Revenue Cycle Management (RCM) Consultant – Carelon. Rx(Financial Consultant)Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon. Rx is a proud member of the Elevance Health family of companies. Carelon. Rx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. The Revenue Cycle Consultant is a senior individual contributor responsible for establishing standard policies and procedures, advising on revenue cycle operating models, leading reengineering efforts, and identifying automation and transformation opportunities. This role brings broad and deep RCM expertise to help scale consistency, strengthen controls, and accelerate modernization across specialty and infusion pharmacy operations. Key responsibilities. Develop and maintain enterprise or function-level revenue cycle standards, policies, procedures, and governance practices to support consistent execution and compliance. Evaluate revenue cycle operations across teams and sites, identify structural improvement opportunities, and recommend reengineered workflows and operating models. Advise leaders on automation opportunities across eligibility, authorization, claim edits, denial prevention, appeals, payment posting, underpayment detection, and work queue routing. Lead complex cross-functional initiatives involving process standardization, technology enablement, performance management, and organizational change. Design rollout plans, audit-ready controls, KPI dashboards, and governance cadences to ensure improvements are sustained post-implementation. Serve as a subject matter expert for RCM best practices, payer rules, revenue leakage risk, and scalable operating design. Preferred qualifications. In depth revenue cycle experience, in pharmacy preferred. Experience in consulting, shared services, multi-site healthcare, or enterprise transformation environments. Exposure to automation tools, workflow orchestration, analytics platforms, or AI-enabled RCM solutions. Experience supporting policy standardization and operational redesign across multiple business units or functions. Job Level:Non-Management Exempt. Workshift:1st Shift (United States of America)