Manager, Complex Claims

R1 RCM

Manager, Complex Claims managing healthcare revenue cycle operations and client partnerships. Leading teams to achieve productivity and quality goals through analytics and continuous improvement efforts.

Posted 5/22/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $65,478 - $96,885 per yearWebsite

About the role

Key responsibilities & impact

Leading daily operations for assigned Complex Claims teams and client hospital accounts
Using analytics and performance trends to improve productivity, compliance, and net revenue outcomes
Partnering with client leadership to evaluate operational and financial results and drive change initiatives
Standardizing workflows, supporting process improvements, and reinforcing quality and compliance expectations
Developing frontline leaders and creating accountability for sustained team performance

Requirements

What you’ll need

Bachelor’s degree or equivalent combination of education, training, and relevant experience
5–8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations
2+ years of supervisory or people leadership experience
Experience with analytics and reporting tools such as Power BI
Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies

Benefits

Comp & perks

Competitive benefits package
Annual bonus plan at a target of 10.00%

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

revenue cycle managementcomplex claimscollectionsreimbursement operationsanalyticsreportingclaims resolution strategiespayer processing

Soft Skills

leadershipteam performanceaccountabilityprocess improvementcommunication

Certifications

Bachelor’s degree