Project Manager-Revenue Integrity (Epic Required)

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.

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

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.

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

• 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

• 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

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.

• 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

• Remote with up to 25% travel

• W2 Contract

• $95/hour

• 6+ month contract with strong extension potential

• High-visibility, impact-driven work

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