Workstream Project Manager, Revenue Cycle

Fresenius Medical Care•Waltham, MA

About The Position

The Workstream Project Manager, Revenue Cycle leads the Revenue Cycle Workstream for Fresenius Medical Care’s EHR Transformation program. The role oversees planning, execution, and delivery of revenue cycle activities—including registration, coverage and eligibility, charge capture, coding, billing, claims, remittance, denials, patient collections, and financial integrations—while ensuring that EHR design, build, testing, and deployment reflect dialysis care delivery and support adoption across approximately 2,600 clinics. The position partners with revenue cycle leadership to support billing operations, financial integration, uninterrupted charge capture, claims processing, and cash collections. The position owns the workstream plan, milestones, resources, budget and schedule coordination, and integration with the EHR program master schedule. It leads design, validation, configuration, testing, readiness, cutover, and post-go-live activities, coordinating Revenue Cycle Design Leads, SMEs, analysts, operational leaders, vendors, and IT resources. The role manages revenue protection and financial readiness, including charge continuity, claims hold and release strategies, accounts receivable conversion, financial contingency planning, and first billing cycle readiness. It also monitors financial performance and drives issue resolution throughout deployment waves. As a PM leader, the role provides strategic and operational leadership to team managers, domain leads, associates, assistants, and assigned internal and external staff. It manages stakeholder relationships, governance, risks, reporting, compliance, budgets, staffing, and resources, and supports the EHR program’s strategic and financial objectives. The position works with Finance, Revenue Integrity, Patient Financial Services, Clinical Operations, IT, Compliance, Legal, Audit, HR, and other program teams as needed. Travel is 20% to 30%.

Requirements

Bachelor’s degree in Finance, Accounting, Business Administration, Health Administration, Health Information Management, or a related field.
At least 10 years of healthcare revenue cycle, revenue cycle systems, patient financial services, or healthcare finance experience.
At least 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, remittance, denials, and collections.
Experience with accounts receivable conversion, payer testing, financial reconciliation, and revenue cycle stabilization after system implementations.
Understanding of Medicare, Medicare Advantage, Medicaid, and commercial payer reimbursement models.
Experience in CMS-regulated healthcare environments and knowledge of applicable reimbursement and compliance requirements.
Strong analytical skills using 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 or analytics tools.
Ability to travel 20% to 30%.

Nice To Haves

Master’s degree (MBA, MHA, or related discipline).
PMP certification.
HFMA CRCR, CHFP, AHIMA, AAPC, EHR certification, or comparable revenue cycle credential.
Dialysis, nephrology, or chronic disease management revenue cycle experience.
EHR revenue cycle experience.

Responsibilities

Own and manage the end-to-end Revenue Cycle workstream plan, milestones, resources, budget and schedule coordination, and integration into the EHR program master schedule.
Lead revenue cycle design and validation across registration, eligibility, authorization, charge capture, coding, billing, claims, remittance, denials, and patient collections.
Partner with Finance, Revenue Integrity, Patient Financial Services, Clinical Operations, Information Technology, and other teams to ensure business requirements are reflected in system design and implementation plans.
Coordinate revenue cycle SMEs, analysts, operational leaders, vendor partners, and IT/build teams to achieve readiness, decision closure, program objectives, milestones, and deliverables.
Oversee integrated revenue cycle system configuration, including billing, payer plans, claim edits, work queues, and charge description master integration.
Manage readiness for deployment waves, including charge continuity, claim hold and release strategies, accounts receivable conversion, financial contingency planning, and post-go-live monitoring.
Ensure dialysis-specific treatment billing is accurately designed and supports automated charge reconciliation.
Manage third-party integration and readiness activities with clearinghouses, payers, financial systems, and ERP platforms.
Own the revenue cycle testing strategy, including charge, claims, payer, remittance, 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, including charge lag, clean claim rate, denials, unbilled balances, and accounts receivable performance, and drive issue resolution.
Provide governance, risk management, status reporting, and cross-functional coordination throughout deployment waves.
Troubleshoot revenue cycle project management issues and engage EHR stakeholders, sponsors, and company personnel as appropriate.
Manage staffing, resource budgets, expense priorities, project schedules, and recommendations or implementation of changes to current methods.
Lead and develop direct reports and assigned internal and external staff; provide coaching, guidance, development planning, and succession planning in partnership with Human Resources.
Maintain effective working relationships across revenue cycle, finance, operations, and company personnel; support customer service and financial objectives.
Support new business opportunities and, as needed, business development, business operations, client relationship building, and sponsor-facing activities.
Support communications and negotiation of contracts related to clinical operations, integrating Legal, Compliance, and other input as needed.
Work with Compliance, Legal, and Audit to develop or refine EHR policies and procedures, and ensure adherence to the Code of Business Conduct, company policies, and applicable laws and regulations.
Perform other duties as assigned.