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.

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Paid time off
• Professional development assistance
• Tuition reimbursement
• Vision insurance

Application Question(s):

• How many years of experience do you have working with or supporting Federally Qualified Health Centers (FQHCs) or community health centers?
• What are your salary requirements?

Experience:

• Revenue cycle management: 5 years (Required)

Work Location: In person

Job Type: Full-time

Benefits:

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

Application Question(s):

• How many years of experience do you have working with Federally Qualified Health Centers (FQHCs)?
• What are your salary expectations?

Experience:

• Revenue cycle management: 5 years (Required)

Ability to Commute:

• Manchester, NH 03101 (Required)

Work Location: In person