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indeed

Senior Manager, Process Engineering

R1 RCM
Remote, USA
Full-time
Remote
USD 100171-145414 yearly
Discovered 2 weeks ago
Healthcare revenue cycle managementClaims workflowsPayer rulesDenials managementReimbursement methodologiesProcess analysis and improvement

Full Job Posting

Role overview

Own the design, documentation, and optimization of healthcare revenue cycle workflows across payer-provider systems.

Translate complex operational workflows into clear, testable requirements for engineering teams building AI-enabled solutions.

This is a workflow ownership and product translation role, not a reporting or data analyst role.

Key responsibilities

  • Use operational and performance data to identify opportunities, prioritize use cases, and inform solution expansion.
  • Analyze solution performance and trends; identify root causes, risks, and improvement opportunities and recommend actions.
  • Coordinate initiatives across leadership, operations, product, engineering, vendors, and external stakeholders.
  • Lead discovery using user interviews, process maps, and gap analysis.
  • Analyze processes, standards, and operational, financial, and quality metrics to identify automation and efficiency opportunities.
  • Create product requirements documents, user stories with acceptance criteria, process maps, and decision trees.
  • Work with product and engineering to refine backlog items, clarify scope, and ensure requirements are testable, traceable, and outcome-aligned.
  • Support implementation and adoption through change management, documentation, and coordination with training, quality, and performance management teams.
  • Troubleshoot operational and product issues, coordinate resolution, and communicate workflow logic across technical and non-technical teams.

Required qualifications

  • 5+ years as a Business Analyst, Process Analyst, or Product Business Analyst in healthcare.
  • Strong healthcare revenue cycle knowledge, including back-end operations, payer rules, claims workflows, denials management, and reimbursement methodologies.
  • Experience in healthcare process analysis, process improvement, or operational analytics.
  • Advanced analytical skills and ability to turn large datasets into actionable recommendations.
  • Hands-on experience with Excel, Power BI, or similar reporting and visualization tools.
  • Ability to document workflows, business requirements, and process standards clearly.
  • Strong communication and presentation skills for technical and non-technical audiences.
  • Must be willing to travel up to 25%.

Work arrangement

  • The posting identifies the role as remote in the United States.

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