POSITION SUMMARY

The RCM Manager is responsible for optimizing financial operations by leveraging complex billing and claims data to develop actionable strategies that improve revenue cycle performance. This role designs and maintains KPI dashboards, performs deep-dive analytics on revenue cycle trends, and partners closely with Finance, business units, and SperoMD leadership to identify root causes of revenue loss and drive measurable improvements in collections, pricing accuracy, and resource allocation.

KEY RESPONSIBILITIES

Revenue Cycle Analytics & KPI Development

• Design, build, and maintain dashboards to monitor and improve RCM KPIs
• Understand and develop KPIs such as days in A/R, denial rates, net collections, and other core revenue cycle metrics
• Perform deep-dive analysis on agings, bad debts, reimbursement trends, and contract compliance
• Identify root causes of revenue loss and develop recommendations to increase revenue recognition
• Incorporate trends and findings into financial forecasting and modeling

Cross-Functional Partnership & Financial Management

• Partner with strategic business units to improve and streamline processes that increase collections
• Support Finance with financial modeling and deep-dive analytics
• Responsible for financial modeling and deep dive analytics in relation to revenue recognition and profitability
• Partner and collaborate with SperoMD management team to review findings and trends to improve operational efficiencies and increase margins
• Responsible for developing pricing strategies for new client proposals by evaluating payer mix, claim volumes, and historical data to improve pricing accuracy and profitability

Operational Optimization & Reporting

• Develop and maintain staffing models and cost-to-collect metrics to optimize resource allocation
• Manage ad hoc revenue cycle analytics requests for SperoMD by developing reports and performing data analysis that provide leadership with actionable insight
• Support the leadership team with monthly client KPI reporting, including running and validating reports, analyzing revenue cycle performance and operational trends, and creating client-facing presentations when appropriate

MINIMUM QUALIFICATIONS:

To perform this position successfully, an individual must be able to perform each job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Required Education, Knowledge, Skills & Abilities:

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Analytics, or related field
• 10+ years of experience in revenue cycle management, healthcare finance, or medical billing/claims analytics
• Strong understanding of healthcare billing, claims processes, payer mix, and reimbursement methodologies
• Proficiency in building dashboards and reports using BI tools (e.g., Power BI, Tableau); working knowledge of SQL or similar data querying tools preferred
• Demonstrated experience with financial modeling and forecasting
• Excellent analytical and problem-solving skills, with the ability to translate complex data into clear, actionable recommendations
• Strong communication and presentation skills, with experience delivering findings to leadership and/or client-facing audiences
• Experience developing staffing models or cost-to-collect analyses a plus

PHYSICAL/ENVIRONMENTAL DEMANDS:

The characteristics listed below are representative of the physical and environmental demands required by an individual to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

•  Sedentary office work requiring sitting at a desk with computer for 90% of the work day, with occasional need to attend meetings.
•  Office environment where noise level is low to moderate and temperatures are moderate and comfortable.
•  Close, visual acuity to see and manipulate computer screen, desk calculator, telephone, documents, and reports.
•  Drive to other PediaTrust offices required less than 5% of time.

WHO WE ARE

We're Different

PediaTrust is a united group of pediatric practices that serve Chicago-area families. Our practices take a unique approach to providing pediatric care: Our priority is you and taking the time to listen and earn your trust. It’s the kind of personal connection families don’t always find at large hospitals or corporate-owned medical groups. We believe there’s a better way - and it starts with being a trusted partner in keeping your kids healthy.

Individualized Care

Our doctors are empowered to provide your family with the individualized, personal care you’d expect from a small practice. We take the time to truly listen to your concerns, answer your questions, and provide the best care…because we want to be your pediatrician partners at every visit, for every child, at every stage.

Advanced Care and Resources 

With 70 clinicians and growing across our practices, PediaTrust has the scale and the expertise to ensure your family has access to the latest technologies and specialties in pediatrics, all under the PediaTrust umbrella – including experts in nutrition and counseling for mental health. Working together, we offer you the best, most up-to-date care for your kids.

We’re Close to Home

PediaTrust has multiple locations in the Chicagoland area to serve you, and we offer extended hours at many of our locations for immediate care needs.

Our Goal is Our Name

At PediaTrust, we measure ourselves in one way: By earning the trust of each family who comes to us. And we work to keep that trust for each child, from birth to the beginning of a happy, healthy adulthood.

Our Mission, Vision and Core Values

PediaTrust has had a singular mission since our founding in 2012: To provide exceptional pediatric care based on the principles of compassion, collaboration, excellence, and trust. That mission supports our vision for PediaTrust to be the leading independent pediatric practice in the Chicagoland region.

Clinical Excellence

We are committed to providing patients with high-quality, evidence-based care.

Collaboration

We work together with mutual respect and a shared purpose.

Compassion

We ensure every interaction is grounded in empathy and kindness.

NOTE: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification. This description of duties is not intended to be all-inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility. 

BENEFITS

 At PediaTrust, we invest in your total well-being. Our comprehensive benefits package includes:

Financial & Retirement

• 401(k) with profit sharing
• Differential pay
• Referral bonuses

Health Insurance

• Medical coverage with multiple plan options
• Dental
• Vision

Health Accounts

• Health Savings Account (HSA) with up to $500 employer match annually for eligible plans
• Flexible Spending Account (FSA): Healthcare, Dependent Care, and Parking & Transportation

Voluntary Insurance

• Short-Term Disability
• Voluntary Life Insurance
• Critical Illness Insurance
• Accident Insurance
• Hospital Indemnity

Wellness & Support

• Long-Term Disability - Employer Provided
• Wellness platform
• Employee Assistance Program (EAP) — free, confidential support for life's challenges
• Employee recognition program, company events

Time Off & Development

• Paid Time Off (PTO), plus 6 paid holidays
• Tuition assistance

We recognize that every employee's needs are unique - that's why we offer flexible options so you can build the coverage and resources that work best for you and your family.