Workstream Project Manager, Revenue Cycle

Fresenius Medical Care•Waltham, MA

About The Position

Leads the Revenue Cycle Workstream for Fresenius Medical Care’s EHR Transformation program, overseeing planning, execution, and delivery of revenue cycle activities across registration, coverage, eligibility, charge capture, coding, billing, claims, remittance, denials, patient collections, and financial integrations. The role ensures that EHR design, configuration, testing, and deployment reflect dialysis-care operations, support adoption across approximately 2,600 clinics, protect revenue, maintain regulatory compliance, and advance the organization’s financial objectives. The position owns the end-to-end workstream plan, milestones, schedules, budgets, staffing, resources, and integration with the broader EHR program. It leads design and validation, system configuration oversight, testing strategy, deployment readiness, revenue protection and cutover planning, and post-go-live financial monitoring. The manager coordinates Revenue Cycle Design Leads, subject-matter experts, analysts, operational leaders, Finance, Revenue Integrity, Patient Financial Services, Clinical Operations, Information Technology, vendors, and other program teams. The role also provides governance, risk management, status reporting, stakeholder coordination, team leadership, coaching, and compliance oversight.

Requirements

Bachelor’s degree in Finance, Accounting, Business Administration, Health Administration, Health Information Management, or a related field.
10 or more years of healthcare revenue cycle, revenue cycle systems, patient financial services, or healthcare finance experience.
5 or more 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, 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 involving revenue cycle indicators such as 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 and analytics tools.
Ability to travel 20% to 30%.

Nice To Haves

Master’s degree, such as an MBA, MHA, or related discipline.
PMP certification.
HFMA CRCR, CHFP, AHIMA, AAPC, EHR certifications, or comparable revenue cycle credentials.
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, and integration into the EHR program master schedule.
Lead revenue cycle design and validation across patient access, registration, coverage, 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 stakeholders to ensure business requirements are reflected in system design and implementation plans.
Coordinate revenue cycle SMEs, analysts, operational leaders, vendor partners, and build teams to achieve program objectives, readiness, decisions, milestones, and deliverables.
Oversee revenue cycle system configuration, including billing, payer plans, claim edits, work queues, and charge description master integration.
Manage deployment readiness and revenue protection activities, including charge continuity, 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 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 and 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, and drive issue resolution.
Provide governance, risk management, status reporting, and cross-functional coordination with Clinical, Deployment, Training and Change, Finance, PMO, and ITS teams throughout deployment waves.
Manage project schedules, budgets, staffing, resource allocation, expenses, and changes to methods in accordance with company requirements.
Troubleshoot revenue cycle project-management issues with direct reports and EHR stakeholders, including sponsors and FMCNA personnel.
Support EHR strategic direction, value delivery, customer service, and financial objectives for the managed cost center and EHR overall.
Lead internal and external teams, including contractor, subcontractor, and vendor staff, assigned to multiple clinical workgroups.
Build and maintain effective working relationships among revenue cycle, finance, operations, and FMCNA teams; support new business opportunities and business development and operations activities as needed.
Support recruiting and onboarding of investigative sites as needed, client relationship building, sponsor-facing activities, and contract communications and negotiations related to clinical operations, integrating Legal and Compliance input as appropriate.
Interpret and implement company policies and processes; work with Compliance, Legal, and Audit to develop or refine EHR policies and procedures.
Ensure the team understands and complies with the Code of Business Conduct, company policies, and applicable laws and regulations; establish and maintain effective internal controls.
Provide leadership, guidance, and coaching to direct reports; partner with Human Resources on employee matters and support development plans and succession planning.
Perform other duties as assigned.