Credence Resource Management - Project Manager - RCM Tech

Description:

Job Title: Project Manager - RCM Tech

Department: RCM Tech

Company Profile:

Credence Global Solutions is a diversified technology-driven financial transformation company with deep expertise in Receivables Management, Healthcare RCM, Technology Platforms, and Contact Center verticals. Credence services leading telecommunication, healthcare, and media companies in the United States. Healthcare providers serviced by Credence include medical transport providers, emergency physicians, health infusion service providers, and diagnostic laboratories.

Credence Group Companies:
- Credence Resource Management, LLC Provides Receivables Management and voice-based BPO services.

- Innoval Global Solutions, LLC & Medstat Inc Provide RCM services to healthcare providers.

- iValuate Global Technologies Provides technology platforms that enhance productivity and compliance for creditors and healthcare providers.

Headquartered in Dallas, Texas, with delivery offices in San Jose, California; Natchez, Mississippi; Mesa, Arizona; and Pune, India.

Website: www.credencegs.com

Careers: www.credencegs.com/careers

Roles & Responsibilities:

- Client-facing role to lead and manage end-to-end RCM-related projects including billing, coding, claims processing, denials management, and payer integration.

- Collaborate with cross-functional teams including clinical, finance, IT, compliance, and external vendors.

- Define project scope, goals, deliverables, timelines, and success metrics.

- Develop detailed project plans using standard project management tools (e.g., MS Project, JIRA, Asana).

- Monitor project performance, identify risks, and implement mitigation strategies.

- Identify business opportunities and work with clients to convert them into contracts.

- Ensure compliance with HIPAA, CMS regulations, and internal policies.

- Drive process improvement initiatives to optimize reimbursement and reduce revenue leakage.

- Prepare and present project status reports to leadership and stakeholders.

- Facilitate Agile ceremonies (if applicable) sprint planning, stand-ups, retrospectives.

- Manage budgets, resources, and third-party vendors where applicable.

Candidate Requirements:

Education:

- Bachelors degree in Healthcare Administration, Business, IT, or a related field.

Experience:

- 5+ years of pre-sales with project management experience in the healthcare RCM domain.

- Strong knowledge of healthcare billing, coding (ICD, CPT, HCPCS), EDI transactions, payment posting, AR follow-up, correspondence, denial management, and payer systems.

- Familiarity with RCM software platforms (e.g., Nextgen, EPM, Athenahealth, Meditech).

- Proficiency with project management tools (e.g., MS Project, JIRA).

- Excellent written and verbal communication skills.

Preferred Requirements:

- PMP Certification from PMI or equivalent.

- Experience in managing enterprise-wide RCM transformations.

- Agile/Scrum certification preferred (PMI-ACP, SAFe, etc.).