Medicaid Revenue Cycle & Financial Improvement Project Manager

Consulting

Fully Remote

Full time

Atlanta Georgia United States

Consulting

On Demand Talent

City

Atlanta

Country

United States

State/Province

Georgia

About This Role

Project manager responsible for Medicaid financial improvement and revenue-cycle workstreams so benefits, charge capture, claims processing, and encounter reporting are configured accurately against applicable Medicaid fee schedules and covered services. Close gaps where payment policies do not exist and financial integrity is at risk.

W2 Hourly Rate: $70-80/hr DOE

Expected Duration: 6+ months

What You Will Work On

• Manage configuration of Medicaid benefits, charge capture rules, claims edits, and encounter reporting to match state fee schedule and covered services.
• Identify and remediate financial-integrity issues (incorrect payments, missed charge capture, incomplete or rejected encounters).
• Develop or tighten payment policies as needed
• Understanding of end-to-end revenue-cycle work: requirements, configuration, testing/UAT, claims and encounter validation, issue resolution, and go-live support.
• Coordinate health-plan operations, finance, claims, IT/config, compliance, and state-reporting stakeholders.
• Maintain issue logs, decision logs, and a clear path from current-state gaps to an accurate, auditable Medicaid payment and encounter process.

What You Will Bring

• Medicaid revenue cycle: benefits configuration, charge capture, claims processing, and encounter reporting.
• State Medicaid fee schedules and covered-services mapping (Maryland Medicaid strongly preferred; similar state Medicaid acceptable).
• Payment policy design and financial / program integrity (overpayment, underpayment, encounter completeness).
• Project management of cross-functional ops + finance + IT work in a health plan or integrated delivery system
• Ability to operate when source-of-truth payment policies are missing or incomplete-document, decide, configure, and implement.

What You Can Expect

• An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.
• Compensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors.
• Total Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).

What We Do

At RGP, we're creating a future where businesses produce their best work without constraints. We've built a global network of over 2,600 experts across four regions, providing a comprehensive suite of solutions across on-demand talent, next-generation consulting, and outsourced services to support organizations at every stage of their growth journey. Trusted by Fortune 100 companies and emerging disruptors alike, we challenge conventional ways of working, drive growth, and pave the way for long-term success through bold innovation and fearless collaboration.

Our values guide everything we do and strengthen our commitment to people. By combining smart processes, human-centered design, and advanced technology, we celebrate our team's excellence and ensure we grow together. We believe in the power of continuous learning and development to drive both individual and organizational success. It's time to rethink how work gets done. Dare to Work Differently with RGP.

RGP is proud to be an Equal Opportunity Employer and committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity, age, physical or mental disability, genetic information, veteran status, or any other legally protected trait and encourage all applicants to apply.

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