Senior Revenue Cycle Project Manager (Front, Middle & Back End – Epic Required)

Senior Revenue Cycle Project Manager (Front, Middle & Back End – Epic Required)

Contract – 6+ months | W2 | $90.00/hour

About The Wilshire Group

The Wilshire Group is a boutique consulting firm based in Los Angeles specializing in revenue cycle optimization and bridging the gap between operations and IT. We've partnered with over 100 healthcare systems nationwide, and our work is built on a foundation of strong project leadership — turning complex, cross-functional initiatives into measurable results. Our core values — professionalism, efficiency, and flexibility — drive an inclusive, dynamic workplace built for leaders who own outcomes at the highest level.

Position Summary

We're seeking a Senior Revenue Cycle Project Manager to lead high-stakes, enterprise-level initiatives across the full revenue cycle — front-end, mid-cycle, and back-end. This is a strategic leadership role: you'll be the executive-facing owner of complex Epic-driven transformation programs, setting direction for cross-functional teams, advising senior stakeholders, and applying disciplined PM methodology (PMP-level rigor) to manage risk, governance, and outcomes at scale.

We're looking for someone who operates as a true program leader — comfortable setting strategy, influencing executives, managing multiple workstreams simultaneously, and building the organizational structures that let large initiatives succeed. You'll be expected to bring seasoned judgment to ambiguous, high-pressure situations and drive results with minimal oversight.

Key Responsibilities

Strategic & Program Leadership

• Own the strategic roadmap for enterprise revenue cycle initiatives, aligning project objectives to broader organizational and financial goals
• Apply formal PM methodology and governance frameworks (PMP-aligned) to manage scope, schedule, budget, risk, and quality across complex, multi-workstream programs
• Lead program-level risk management — proactively identifying systemic risks, building mitigation strategies, and escalating appropriately before issues become crises
• Provide strategic counsel to senior leadership and executive sponsors on revenue cycle performance, transformation priorities, and resourcing decisions
• Establish and enforce project governance structures, including steering committees, change control boards, and decision escalation paths

Team & Stakeholder Leadership

• Lead, mentor, and develop cross-functional project teams and junior PMs; build accountability structures that drive performance without micromanagement
• Serve as the senior point of alignment between clinical, operational, IT, and executive stakeholders — resolving conflicting priorities at the leadership level
• Facilitate executive steering committee meetings and deliver polished, decision-ready reporting to C-suite and senior sponsors

Revenue Cycle & Epic Scope

• 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
• Direct large-scale Epic implementations, upgrades, optimizations, and workflow redesigns (HB/PB focus), ensuring system changes map to strategic revenue cycle goals

Performance & Continuous Improvement

• Take ownership of enterprise-level KPI performance — DNFB, clean claim rate, denial rates, AR days — translating metric trends into strategic action plans
• Proactively identify revenue leakage at a systemic level and lead the design of corrective, scalable strategies
• Ensure all initiatives meet regulatory requirements and payer guidelines, embedding compliance into program design from the outset

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business, or related field
• 8+ years of healthcare revenue cycle experience spanning front, mid, and back-end functions, including senior or lead PM roles
• PMP certification required (or equivalent advanced project/program management credential)
• Hands-on experience with Epic HB (Hospital Billing) and PB (Professional Billing)
• Demonstrated success leading large, complex healthcare or IT transformation programs with executive visibility
• Deep understanding of revenue cycle metrics, workflows, and industry best practices at a strategic level
• Strong executive presence — proven ability to advise, influence, and lead through senior stakeholders
• A strategic, ownership-driven mindset: comfortable setting direction in ambiguous situations and being accountable for program-level outcomes

Preferred Qualifications

• Epic certification(s) in HB, PB, or related modules
• Experience leading enterprise-wide revenue cycle transformation programs
• Background managing PMO functions or mentoring junior project managers
• Working knowledge of CPT, ICD-10, and payer rules