Helping rockstar candidates get introduced to their next role.
RCM Operations Lead
Location
United States
Posted
3 days ago
Salary
0
Seniority
Senior
Job Description
RCM Operations Lead
Rockstar
• Own end-to-end billing operations across the full claims lifecycle. From front-end insurance verification and prior auth through claim submission, follow-up, denial/rejection resolution, and back-end reporting. • Lead and manage a team of 4+ offshore support staff. Set priorities, assign workstreams, review output, and keep the team on track. Serve as the escalation point when issues arise and ensure processes are running consistently and correctly across the team. • Manage a high volume of billing questions and escalations from vendors and internal teams — investigating patient responsibility questions, handling vendor escalations, and triaging high-priority items like medical record subpoenas and collection agency contacts. • Support ad-hoc RCM projects, including state launches, new payer setup, provider enrollment, and credentialing gaps for existing clinicians.
Job Requirements
- 5+ years of hands-on RCM experience
- Strong familiarity across the claims lifecycle: denials, rejections, adjustments, resubmissions. Comfortable in Availity and standard provider portals.
- Ownership-oriented. You keep workflows clean, follow up on open items without being asked, and treat the function like it's yours to run.
- Clear communicator. You surface what matters in a format others can act on, and you stay responsive to the teams that depend on you.
- Comfortable in a fast-moving environment. Startup or high-growth experience preferred. You manage multiple workstreams simultaneously and don't need heavy oversight to stay organized.
- You raise the bar. You're comfortable pushing back, flagging problems, and holding vendors and internal teams to a higher standard — even without formal authority.
Related Guides
Related Categories
Related Job Pages
More Operations Jobs
Technical Operations Lead – Technical Innovation Platform, Flexibles and Industrial
DS SmithRedefining Packaging for a Changing World
• Enable successful industrialisation of product range by bridging packaging design with manufacturing realities • Lead the implementation at site level and collaborate with machine suppliers • Support commissioning at customer level for pilot launches • Drive transition of new packaging concepts into scalable solutions • Identify and coordinate with packaging machine suppliers • Lead execution of production trials and factory acceptance tests • Act as problem-solver during trials and launch phases • Standardise mechanisation approaches and share best practices to ensure efficiency
Senior Operations Research Developer
Southwest AirlinesSouthwest Airlines flew its first commercial passenger flights in the spring of 1971. The company has since become an industry leader in affordable air travel and increased passeng
Title: Senior Operations Research Developer Location: Remote, United States Job Description: Department: Technology Our Company Promise We are committed to provide our Employees a stable work environment with equal opportunity for learning and personal growth. Creativity and innovation are encouraged for improving the effectiveness of Southwest Airlines. Above all, Employees will be provided the same concern, respect, and caring attitude within the organization that they are expected to share externally with every Southwest Customer. As a Senior Operations Research Developer for the Network Optimization Team, you'll play a pivotal role in translating operational requirements into technical solutions. This position offers exciting challenges, as the Optimization Teams directly impact the efficiency of thousands of daily flights across hundreds of aircraft, thousands of crew members, and hundreds of thousands of passengers. You'll gain exposure to a wide range of airline operations, including aircraft operations, crew planning, crew recovery, passenger movement, airport operations, and maintenance, expanding your understanding of the airline industry. Additional Details - This role is offered as a remote workplace position, which may require travel for trainings, meetings, conferences, etc. Outside of those required visits, the majority of your working time may be spent in a remote location, away from our Corporate Campus. Please note, while this is a remote position, there is limited group of states or localities ineligible for Employees to regularly perform their work off-site. Those ineligible locations are: Alaska, Delaware, New Jersey, North Dakota, South Dakota, Vermont, West Virginia, Wyoming, and Puerto Rico. We're committed to fair hiring practices and to making employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, military or veteran status, disability, genetic information, or other legally protected characteristics. Responsibilities - Develop mathematical models based on business requirements - Develop solution strategies to solve models developed - Develop code to implement solution strategies - Prepare technical documentation of models and solution strategies - Lead reviews of models, solution strategies, and code with the Team to leverage its collective experience - Test applications to insure they perform as expected, and solve the correct problem - Lead reviews of solutions with business Customers to ensure that they are acceptable - Calibrate the model or solution strategy as needed - Work effectively with the rest of the Team, business Customers, Technology development Teams, and support groups - Provide support for developed applications as needed. Create enhancements, or recalibrate as the business problem changes - Provide leadership, guidance, and mentoring to other less-experienced Team members - May perform other job duties as directed by Employee's Leaders Knowledge, Skills and Abilities - Knowledge of standard programming languages, and associated development tools (compilers, debuggers, etc) - Knowledge of software development, practice, concepts, and technology obtained through college degree program, formal training and/or work