Revenue Process Improvement Manager

About This Role

This role leads cross-functional revenue process improvement initiatives within BrightSpring Health Services, focusing on enhancing operational workflows to ensure clean billing, denial prevention, and timely collections. The manager will serve as the primary liaison between Revenue Cycle Management (RCM) and Operations, driving adoption of payer rules and authorization requirements into operational behaviors for predictable financial outcomes.

Responsibilities

• Lead enterprise revenue process improvement initiatives focused on reducing denials, bad debt, and A/R aging
• Serve as the primary RCM liaison to operational leadership teams
• Translate payer rules, authorization requirements, and billing standards into operational workflows
• Own root-cause analysis of operationally driven denials and revenue leakage
• Partner with operational leaders to redesign processes that prevent repeat issues
• Ensure denial fixes are embedded upstream and sustained
• Develop and maintain standardized workflows, SOPs, and job aids supporting revenue integrity
• Establish clear handoff standards between Operations and RCM
• Ensure workflows are auditable, repeatable, and scalable
• Define and monitor process-level KPIs tied to revenue outcomes
• Lead recurring performance reviews with operational leaders
• Track and report financial impact of improvement initiatives
• Drive adoption of new workflows in a results-oriented, low-friction manner
• Lead pilots and phased rollouts prior to enterprise scaling
• Partner with Training and Leadership to embed changes into onboarding and ongoing education
• Ensure completion in effort made (closing the loop)
• Track, trend, and monitor results (ensuring fruition in effort made)
• Partner with IT and Clinical Systems to improve charge capture, documentation workflows, and front-end accuracy
• Serve as the RCM business owner for operational system enhancements impacting revenue
• Prepare concise executive-level summaries of risks, progress, and financial impact
• Escalate unresolved operational issues that pose material revenue risk
• Supervise as required

Requirements

• 5+ years of experience in Revenue Cycle, Healthcare Operations, or Process Improvement
• Demonstrated success reducing denials, write-offs, or revenue leakage
• Strong cross-functional leadership and communication skills
• Data-driven mindset with ability to translate metrics into action
• Ability to drive consistent and effective change

Qualifications

• Bachelor’s degree or equivalent experience
• 5+ years of experience in Revenue Cycle, Healthcare Operations, or Process Improvement

Nice to Have

• Specialty pharmacy, infusion, home health, or complex healthcare experience
• Experience with payer authorization and reimbursement models
• Lean, Six Sigma, or formal process improvement training

Skills

* Required skills

Benefits