RCM Workflow Manager
Location
North Carolina
Posted
85 days ago
Salary
$80K - $115K / year
Seniority
Senior
Job Description
RCM Workflow Manager
Meduit | Driving Revenue Cycle Performance
• Collaborate with stakeholders to define and articulate the workflow vision, strategy, and roadmap based on customer insights, and business objectives • Manage and prioritize development backlogs, balancing customer needs, technical constraints, and business goals • Work closely with operations, development, and business intelligence teams to ensure alignment and successful execution of product initiatives • Clearly communicate workflow updates, plans, and features to internal teams, customers, and other stakeholders • Plan and execute workflow launches in collaboration with operations and development teams to ensure maximum adoption and success
Job Requirements
- 3-5 years of experience in workflow design or related roles in Healthcare Revenue Cycle
- Bachelor's degree in Business, Engineering, Computer Science, or a related field
- Strong problem-solving, analytical, and organizational skills
- Proficiency in workflow design tools (Visio, Lucidchart, SmartDraw, Draw.io, or other similar software)
- Proven ability to lead cross-functional teams and influence decision-making at all levels of an organization
- Employment eligibility: Must be legally authorized to work in the United States without sponsorship
Benefits
- Comprehensive paid training
- Medical, dental, and vision insurance
- HSA and FSA available
- 401(k) with company match
- Paid Wellness Time and Holidays
- Employer paid life insurance and long-term disability
- Internal growth opportunities
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New Markets Tax Credit (NMTC) Manager
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About the Organization The Momentus Capital branded family of organizations - which includes Capital Impact Partners, CDC Small Business Finance and Momentus Securities (an SEC-registered broker-dealer, MSRB-registered municipal advisor, a FINRA-approved municipal advisor and municipal securities broker-dealer, FINRA/SIPC member) are transforming how capital and investments flow into communities to provide people access to the capital and opportunities they deserve. We are working to reinvent traditional financial systems and advance locally-led solutions that create economic mobility and generational wealth. Through our continuum of financial, knowledge, and social capital, we offer a comprehensive package of loan products, impact investment opportunities, training and business advising programs, and technology solutions. Our holistic and streamlined approach offers comprehensive solutions for small business entrepreneurs, real estate developers, community-based organizations, and local leaders at every stage of growth, from inception to expansion. When these leaders have the opportunity to succeed, their communities, their residents – and our country – thrive. Position Summary Momentus Capital seeks a New Markets Tax Credit (NMTC) Manager to strengthen its Lending Operations team. The role will be primarily responsible for investor distributions, CDE and Sub-CDE compliance, AMIS/TLR/ILR reporting oversight, exit execution, post-closing cash movement, and operational stewardship of Capital Impact’s NMTC and subsidiary funds. The position serves as the internal subject matter expert, translating NMTC legal structures, allocation requirements, and investor agreements into repeatable operational processes. The NMTC Manager collaborates closely with Originations, Portfolio, Treasury, Loan Servicing, Accounting, Closing, Legal, Ariel Ventures, and outside counsel to ensure structural integrity, treasury compliance, accurate reporting, and disciplined lifecycle management from closing through unwind. The NMTC Manager will report to the Senior Director of Lending Operations. Essential Responsibilities - Serve as the internal operational subject matter expert for NMTC structures and compliance requirements. - Translate allocation agreements, investor operating agreements, and executed loan documents into repeatable operational workflows. - Design and maintain cash schedules, reporting calendars, compliance ticklers, and exit trackers. - Strengthen internal controls, reporting accuracy, and structural consistency across the NMTC lifecycle. - Identify and implement process and system improvements. Deals and Loan Onboarding - Lead the operational transition of NMTC transactions from closing through the credit period. - Participate in closing calls as the NMTC operations representative. - Review forecasts and flow of funds for structural alignment with executed documents. - Validate system setup prior to first disbursement. - Coordinate investor onboarding and related bank account setup. - Ensure transactions are accurately established in the system of record before servicing begins. Compliance Management - Own coordination and oversight of CDE-level and Sub-CDE reporting, including AMIS, TLR, ILR, certifications, audits, and tax filings. - Extract operational and reporting requirements from allocation agreements and investor documents. - Monitor substantially all tests, Safe Harbor considerations, and other compliance thresholds. - Escalate recapture and reporting risk indicators in accordance with internal protocols. - Maintain CDE and Sub-CDE good standing and disciplined reporting timelines. Cash Distributions and Fund Management - Develop, maintain, and reconcile investor cash distribution schedules. - Calculate and validate investor remittances, fee allocations, and waterfall payments. - Convert legal distribution requirements into repeatable operational processes. - Coordinate with Accounting and Treasury to confirm payment timing prior to distributions. - Resolve remittance discrepancies and structural variances. - Respond to investor, accounting, and audit inquiries related to CDE cash flows. - Ensure treasury compliance across all NMTC-related cash movements. Exits - Serve as the internal operational lead for NMTC exits and unwinds. - Coordinate reconciliation, payoff verification, flow-of-funds sequencing, and document execution. - Initiate structured exit planning based on maturity timelines. - Prepare CDE-level reconciliations and validate unwind documentation. - Ensure accurate final reporting and orderly wind-down of CDE entities while mitigating recapture and distribution risk.
