoring KPIs, ensuring team goals and contractual commitments are met
Monitors Service Level Agreements (SLAs)
Provides and presents production data to upper management as appropriate
Demonstrates strong people management abilities and handles all people care-related activities
Creates a working environment conducive to individual growth, high performance, and continuous improvement
Acts as an escalation point for complex claims recovery, denial management, and appeals-related issues
Oversees claim recovery performance to ensure accuracy, timeliness, and compliance with contractual and regulatory requirements
Partners with teams to identify root causes of denials and implement process improvements to improve reimbursement outcomes
Qualification
Required
3+ years of experience in revenue cycle management or healthcare operations
Bachelor's degree in Business, Healthcare Administration, Finance, or related field
3+ years of leadership/supervisory management experience in medical billing, coding, claims, or payer processes, and managing associated professional or clerical staff
5+ years of experience in RCM or healthcare claims processing
Hands-on experience with healthcare claims management software/systems (e.g., Epic, Oracle, Meditech, Cerner, or similar)
Strong communication and customer service skills
Prior work in revenue cycle, payer relations, or healthcare appeals
Familiarity with state and federal regulations impacting reimbursement
Experience with high-dollar, specialty, or complex medical claims
Minimum 3 years of documented experience directly managing frontline staff performing claims recovery, denial management, and appeals in a remote setting
Strong working knowledge of carrier policies, medical billing guidelines, coding (ICD 10, CPT, HCPCS), and common denial rationales
Ability to interpret EOBs, remittance advice, and carrier correspondence to determine root cause issues and next steps
Charismatic people leader with a demonstrated ability to motivate, coach, and develop remote teams
Documented track record of innovation, including process improvements, workflow optimization, or new strategies that increased recovery performance
Strong communication skills with the ability to influence stakeholders and foster a culture of accountability and continuous improvement
Benefits
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase