Senior Manager - Revenue Cycle Management Pricing and Solutioning

Role Overview

We are seeking a Senior Manager specialized in Revenue Cycle Management (RCM) Solutioning and Pricing to develop comprehensive solution designs and commercial pricing strategies for US healthcare RCM services encompassing Patient Access, Medical Coding, Clinical Documentation Improvement (CDI), Charge Capture, Billing, Accounts Receivable (AR), Payment Posting, Denials Management, Appeals, Credit Balance, and Patient Financial Services.

Key Responsibilities

• Design end-to-end RCM solutions and create pricing models tailored to US healthcare services.
• Develop effort estimations, staffing plans, productivity benchmarks, and cost-benefit analyses for new business opportunities.
• Lead the preparation and timely submission of responses to RFPs, RFIs, and RFQs, ensuring full compliance with client requirements.
• Collaborate cross-functionally with Sales, Operations, Finance, Clinical SMEs, and Delivery teams to formulate competitive, scalable, and profitable solutions.
• Prepare executive presentations, solution documentation, client proposals, and capability summaries.
• Complete client questionnaires, benchmarking exercises, market research, and due diligence inquiries.
• Conduct financial analyses including scenario and sensitivity modeling, plus margin assessments, to support commercial decisions.
• Maintain and update pricing databases, proposal libraries, standard assumptions, and reusable assets for future use.
• Support client negotiations, proposal clarifications, and commercial discussions throughout the sales process.
• Analyze industry trends, competitor pricing, and market benchmarks to continuously improve solution competitiveness.

Required Skills and Qualifications

• Deep knowledge of end-to-end US Healthcare Revenue Cycle Management processes.
• Proven experience in solution design, commercial pricing, and financial modeling specific to healthcare services.
• Hands-on expertise in responding effectively to RFPs, RFIs, RFQs, and client questionnaires.
• Advanced proficiency with Microsoft Excel for financial modeling, scenario analysis, and data manipulation.
• Strong command of PowerPoint to create high-level executive presentations and proposal documents.
• Familiarity with Power BI and SQL is advantageous.
• Excellent analytical thinking, business acumen, and problem-solving capabilities.
• Superior written communication, documentation skills, and stakeholder management.
• Ability to manage multiple simultaneous pursuits and deliver under tight proposal deadlines.

Eligibility and Education

Applicants should possess any graduate degree.