RCM Automation Strategist- RCM Experience

At Netsmart, we're transforming healthcare through intelligent technology, automation, and innovation. As an RCM Automation Strategist, you'll play a critical role in shaping the future of revenue cycle operations by identifying opportunities to automate complex workflows, reduce administrative burden, and improve outcomes for healthcare providers across the country.

This is a unique opportunity to join a growing team focused on advancing how automation, AI, and process improvement are applied across the revenue cycle. You'll serve as the strategic bridge between RCM operations, clients, and technical automation teams, building scalable frameworks, developing automation playbooks, and driving implementation from concept through deployment.

If you're passionate about healthcare operations, process optimization, automation technologies, and creating meaningful change at scale, we'd love to hear from you.

What You'll Do

Lead RCM Automation Strategy

• Identify and prioritize high-value automation opportunities across revenue cycle workflows, including claims management, prior authorization, eligibility verification, coding, charge capture, denials, and payment reconciliation.
• Develop and maintain a strategic automation roadmap that aligns with business objectives and client needs.
• Evaluate current-state processes and determine where automation can drive efficiency, scalability, and improved outcomes.

Build the Foundation for Scalable Automation

• Create and own a comprehensive library of automation playbooks
• Establish documentation and process standards that enable repeatable, high-quality automation development.

Partner Across Teams and Clients

• Collaborate with RCM leaders, operational subject matter experts, automation consultants, RPA developers, and clients to design and implement automation solutions.
• Facilitate discovery sessions, process assessments, and workflow evaluations to ensure automation initiatives align with operational goals.
• Serve as a trusted advisor and automation champion for both internal stakeholders and external clients.

Drive Governance and Continuous Improvement

• Define automation governance standards, quality frameworks, naming conventions, and version control practices.
• Track solution performance and measure outcomes against operational and financial benchmarks.
• Analyze results and continuously refine automation strategies to improve future implementations.

Serve as the RCM Automation Subject Matter Expert

• Provide guidance and direction on complex workflow logic, process optimization, and automation best practices.
• Support automation teams with troubleshooting, process design decisions, and exception management.
• Stay informed on emerging automation, AI, and healthcare technology trends to help shape future capabilities.

What Success Looks Like

Within your first 90 days, you'll:

• Build relationships across RCM, automation, and leadership teams.
• Learn Netsmart's revenue cycle workflows, technology ecosystem, and automation capabilities.
• Begin identifying automation opportunities and establishing project plans for ongoing initiatives.
• Develop a strong understanding of client workflows and strategic automation priorities.
• Start creating the foundational frameworks and standards that will support future automation growth.

Top performers in this role are:

• Self-starters who thrive in ambiguity and enjoy building something new.
• Strategic thinkers who can see the big picture while still diving into process details.
• Strong communicators who are comfortable presenting to clients and executive stakeholders.
• Natural problem-solvers who proactively seek out opportunities for improvement.
• Relationship builders who know how to leverage expertise across multiple teams.

Required Qualifications

• 10+ years of experience in healthcare revenue cycle management, healthcare technology, or a combination of both.
• 5+ years of experience implementing, configuring, or supporting automation platforms such as UiPath, Automation Anywhere, Blue Prism, Microsoft Power Automate, or similar technologies.
• Deep knowledge of revenue cycle operations
• Experience creating process documentation, operational playbooks, workflow maps, and implementation guides.
• Strong process improvement, analytical, and problem-solving skills.
• Experience leading cross-functional projects and managing stakeholders through change.
• Comfortable working directly with clients and presenting recommendations to leadership.
• Proficiency with Excel, data analysis tools, and project management platforms.

Preferred Qualifications

• Experience establishing automation governance standards, Centers of Excellence (CoE), or enterprise automation frameworks.
• Six Sigma, Lean, or other process improvement certification.
• Experience with Smartsheet or similar project management applications.
• Familiarity with AI-enabled automation solutions and emerging healthcare automation technologies.
• Knowledge of Netsmart solutions, including myUnity and other RCM-related workflows.
• Experience working within a healthcare technology, health IT, payer, provider, or managed services organization.
• Understanding of healthcare data standards such as HL7, EDI X12, or FHIR.
• Experience launching new programs, methodologies, or greenfield initiatives where success required building processes from the ground up.

Why Join Netsmart?

This is more than a process improvement role, it's an opportunity to help define the future of revenue cycle automation.

You'll have the chance to:

• Shape the automation strategy for a growing area of the business.
• Work at the intersection of healthcare, AI, RPA, and operational excellence.
• Partner directly with clients and senior leaders to solve meaningful challenges.
• Build scalable solutions that drive measurable impact across healthcare organizations.
• Grow alongside a team that is investing heavily in innovation and automation.

If you're excited by the opportunity to create something new, influence strategy, and transform healthcare operations through automation, we encourage you to apply.

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider.

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All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

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