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Revenue Cycle, Client Manager
Revenue Cycle, Client ManagerOrchard Medical Group • Manchester, New Hampshire, US
Revenue Cycle, Client Manager

Revenue Cycle, Client Manager

Orchard Medical Group • Manchester, New Hampshire, US
19 hours ago
Job type
  • Full-time
Job description

Revenue Cycle Manager - FQHC & Community Health Providers

  • Manchester, NH | Full-Time | On-Site

Position Summary

Orchard Medical Management is seeking a seasoned

  • Revenue Cycle Manager
  • to own the performance, relationships, and outcomes for a portfolio of
  • Federally Qualified Health Centers (FQHCs) and other community-based healthcare organizations
  • . This highly visible role is more than operational — it's strategic. You will act as the
  • primary point of contact and trusted advisor
  • to client leadership, driving financial performance, leading executive-level reporting, addressing concerns before they escalate, and ensuring the entire revenue cycle functions with precision.

    • The ideal candidate has deep expertise in FQHC and community health billing environments and thrives at the intersection of client service, analytics, and leadership. You will

  • own client relationships end-to-end
  • , regularly meet with administrative and clinical executives, and partner closely with internal teams to deliver results. This position reports directly to the Vice President of Revenue Cycle and requires a routine on-site presence (at least two days per week) at client locations across New Hampshire.

    • Key Responsibilities

  • Own the client relationship.
  • Serve as the account lead and strategic partner for assigned FQHC and community health clients, building trusted, long-term relationships with practice administrators, CFOs, and executive teams.
  • Act as the single point of accountability.
  • Lead all aspects of revenue cycle performance — proactively communicating results, resolving issues, and ensuring alignment with client goals.
  • Deliver executive-level reporting.
  • Prepare and present dashboards, KPIs, and actionable insights that clearly explain financial performance, trends, and recommendations to client leadership.
  • Drive operational excellence.
  • Monitor and manage key revenue cycle metrics (denial rates, AR aging, clean claim rate, days in AR) and implement corrective strategies where needed.
  • Collaborate cross-functionally.
  • Partner with internal billing, coding, credentialing, and call center teams to ensure priorities are met and client needs are resolved quickly.
  • Advise on compliance and reimbursement strategy.
  • Provide expert guidance on UDS reporting, PPS wrap payment logic, Medicaid and Medicare billing rules, sliding fee scales, and other payer-specific requirements that impact FQHCs and community providers.
  • Champion continuous improvement.
  • Lead or support initiatives that enhance workflows, increase efficiency, and improve financial outcomes for clients.
  • Stay ahead of evolving regulations.
  • Maintain expert-level knowledge of billing, coding, and reimbursement structures, including managed Medicaid, APM models, and community health funding mechanisms.

    • Qualifications

  • 5-7 years of revenue cycle management experience, including at least 3 years working with FQHCs or community health centers.
  • Proven ability to
  • own and manage client relationships
  • , serving as the primary contact for performance, reporting, and strategic outcomes.
  • Deep familiarity with Medicaid, Medicare, sliding fee scale policies, wrap payments, encounter-based billing, and federal reimbursement models.
  • Experience preparing and delivering financial and operational dashboards to executive leadership.
  • Strong analytical and problem-solving skills with proficiency in Excel, EHR / PM systems (e.g., eCW, NextGen, Athena), and reporting platforms.
  • Excellent communication and interpersonal skills, with the ability to build trust and influence at the executive level.
  • Willingness and availability to be on-site with clients at least two days per week (clients are NH-based).

    • Why Orchard

    At Orchard Medical Management, we believe that

  • community-based healthcare organizations deserve world-class revenue performance
  • . We don't just manage the revenue cycle — we become an extension of our clients' teams, solving complex challenges, delivering meaningful insights, and enabling providers to focus on what matters most : patient care.

    • If you're ready to

  • own relationships, lead strategy, and drive results
  • , we want to hear from you.

    • Job Type : Full-time

    Pay : $80,000.00 - $95,000.00 per year

    Benefits :

  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

    • Application Question(s) :

  • Do you have experience with FQHCs or community health centers?
  • What is your target salary?

    • Experience :

  • Revenue cycle management : 4 years (Required)

    • Ability to Commute :

  • Manchester, NH 03101 (Required)

    • Work Location : In person

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    Revenue Cycle Manager • Manchester, New Hampshire, US

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