Project Manager-Revenue Integrity (Epic Required)

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry.  Wilshire will take the time to get know you and your employment history.  We will then place you in a role that will lead to a path of career success.  

About The Wilshire Group 

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets.  With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace.  We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

Project Manager – Revenue Integrity (Epic Required)

Remote | 25% Travel | W2 Contract | $95/hour | 6+ Months (Extension Possible)

Position Summary

We are seeking a senior-level Project Manager – Revenue Integrity to lead strategic Epic-focused revenue cycle initiatives across hospital and ambulatory healthcare environments.

This role is dedicated to Revenue Integrity, compliance, charge capture accuracy, coding optimization, denials prevention, and reimbursement performance — not general IT project coordination.

The ideal candidate is a consultative healthcare leader who has successfully delivered Epic-driven financial and operational improvements, partnered directly with Revenue Cycle, HIM, Coding, and Finance stakeholders, and driven measurable outcomes such as reduced denials, improved clean claim rates, and optimized charge capture.

Epic experience is mandatory. Candidates without Epic experience will not be considered. No other EHR platforms accepted.

What You’ll Own

You will lead enterprise initiatives that directly impact reimbursement and revenue performance, including:

• Epic Revenue Integrity & Revenue Cycle implementations and optimizations

• Charge capture and documentation improvement programs

• HIM and coding workflow redesign

• Claims, billing, and reimbursement process enhancements

• Denials prevention and root-cause remediation

• Revenue leakage identification and recovery strategies

• Epic module configuration and system adoption

• End-to-end project lifecycle delivery (assessment → design → go-live → stabilization)

• Cross-functional leadership across Revenue Cycle, HIM, Compliance, Clinical Ops, and IT

• Executive reporting, KPIs, and financial performance tracking

Key Responsibilities

• Lead complex Epic-based revenue integrity initiatives from strategy through execution

• Conduct operational and workflow assessments to identify gaps and improvement opportunities

• Translate business requirements into Epic system design and configuration plans

• Manage scope, timeline, budget, risks, and deliverables

• Facilitate stakeholder alignment across finance, compliance, and clinical leadership

• Oversee testing, training, go-live readiness, and stabilization

• Develop dashboards and metrics to measure revenue improvement outcomes

• Drive change management and user adoption

• Travel onsite up to 25% for critical milestones and go-lives

Required Qualifications (Must-Have)

• 7+ years of healthcare project management experience

• 5+ years leading Epic Revenue Cycle or Revenue Integrity initiatives

• Direct experience improving:

  • Charge capture

  • Coding accuracy

  • Denials reduction

  • Clean claim rate

  • Reimbursement performance

• Hands-on or leadership experience with Epic revenue cycle modules

• Proven success leading enterprise or multi-site healthcare implementations

• Strong executive communication and stakeholder management skills

• Ability to operate independently in a consulting/contract environment

Epic Experience Required (Non-Negotiable)

Experience with one or more:

• Resolute Professional Billing

• Resolute Hospital Billing

• HIM / Deficiency Tracking

• Charge Capture & Revenue Integrity workflows

• Coding/3rd-party integration tools

• Revenue reporting and analytics

Only Epic experience will be considered. Other EHR platforms are not accepted.

Preferred

• Revenue Integrity, HIM, or Coding leadership background

• Lean/Six Sigma or process improvement certifications

• PMP certification

• Consulting or transformation program experience

• Experience working with large health systems or IDNs

Engagement Details

• Remote with up to 25% travel

• W2 Contract

• $95/hour

• 6+ month contract with strong extension potential

• High-visibility, impact-driven work

Who Will Thrive Here

This role is ideal for someone who:

• Thinks like a consultant and acts like an owner

• Focuses on measurable financial outcomes, not just timelines

• Can speak the language of both Revenue Cycle leaders and IT teams

• Has led Epic transformations that materially improved revenue performance

• Prefers autonomy and strategic influence over task management

Wilshire is honored that you have taken the time to review/apply to our open position.  We will now take the time to review your experience and be in touch with you soon.