Workstream Project Manager, Revenue Cycle

Serve as the Revenue Cycle PM for the EHR Transformation program, ensuring the system design, build, testing, and deployment reflect how Fresenius Kidney Care delivers dialysis care while supporting successful adoption across approximately 2,600 clinics. Focused on partnering with Revenue cycle leadership on ensuring billing ops, financial integration, and uninterrupted charge capture, claims processing and cash collections.

• Own and manage the end-to-end Revenue Cycle workstream plan, milestones, resources, and integration into the EHR program master schedule.

• Lead revenue cycle design and validation activities across registration, eligibility, authorization, charge capture, coding, claims, remittance, denials, and patient collections.

• Partner with Finance, Revenue Integrity, Patient Financial Services, Clinical Operations, and Information Technology teams to ensure business requirements are accurately reflected in system design and implementation plans.

• Coordinate revenue cycle SMEs, analysts, operational leaders, and build teams to ensure readiness and decision closure throughout the program lifecycle.

• Oversee Integrated rev cycle system configuration, including billing, payer plans, claim edits, work queues, and charge description master (CDM) integration.

• Ensure readiness for all deployment waves by managing revenue protection activities including charge continuity planning, claim hold and release strategies, accounts receivable conversion, financial contingency planning, and post-go-live monitoring. Ensure dialysis-specific treatment billing processes are accurately designed and support automated charge reconciliation.

• Manage third-party integrations and readiness activities with clearinghouses, payers, financial systems, and ERP platforms.

• Own the revenue cycle testing strategy, including charge testing, claims testing, payer testing, remittance validation, parallel processing, and end-to-end financial testing.

• Lead revenue protection and cutover planning, including charge capture continuity, claim hold/release processes, accounts receivable conversion, and first billing cycle readiness.

• Monitor post-go-live financial performance metrics including charge lag, clean claim rate, denial rates, unbilled balances, and accounts receivable performance, driving issue resolution where needed.

• Provide ongoing governance, risk management, status reporting, and cross-functional coordination with Clinical, Deployment, Training & Change, Finance, PMO, and ITS teams to protect revenue throughout all deployment waves.

PURPOSE AND SCOPE

Provides leadership across the Revenue Cycle Workstream consisting of Revenue Cycle Design Leads, IT Analysts, Revenue Integrity and Patient Financial Services stakeholders, Finance partners, Operational Leaders, and Vendor resources supporting the EHR Program within Care Delivery at Fresenius Medical Care. Responsible for oversight, planning, execution, and delivery of all revenue cycle activities associated with the EHR Program, including registration, coverage, eligibility, charge capture, coding, billing, claims, remittance, denials, patient collections, and financial integrations. Ensures successful implementation while protecting revenue, maintaining regulatory compliance, and supporting the financial objectives of the organization during and after EHR deployment.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• As a PM leader, provide strategic, commercially minded, entrepreneurial management leadership to the team managers, domain leads, associates and assistants.

• Oversee revenue cycle design and validation efforts including patient access, registration, eligibility and authorization, charge capture, coding, billing, claims management, remittance processing, denials management, and patient collections.

• Lead project management efforts across Revenue Cycle Design Leads, revenue cycle SMEs, analysts, operational stakeholders, vendor partners, and ITS resources to ensure program objectives, milestones, and deliverables are achieved.

• Ensures that project management budgets and schedules are within company requirements with significant organizational responsibility for the overall control of planning, assignment of staffing, budgeting of resources, expense priority management, and recommendation and implementation changes of current methods.

• Troubleshoots issues related to rev cycle project management through direct reports and with direct contact of EHR stakeholders including but not limited to sponsor clients, and FMCNA personnel.

• Accountable for assisting with achieving EHR strategic direction with a focus on creating and delivering value, providing superior customer service and achieving the financial objectives for the managed cost center and for EHR in aggregate.

• Strategic leader with broad-based knowledge in revenue cycle / EHR project management and rev cycle operations, and strong knowledge of industry practice and business principles. Works on complex issues and abstract issues/situations.

• Leads teams including internal and external (contractor, subcontractor, vendor) staff assigned to multiple clinical workgroups

• Identifies and supports new business opportunities

• Ensures good working relationships with and between revenue cycle / finance / operations leaders and their staff and FMCNA personnel.

• Provides oversight and assists in the recruiting and onboarding of new investigative sites as needed. Assists in the business development and business operations efforts, client relationship building activities and other sponsor facing activities as needed.

• Supports the communications and negotiation of contracts related to the clinical operations while integrating input from Legal, Compliance and other entities as needed.

• Direct and control the broad activities of the business unit through the interpretation, application and implementation of company­wide policies and processes appropriate to the functional area.

• Works with the Compliance, Legal and Audit departments as necessary to develop or refine policies and procedures pertaining to EHR.

• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

• Ensure all employees within the assigned team(s) understand and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations; establishing and maintaining effective internal systems and controls to promote compliance.

• Provide leadership, guidance and coaching for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.

• Collaborate with employees in the establishment of clear and concise development plans to ensure succession planning and the advancement of future leaders within the organization.

• Other duties as assigned.

EDUCATION

• Required: Bachelor's degree in Finance, Accounting, Business Administration, Health Administration, Health Information Management, or related field.

• Preferred: Master's degree (MBA, MHA, or related discipline).

• Preferred: PMP Certification.

• Preferred: HFMA CRCR, CHFP, AHIMA, AAPC, EHR Certifications, or comparable Revenue Cycle credentials.

EXPERIENCE AND REQUIRED SKILLS

• 10+ years of healthcare revenue cycle, revenue cycle systems, patient financial services, or healthcare finance experience.

• 5+ years of project management or leadership experience.

• Experience leading or supporting at least one large-scale EHR implementation involving billing conversion and production go-live.

• Strong knowledge of the end-to-end healthcare revenue cycle, including registration, eligibility, authorization, charge capture, coding, claims management, remittance processing, denials, and collections.

• Experience with accounts receivable conversion, payer testing, financial reconciliation, and revenue cycle stabilization following system implementations.

• Understanding of Medicare, Medicare Advantage, Medicaid, and Commercial payer reimbursement models.

• Experience working in CMS-regulated healthcare environments and knowledge of applicable reimbursement and compliance requirements.

• Strong analytical skills with revenue cycle performance indicators, including charge lag, clean claim rate, denial rates, first-pass yield, days in accounts receivable, and cost-to-collect metrics.

• Experience managing complex cross-functional initiatives involving Finance, Operations, IT, Clinical, and Vendor organizations.

• Demonstrated ability to manage multiple priorities, budgets, timelines, and stakeholder groups in large-scale transformational programs.

• Excellent verbal and written communication skills, including executive-level presentations and financial risk communication.

• Strong negotiation, influence, problem-solving, and relationship management skills.

• Advanced proficiency with Microsoft Excel, PowerPoint, Project, Smartsheet, Jira, ServiceNow, and reporting/analytics tools.

• Dialysis, nephrology, or chronic disease management revenue cycle experience preferred.

• EHR revenue cycle experience preferred.

• 20% to 30% travel.

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (https://app.smartsheet.com/b/form/c36f09ba8dc54692af34ee3a3dbd3716)

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans