RCM Quality & Performance Improvement Manager jobs in United States
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LifeStance Health · 1 day ago

RCM Quality & Performance Improvement Manager

LifeStance Health is a leading mental health practice group dedicated to improving the mental health needs of individuals and communities. The Quality & Performance Improvement Manager will oversee the design and enhancement of quality and performance outcomes across revenue cycle management functions, ensuring compliance and operational efficiency while leading a team of auditing coordinators.

Health CareHospitalMedical
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H1B Sponsor Likelynote

Responsibilities

Develop and execute standardized QA audit programs across all RCM subfunctions
Monitor accuracy of benefit verification, payment posting, and denial resolution workflows
Conduct root cause analysis of recurring quality failures, claim rework, and payer denials
Partner with Learning & Development Training teams to develop corrective action plans and retraining programs
Ensure QA results are captured in a centralized dashboard and integrated into staff coaching and performance reviews
Establish performance benchmarks and scorecards aligned with departmental KPIs (e.g., claim denials, DSO, productivity, QA accuracy)
Review team- and individual-level performance data weekly to identify trends, outliers, and opportunities for improvement
Collaborate with department leaders to create performance improvement plans and track progress
Translate performance insights into actionable strategies that reduce manual rework and improve first-pass yield
Develop and maintain RCM performance dashboards in collaboration with analytics teams
Provide executive-level reporting on quality trends, productivity metrics, and compliance results
Leverage predictive analytics and exception-based reporting to identify potential quality or performance risks before they impact revenue
Lead cross-departmental reviews to streamline workflows, reduce variation, and improve efficiency
Serve as SME for new process rollouts, EHR upgrades, and system integrations that impact RCM quality or performance
Recommend automation and technology solutions to minimize manual intervention and improve accuracy
Ensure adherence to payer, state, and federal billing regulations, as well as internal compliance policies
Partner with Compliance and Revenue Integrity on audit responses and remediation plans
Foster a continuous improvement mindset through regular feedback loops, performance calibration sessions, and knowledge sharing
Oversee and direct quality/PI operations to validate the team is doing their part to ensure operational consistency, and the achievement of key quality and productivity benchmarks
Take corrective action as needed
Remain current on supervisory and the field's best practices and trends
Precept, train and mentor staff to expand their knowledge and competence in department operations and processes and demonstrate commitment to their success at LifeStance
Create an open, supportive environment that encourages staff members to share opinions, concerns, and suggestions. Hold team-connects and/or communicate to keep the staff informed
Address employee concerns and suggestions in a timely manner. Escalate issues and/or inform within the chain of command as appropriate

Qualification

RCM experienceQuality assuranceData literacyEHR platformsPayer requirementsPerformance managementAutomation deploymentAnalytical skillsCoaching skillsCommunication skillsLeadership experience

Required

Bachelor's degree in Healthcare Administration, Business, Finance, or related field
Minimum 5+ years of progressive RCM experience, including at least 2 years in quality, auditing, or performance management
Demonstrated ability to lead others
Deep knowledge of payer requirements, claim adjudication, and denial management
Strong data literacy with the ability to interpret trends, build dashboards, and present insights
Experience with EHR and RCM platforms (e.g., AdvancedMD, AthenaHealth, Waystar, or similar)
Proven ability to lead cross-functional projects and influence change across large teams
Excellent communication, analytical, and coaching skills

Preferred

Formal lead or supervisory experience preferred
Proven track record with automation/technology deployment in revenue cycle operations preferred
Reimbursement methodology for BH/MH is a plus (Medicare, Commercial and payers that reimburse a percent of Medicare)
Payer policy experience (telehealth and onsite preferred)

Benefits

Medical
Dental
Vision
AD&D
Short and long-term disability
Life insurance
401k retirement savings with employer match
Paid parental leave
Paid time off
Holiday pay
Employee Assistance Program

Company

LifeStance Health

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LifeStance is a national provider of behavioral healthcare services with operations across the country.

H1B Sponsorship

LifeStance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (5)
2021 (2)
2020 (1)

Funding

Current Stage
Public Company
Total Funding
$125M
Key Investors
Silversmith Capital Partners
2024-05-21Post Ipo Secondary· $125M
2021-06-09IPO
2017-01-01Private Equity

Leadership Team

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Chuck Solomon
Director of Employer Branding and Recruiting Operations
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Warren Gouk
Chief Administrative Officer (CAO)
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Company data provided by crunchbase