experience - Skilled in demonstrating a high-level of optimization aptitude and ability for logical and abstract thinking - Skilled in partnering, communication, and negotiating as to interact effectively with business Customers and technology development and support groups - Ability to complete root-cause analysis, design complex solutions, write code, perform testing, provide documentation, and implement optimization projects - Ability to analyze and resolve complex problems - Ability to work effectively in a strong Customer service/team oriented environment - Ability to work independently where appropriate - Ability to contribute thoughts and ideas on other active projects across the Team - Preferred: Foundational knowledge of AWS or other cloud infrastructure - Preferred: Foundational knowledge of Linux based development - Preferred: Preferred prior experience applying optimization methods in an airline environment - Preferred: Experience or familiarity with Scaled Agile for Enterprise (SAFe) Framework Education - Required: High School Diploma or GED - Required: Bachelor's degree in Computer Science, Engineering, Information systems or similar fields of study or equivalent advanced level experience Experience - Expert level experience, expansive and far reaching knowledge in: - Applying Operations Research methods in a business environment or a PhD with lesser business experience accepted - Using Xpress, CPLEX, or other industrial-strength LP/IP tools Licensing/Certification - N/A Physical Abilities - Ability to perform work duties from [limited space work station/desk/office area] for extended periods of time - Ability to communicate and interact with others in the English language to meet the demands of the job - Ability to use a computer and other office productivity tools with sufficient speed and accuracy to meet the demands of the job Other Qualifications - Must maintain a well-groomed appearance per Company appearance standards as described in established guidelines - Must be a U.S. citizen or have authorization to work in the United States as defined by the Immigration Reform Act of 1986 - Must be at least 18 years of age - Must be able to comply with Company attendance standards as described in established guidelines - Must be able to travel and /or attend Company and non-Company facilities and remote locations such as remote-based offices as necessary Pay & Benefits Competitive market salary from $153,000 per year to $170,000 per year* depending on qualifications and experience. For eligible Leadership and individual contributor roles, additional bonus opportunities are available and awarded at the discretion of the company. Benefits you'll love: - Fly for free, as a privilege, on any open seat on all Southwest flights (your eligible dependents too) - Southwest will help fund your 401(k) retirement savings with Company contributions up to 9.3% of your eligible earnings - Potential for annual ProfitSharing contribution in the Southwest Retirement Savings Plan- when Southwest profits, you profit* - Competitive health insurance for you and your eligible dependents (including pets) - Southwest offers health plan coverage options that start from the very first day of employment. You will have 30 days to select and enroll in your health plan with coverage retroactively available to your first day of employment. - Explore more Benefits you'll love: https://careers.southwestair.com/benefits - Pay amount does not guarantee employment for any particular period of time. 401(k) match contributions are subject to Retirement Savings Plan vesting schedule and applicable IRS limits *ProfitSharing contributions are subject to Retirement Savings Plan vesting schedule and are made at the discretion of the Company.
Field Operations Manager
AeroVironmentAeroVironment is a global leader in intelligent, multi-domain robotic systems.
• The Field Operations Manager plans, coordinates and conducts Small Unmanned Aircraft (SUAS), Tactical Missile System (TMS) and Unmanned Ground Vehicle (UGV) training, field demonstrations, and customer service visits (CSV) both domestic and internationally. • Tracking of fielded assets, proposal writing, and budget management. • Coordinates and works closely with multiple customers on training, demonstrations, and customer service visits, as well as various other operational requests worldwide. • Interacts with the Airworthiness & Safety authorities as required to ensure airworthiness and safety standards are implemented. • Identifies design and operational deficiencies and recommends improvements to Product Line Management. • Collaborates with Program Managers, Engineers, Business Development and Product Line Management to ensure Field Operations involvement during all phases of planning, development, and fielding. • Develops plans and policies, monitors operations, reports to and advises leadership team on all matters pertaining to field training and field demonstration events. • Assists in development of operator manuals, checklists, FSR certification and currency programs as well as other internal and external training tools as required. • Able to plan and execute a dynamic schedule and solve rigorous and last-minute customer demands. • Coordinates with Trade Compliance on international training and demonstrations to ensure compliance.
• Turn high-level ideas into organized action plans and deliverables • Coordinate the execution of ad creatives, landing pages, marketing assets, and content projects • Manage day-to-day communication with freelancers, creators, contractors, and agencies • Track timelines, priorities, deadlines, and project progress across multiple initiatives • Follow up consistently to ensure projects move forward without bottlenecks • Relay feedback from the founder to execution teams clearly and efficiently • Hold team members and external partners accountable for deliverables • Anticipate problems, identify gaps, and proactively solve operational issues • Organize workflows, tasks, documentation, and communication systems • Reduce the founder’s operational workload by owning execution and follow-through