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Manager of Provider Engagement (MA)
WellSense Health PlanWellSense Health Plan is a nonprofit health insurance company. As an employer, the company strives to foster a fast-paced, goal-motivated, and supportive culture for its team membe
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: Responsible for daily management, coaching and training of the Provider Engagement Team in the provision of all activities including oversight of department operations, provider servicing, orientations, education, site visits, metrics and data integrity. Leads MA Provider Relations team with product expansion, and necessary recruitment efforts. Develops and implements network-wide education and training plan on new products. This position is integral for overseeing the ACO relationships and the Provider Engagement team managing these accounts. Directly responsible for the successful implementation and continued support of these Strategic Partner relationships. 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The same may apply to provider recruitment and credentialing initiatives. · Assists with provider implementation to ensure provider hierarchy and data are loaded appropriately in all relevant systems. This includes understanding and communicating unique arrangements and ensuring the Plan accurately administers those arrangements. · Demonstrates knowledge of varying payment methodologies including but not limited to DRG, PCP Capitation, PCP sub-capitation, Fee-for-Service, Per Diem, Per cent of Charges. Exercises independent judgment and communicates effectively with other members of the Provider Relations Department. · Oversees provider education activities including the development of presentations for orientations trainings for education. · Assists our provider partners in the interpretation of data tools and analytics provided by the Plan, including Quality Incentive Programs (QIPs) reporting and other incentive programs developed. · Identifies and assists with contract related efforts for qualified providers as needed to participated in Plan · Ensures provider implementation process is administered appropriately and verifies integrity of data to lessen provider claims issues. · Ensures materials used with providers are accurate, updated, and appropriate for the situation presented. · May assist with staffing of the Physician Advisory Board meetings in conjunction with Director of Provider Engagement and Plan Medical Director. · Assists in the completion of semi-annual and annual state regulatory reporting related to MA Provider Engagement. · Assists in the development and implementation of action plans related to provider satisfaction results and lead-time surveys. · Gathers and analyzes competitive intelligence relative to provider network changes and trends in the marketplace. · Oversees timely resolution of all provider issues and related escalations. · Assists and analyzes Access and Availability issues within the provider network. · Ensures provider compliance with contractual, regulatory and NCQA requirements and standards. · Participates in cross-functional workgroups as requested. Maintains and reports as necessary on provider service standards. · Responsible for employee annual performance reviews. Develops and monitors employee performance plans. · Develops, revises, manages and utilizes a standard set of reports for Provider Relations Representatives to use in the education of providers. · Monitors provider concerns and issues, communicating those issues to other functional areas within WellSense. Participates in processes for obtaining provider feedback to the Plan. Coordinates and assists in the appropriate response of the Plan on provider issues. · Supports strategic network initiatives, consistent with the objectives of WellSense. · Develops and maintains territory assignments for provider relations representatives. · Other responsibilities as assigned which may include managing a provider territory · Regular and reliable attendance is an essential function of the position Supervision Exercised: · Supervises 5 - 7 staff Supervision Received: · General supervision is received weekly. Qualifications: Education Required: · College Degree (BA/BS) or related field is preferred but not required. Education Preferred: · College Degree (BA/BS) or related field is preferred but not required. Experience Required: · 3-5 years Healthcare/Provider Relations/Network Management experience required Experience Preferred/Desirable: · In addition, 2 or more year’s supervisory experience strongly preferred. Required Licensure, Certification or Conditions of Employment: · Successful completion of pre-employment background check · Must have valid driver’s license and access to a car. Competencies, Skills, and Attributes: · Understanding of the provider communities served · Knowledge of federal Medicare, Medicaid regulations, guidelines and standards is a plus · Proven demonstration of effective communication skills (verbal and written), and interpersonal skills to lead and direct the efforts of others, both internally and externally. · Demonstrated ability to establish, build and maintain relationships with internal and external constituents · Strong analytical, research and organizational skills · Results oriented mindset and ability to mobilize multiple business areas to reach consensus and decision making · Ability to influence others to achieve mutually beneficial outcomes and inspire trust · Ability to think and react quickly to address questions and issues while interacting with the provider community · Foster an atmosphere of collaboration and teamwork internally and externally · Demonstrate initiative, judgment, discretion and ability to operate within politically sensitive framework · Ability to be flexible, work independently and manage multiple tasks · Demonstrated competence using Microsoft Office products especially Excel; familiarity with FACETS helpful Working Conditions and Physical Effort: · Must be willing to travel to meet business needs required · Ability to work in fast paced environment. 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About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees


