Program manager ii, healthcare billing, amazon one medical revenue cycle management

We are seeking a talented Program Manager who is familiar with the billing complexities of the healthcare industry. You will have strong analytical skills to ensure we are accurately submitting claims into our billing system. You will find root cause defects that prevent us billing (e.g., local edit errors, missing encounters), and understand and maintain charge management rules. This ties to understanding the downstream impacts for collections. This role will partner closely with RCM Operations, Healthcare Finance Operations, Product, and Tech. Key job responsibilities

• Monitor and improve clean claim submission rates by identifying and resolving charge capture defects, including local edit errors and missing encounters
• Establish and maintain charge management rules to ensure accurate coding, pricing, and billing compliance across all service lines
• Track key metrics including charge lag, encounter capture rates, and billing accuracy while creating dashboards for performance visibility
• Partner with RCM Operations, Healthcare Finance Operations, Product, and Tech teams to optimize charge capture workflows and system configurations
• Oversee provider onboarding and credentialing processes to ensure timely setup in billing systems and prevent billing delays
• Conduct root cause analysis on billing errors and lead continuous improvement initiatives to reduce manual processes and increase automation
• Ensure charge capture processes comply with healthcare regulations, payer requirements, and support audit preparation

Basic Qualifications:

• 3+ years of program or project management experience
• 3+ years of defining and implementing process improvement initiatives using data and metrics experience
• Knowledge of Excel (Pivot Tables, VLookUps) at an advanced level and SQL
• Experience using data and metrics to determine and drive improvements
• Experience working cross functionally with tech and non-tech teams

Preferred Qualifications:

• 3+ years of driving end to end delivery, and communicating results to senior leadership experience
• 3+ years of driving process improvements experience
• Experience in stakeholder management, dealing with multiple stakeholders at varied levels of the organization
• Experience building processes, project management, and schedules

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits. Apply tot his job Apply To this Job