Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.
The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.
Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.
Revenue Cycle Project Manager (Front, Middle & Back End – Epic Required)
Contracted-6+ months | W2 | $90.00 per hour
Position Summary
We are seeking an experienced Revenue Cycle Project Manager with deep expertise across the full continuum of care—front-end, mid-cycle, and back-end revenue operations. This individual will lead complex initiatives focused on optimizing revenue cycle performance, improving workflows, and driving system enhancements within Epic.
Key Responsibilities
- Lead end-to-end revenue cycle projects spanning:
- Front-end: Scheduling, registration, insurance verification, authorization
- Mid-cycle: Charge capture, coding, clinical documentation improvement (CDI)
- Back-end: Billing, claims management, denials, AR follow-up, and collections
- Manage Epic-related implementations, upgrades, optimizations, and workflow redesigns (HB/PB focus)
- Collaborate cross-functionally with clinical, operational, and IT stakeholders
- Develop project plans, timelines, and deliverables; ensure projects stay on scope, schedule, and budget
- Identify revenue leakage opportunities and implement corrective strategies
- Monitor KPIs such as DNFB, clean claim rate, denial rates, and AR days
- Facilitate meetings, provide executive-level reporting, and communicate progress clearly
- Ensure compliance with regulatory requirements and payer guidelines
Required Qualifications
- Bachelor’s degree in Healthcare Administration, Business, or related field (required)
- 5+ years of healthcare revenue cycle experience across front, mid, and back-end functions
- Hands-on experience with Epic HB (Hospital Billing) and PB (Professional Billing)
- Proven experience managing complex healthcare or IT projects
- Strong understanding of revenue cycle metrics, workflows, and best practices
- Excellent communication, organizational, and leadership skills
Preferred Qualifications
- Epic certification(s) in HB, PB, or related modules
- PMP or equivalent project management certification
- Experience with revenue cycle transformation or optimization initiatives
- Knowledge of CPT, ICD-10, and payer rules
Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.
Originally posted on Himalayas