The Manager of Revenue Cycle Management (RCM) provides leadership and oversight for end-to-end revenue cycle operations across multiple dental specialties within an Epic-enabled environment. This role is accountable for operational performance, workflow governance, and cross-functional alignment supporting scalable, compliant, and high-performing revenue cycle operations. The Manager plays a key leadership role in supporting Community Connect, an integrated program encompassing Revenue Cycle Management, Dental-Medical Integration (DMI), communications, Epic workflows, analytics, and system integrations. The role ensures operational readiness, consistency, and performance as programs and participating practices scale. This position partners closely with Analytics, IT, Epic, Operations, Credentialing, Payor Relations, Communications, and Clinical teams to provide strategic direction, operational oversight, and continuous improvement across revenue cycle and program workflows
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Revenue Cycle Management Leadership • Oversee and provide strategic direction for end-to-end revenue cycle operations, including insurance verification and eligibility, billing and coding workflows, claims submission and management, payment posting, denial and appeal resolution, and insurance A/R management. • Be accountable for revenue cycle performance outcomes, including collections, A/R aging, payer responsiveness, and operational efficiency. • Ensure consistent, compliant billing practices aligned with payer requirements, organizational standards, and Epic workflows. • Serve as the senior escalation point and subject matter expert for complex payer rules, documentation requirements, and revenue cycle issues.
Leadership & Team Management • Provide leadership, direction, and performance oversight for the Billing Lead, billing teams, Communications Agents, and Fee Analyst. • Establish clear expectations, operating standards, workflows, and escalation paths across billing and communications functions. • Oversee hiring, onboarding, training, and ongoing development of RCM staff in partnership with HR and Operations. • Act as a strategic coach to team leads while maintaining visibility into complex operational and performance challenges.
Epic, Integrations & Workflow Governance • Provide governance and oversight for Epic-based billing and communications workflows, ensuring standardization, scalability, and compliance. • Partner with IT, Epic, and integration teams to guide system enhancements, workflow optimization, and issue resolution. • Provide operational leadership for integrations, system migrations, and workflow changes impacting billing, reporting, communications, referrals, and data exchange. • Evaluate workflow performance and recommend system or process changes informed by data trends and operational needs.
Community Connect Program Leadership • Provide strategic and operational leadership supporting the design, implementation, and ongoing evolution of Community Connect workflows and operating models. • Partner with Operations, IT, Analytics, Epic, and Communications teams to ensure scalable, standardized workflows for participating practices. • Help establish governance structures, onboarding standards, performance expectations, and post-go-live stabilization processes. • Contribute revenue cycle expertise to inform program sequencing, prioritization, and long-term sustainability.
Dental-Medical Integration (DMI) Enablement • Support Dental-Medical Integration (DMI) initiatives within Community Connect focused on transforming the dental experience through enhanced screenings, documentation, and care coordination. • Partner with clinical, operational, and technology teams to ensure DMI workflows are operationally supported within Epic and aligned with revenue cycle, reporting, and compliance requirements. • Provide input into workflow design supporting patient questionnaires, screenings, referrals, and downstream operational processes. • Identify operational, documentation, and compliance considerations related to DMI initiatives and recommend workflow improvements.
Analytics, Reporting & Performance Management • Define reporting requirements and KPIs in partnership with Analytics and Epic reporting teams. • Review, validate, and interpret dashboards and reports to support operational management and leadership decision-making. • Monitor performance across claims, denials, A/R, collections, communications metrics, and Community Connect initiatives. • Translate data insights into operational improvements, workflow refinements, and prioritization decisions.
Practice Onboarding & Growth Support • Partner with Operations, IT, and Integration teams to oversee onboarding of new practices into Epic, Community Connect, and centralized RCM workflows. • Ensure billing, communications, and reporting processes are standardized, scalable, and operationally ready for new practices. • Provide leadership oversight during post-go-live stabilization to minimize revenue disruption and operational risk.
Qualifications:
Minimum Qualifications
8+ years w/Bachelor's degree; 1+ years supervisory/management
Additional experience may be accepted in lieu of education or degree
Additional Experience
10+ years of progressive experience in Revenue Cycle Management, Billing Operations, or Healthcare Finance. • Demonstrated experience leading multi-disciplinary teams, including billing, communications, and analytical functions. • Experience working within Epic billing environments; dental experience strongly preferred. • Proven ability to partner with Analytics and IT teams to define reporting requirements, develop dashboards, and drive performance improvement. • Experience supporting practice onboarding, integrations, and scalable operating models within large, multi-practice or enterprise healthcare environments. • Strong executive communication, judgment, and cross-functional leadership skills.
Knowledge, Skills, Abilities
Knowledge of end-to-end revenue cycle functions, including billing, claims, denials, appeals, and accounts receivable management.
Knowledge of Epic billing workflows, system integrations, and compliant healthcare operations.
Skill in leading teams, setting expectations, and supporting staff performance and development.
Ability to oversee workflow standardization, revenue cycle performance, and practice onboarding across multiple sites.
Skill in reviewing performance data, tracking KPIs, and using insights to improve operations.
Ability to collaborate across departments and communicate effectively with operational and executive stakeholders.
Ability to identify process improvements, support change initiatives, and scale operations efficiently.
Base Pay Information
The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade D. $ - $
Additional Information:
Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:
Competitive base and incentive pay
401(k) with robust matching and non-matching contributions
Rich medical & pharmacy benefits
100% employer-paid dental and vision benefits
Holistic wellbeing program with deep financial incentives
Generous paid time off plus 12 paid holidays and your birthday off
Culture of growth and learning: career development; tuition reimbursement; recognition program
Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
Social responsibility and volunteer opportunities
Employee discount program
Fair Chance Ordinances and Criminal Background Considerations
This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.
