Senior Manager of Revenue Cycle Management

Employment Type: Full-time

Position Overview

At iRhythm, we are redefining how cardiac care is delivered through innovative technology and data-driven insights. Our mission is to improve patient outcomes and transform the healthcare experience. We’re looking for a strategic and experienced Senior Manager of Revenue Cycle Management to join our team and lead the operational and strategic performance of our end-to-end revenue cycle (order to cash).

As the Senior Manager of Revenue Cycle Management, you will oversee the full order-to-cash process, managing both internal teams and external vendor partners. You’ll play a critical role in driving operational excellence, ensuring payer compliance, and delivering a seamless patient financial experience. This is a high-impact leadership role that requires strong cross-functional collaboration, strategic thinking, and a passion for continuous improvement.

The Senior Manager of Revenue Cycle Management will collaborate closely with various internal departments, as well as interact with IT to ensure seamless integration and functionality. This role also involves monitoring, building and implementing vigorous operating processes, developing and molding a high-performing end-to-end revenue cycle work team, and driving continuous improvement initiatives.

Our work environment is fast-paced and collaborative, driven by a passion for delivering innovations that improve the quality of health care and patient experience. We are looking for like-minded individuals to join our team today!

Responsibilities

• Lead the performance of onshore and offshore RCM teams and vendor partners, ensuring accountability, SLA adherence, and continuous improvement.
• Act as the primary escalation point for billing grievances, ensuring timely and patient-focused resolutions.
• Collaborate with Executive Leadership, Finance, Market Access, and Commercial teams to align RCM strategies with financial goals.
• Partner with IT and system owners to support system enhancements, integrations, and automation initiatives.
• Drive RCM transformation efforts, including process redesign, system optimization, and implementation of new solutions.
• Monitor and report on key RCM KPIs such as clean claim rates, denial trends, AR aging, and cash collections.
• Ensure compliance with regulatory standards including HIPAA, SOX, and payer billing requirements.
• Support organizational readiness for scaling or transitioning RCM models (in-house, hybrid, or outsourced).
• Mentor and develop direct reports, fostering a culture of accountability, learning, and high performance.
• Present performance updates and strategic initiatives to senior and executive leadership.

Requirements

• At least 10 years of progressive experience in revenue cycle management, with a strong command of the full order-to-cash process.
• At least 5 years of data-driven revenue cycle leadership experience, including direct management of cross-functional and remote teams in a fast-paced healthcare environment.
• At least 3+ years managing outsourced RCM vendors, including offshore partners, with a focus on performance, compliance, and service delivery.
• Proven success leading operational improvement initiatives, optimizing workflows, and driving measurable results across the revenue cycle.
• Deep understanding of payer requirements, denial management, cash collections, AR aging, and relevant healthcare billing regulations.

Company Information

Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career.