RCM Business Relationship Manager – AI Transformation

Posted 25 Days Ago
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Philadelphia, PA, USA
Hybrid
Senior level
Healthtech • Information Technology • Professional Services • Consulting
The Role
Leads AI transformation initiatives across a healthcare organization by partnering with clinical, operational, administrative, and technology leaders. Identifies and prioritizes AI use cases, translates business needs into requirements and success measures, coordinates governance and risk reviews, and serves as the liaison between stakeholders and technical teams. Supports implementation, adoption, performance monitoring, optimization, and value realization while addressing privacy, security, regulatory, and responsible AI considerations.
Summary Generated by Built In

RCM Business Relationship Manager – AI Transformation

  • Start Date: ASAP
  • Duration: Contract (6 Months, Extension Possible)
  • Daily Working Hours: Full-Time
  • Travel: Hybrid – 80% travel required
  • Work authorization: Must be eligible to work in the U.S. without company sponsorship
  • No Third Parties Please


Project Scope

We are seeking a Business Relationship Manager – AI Transformation to partner with clinical, operational, administrative, and technology leaders to identify, evaluate, and advance high-value AI opportunities within a healthcare organization. This role will translate business needs into actionable requirements and guide AI initiatives through evaluation, governance, implementation, adoption, and value realization. The focus is Revenue Cycle, where AI opportunities connect directly to denials, prior authorization, coding, billing, and cash collection.

 

Position Summary

The Business Relationship Manager – AI Transformation will serve as the strategic bridge between business stakeholders and technical delivery teams across the AI initiative lifecycle. This individual will build trusted relationships with leaders across the organization, facilitate the evaluation and prioritization of AI use cases, define requirements and success measures, coordinate governance and risk activities, and support adoption and outcome measurement post-implementation. The ideal candidate brings 5+ years of healthcare IT, informatics, analytics, or transformation experience, a working knowledge of AI concepts and applications, and the ability to influence and advance initiatives without direct authority. This is a business-facing role, not a technical one. The ideal candidate understands both IT workflows and operational Revenue Cycle workflows, and connects the two so that technical delivery reflects how work is performed in patient access, coding, billing, and collections.

 

Key Responsibilities

  • Build trusted relationships with clinical, operational, administrative, and technology leaders to understand strategic priorities, analyze workflows, and uncover opportunities where AI may create measurable value.
  • Analyze Revenue Cycle workflows end to end, including patient access, prior authorization, charge capture, coding and clinical documentation integrity, claim creation, billing, denials management, cash collection, and patient billing, and identify where AI and automation can improve financial and operational outcomes.
  • Facilitate the evaluation and prioritization of AI opportunities based on expected business or clinical value, feasibility, risk, data availability, organizational readiness, and enterprise strategy alignment.
  • Translate business needs into clearly defined use cases, functional requirements, data requirements, success measures, governance considerations, and expected outcomes.
  • Serve as the liaison between stakeholders and technical delivery teams throughout the solution lifecycle.
  • Partner with architecture, technical, operational, procurement, security, privacy, and legal stakeholders to evaluate available solutions and contribute to build vs. buy recommendations.
  • Coordinate required governance reviews and documentation related to responsible AI, regulatory compliance, privacy, security, data use, model risk, and operational readiness.
  • Support implementation, organizational readiness, adoption, performance monitoring, and outcome measurement post-deployment.
  • Identify opportunities for optimization, expansion, remediation, or retirement based on utilization, performance, risk, and realized value.

Qualifications

  • Bachelor's degree in Healthcare Administration, Business, Informatics, Information Systems, Public Health, Data Science, Computer Science, or a related field; or equivalent combination of education and experience.
  • 5+ years of progressively responsible experience in healthcare operations, information technology, informatics, analytics, transformation, consulting, or a related environment, including Revenue Cycle experience.
  • Required Revenue Cycle skill set, with working knowledge of end-to-end Revenue Cycle operations such as patient access, prior authorization, coding, claim creation, billing, denials management, cash collection, and patient billing.
  • Demonstrated understanding of both IT workflows and operational workflows, with the ability to translate between Revenue Cycle operations leaders and technology teams.
  • This is not a technical role. Hands-on development, data engineering, interface, or system configuration experience is not required.
  • Experience translating complex business or clinical needs into actionable requirements and measurable outcomes.
  • Working knowledge of AI concepts, capabilities, limitations, and common business or healthcare applications.
  • Experience facilitating cross-functional initiatives involving business, clinical, and technical stakeholders.
  • Strong analytical, communication, facilitation, relationship management, and documentation skills.
  • Ability to influence stakeholders and advance initiatives without direct authority.
  • Ability to travel up to 80% as required.

Preferred Qualifications

  • 7+ years of relevant experience.
  • Master's degree in a relevant discipline.
  • Healthcare AI, analytics, automation, or digital transformation experience.
  • Exposure to an EHR platform, with Epic preferred but not required.
  • Knowledge of responsible AI, AI governance, privacy, security, and healthcare regulatory requirements.
  • Experience with demand management, portfolio prioritization, product management, or innovation governance.
  • Expertise in one or more healthcare clinical, operational, financial, or administrative domains.
  • Relevant certification in business relationship management, project management, product management, change management, informatics, analytics, or AI governance.

Ideal Candidate Profile

  • Strategic relationship builder who can earn trust with clinical, operational, and technology leaders simultaneously.
  • Business-minded translator who understands both IT and Revenue Cycle operational workflows, and earns credibility with Revenue Cycle leaders and technology teams without being a hands-on technical resource.
  • Clear thinker who can translate ambiguous business problems into well-defined AI use cases and actionable requirements.
  • Comfortable navigating governance, compliance, and risk conversations without losing sight of the business outcome.
  • Influential communicator who can advance initiatives across organizational boundaries without relying on direct authority.
  • Brings curiosity, structure, and a value-driven mindset to every AI engagement.

When working with Quoris as a consultant, you are eligible for competitive benefits including Health, Dental, Vision, 401k, and a great culture/working environment.


#LI-MP1
#LI-Hybrid


Skills Required

  • Bachelor's degree in healthcare administration, business, informatics, information systems, public health, data science, computer science, or a related field, or equivalent education and experience
  • 5+ years of progressively responsible experience in healthcare operations, information technology, informatics, analytics, transformation, consulting, or a related environment
  • Experience translating complex business or clinical needs into actionable requirements and measurable outcomes
  • Working knowledge of AI concepts, capabilities, limitations, and common business or healthcare applications
  • Experience facilitating cross-functional initiatives involving business, clinical, and technical stakeholders
  • Strong analytical, communication, facilitation, relationship management, and documentation skills
  • Ability to influence stakeholders and advance initiatives without direct authority
  • Ability to travel up to 80%
  • 7+ years of relevant experience
  • Master's degree in a relevant discipline
  • Healthcare AI, analytics, automation, or digital transformation experience
  • Experience with Epic or a comparable healthcare technology platform
  • Knowledge of responsible AI, AI governance, privacy, security, and healthcare regulatory requirements
  • Experience with demand management, portfolio prioritization, product management, or innovation governance
  • Expertise in a healthcare clinical, operational, financial, or administrative domain
  • Relevant certification in business relationship management, project management, product management, change management, informatics, analytics, or AI governance
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The Company

What We Do

Quoris is a healthcare consulting firm that evolved from ROI International, focusing on operational excellence and innovation in healthcare. It provides trusted healthcare IT consulting, EHR services, workforce solutions, and technology for maximum efficiency, aiming to enhance operations and foster collaboration across health systems.

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