AlayaCare Logo

AlayaCare

Managed Services Specialist, EVV/RCM

Posted 12 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
Mid level
Remote
Hiring Remotely in United States
Mid level
Guide home and community care customers through EVV activations, billing, and Medicaid compliance. Lead EVV certifications, resolve complex RCM issues, support escalations, validate configurations, deliver training, maintain documentation, and partner with Product and internal teams to improve EVV and revenue cycle workflows.
The summary above was generated by AI
About AlayaCare

At AlayaCare, we’re more than just a fast-growing SaaS company; we’re a team of people passionate about transforming home healthcare. Our cloud-based platform empowers care providers around the world to deliver better outcomes for their clients.

With 650+ employees across Canada, the US, Australia, and Brazil, we’re united by a shared mission and a strong culture of transparency, growth, and human connection. Whether you're early in your career or a seasoned expert, AlayaCare offers the opportunity to grow your impact, your skills, and your career.

About the Role

As a Managed Services Specialist, Revenue Cycle Management (RCM), you will help home and community care organizations protect their revenue and stay compliant so they can focus more time on delivering quality care. You will sit within our Customer Success organization and partner closely with our Product, Professional Services, Customer Success, and Support teams to guide customers through complex Electronic Visit Verification (EVV), billing, and payer requirements.

You will lead EVV activations and certifications, support high-stakes billing and compliance initiatives, and act as a trusted advisor to both operational and implementation-phase customers. Operating in a highly regulated Medicaid and EVV environment, you will translate evolving regulations and payer rules into practical workflows and configurations that drive accurate billing and revenue realization. If you are energized by solving complex RCM challenges and turning regulatory requirements into smooth customer experiences, this role is for you.

What You’ll Do
  • Lead EVV activations and certifications for new and existing customers so they meet payer and aggregator compliance requirements.

  • Validate complex customer requirements and configurations to support accurate billing and EVV compliance across diverse payer programs.

  • Serve as a trusted advisor to customers, guiding them to achieve revenue cycle performance goals through effective EVV, billing, and operational processes.

  • Investigate and resolve complex EVV, billing, and revenue cycle issues in collaboration with customers, aggregators, and internal teams.

  • Support and stabilize high-priority customer escalations related to EVV, billing, compliance, and revenue cycle workflows.

  • Research and track state-specific EVV regulations, payer requirements, and industry trends to keep customers and internal teams ready for change.

  • Support configuration validation, testing, user training, and go-live activities for EVV and billing workflows to ensure successful customer launches.

  • Develop and maintain documentation, best practices, and enablement materials that improve internal enablement and customer self-sufficiency.

  • Deliver training and enablement sessions for customers and internal stakeholders on EVV, billing workflows, compliance requirements, and RCM best practices.

  • Collaborate with Product teams to identify enhancement opportunities, influence roadmap priorities, and validate fixes related to EVV and revenue cycle functionality.

  • Use AI tools responsibly to streamline repetitive work, improve quality, and share learnings that elevate how the team operates.

What You Bring to the Team
  • 4+ years of experience in revenue cycle management and/or home health care.

  • 2+ years of experience with Medicaid-based home health services and deep familiarity with EVV requirements and workflows.

  • Demonstrated ability to recognize, articulate, and solve complex problems across EVV, billing, and revenue cycle processes.

  • Strong communication and interpersonal skills, including experience engaging with customer leadership and presenting data or trends.

  • Proven ability to manage multiple projects at once and adapt quickly while handling competing priorities and deadlines.

  • Experience creating and maintaining clear, process-based documentation and guides.

  • A proactive, self-directed work style, with a strong sense of ownership and accountability for customer outcomes.

  • Demonstrated working knowledge of AI and real examples of using AI tools to enhance the quality, efficiency, or impact of your day-to-day work.

  • Deep expertise in the AlayaCare platform or similar home and community care or RCM platforms is an asset.

  • Experience managing and maintaining EVV compliance data, including analyzing and presenting trends, is an asset.

Location and Work Model

This role is based in the United States and follows AlayaCare’s work model for that location. Roles in Montreal, Toronto, and Victoria, BC are hybrid with in-office collaboration days each week, while US-based roles are remote, with virtual collaboration and no expectation of fully in-person work.

Why Join AlayaCare?

Work With Purpose
At AlayaCare, you’ll help build technology that empowers care providers and improves outcomes for patients and families. Every line of code and every customer interaction contributes to making care more connected, accessible, and human.

Grow in a High-Trust Culture
We believe in transparency, feedback, and assuming positive intent. Here, you’ll feel safe to share your ideas and career goals, and be supported to achieve them through mentorship, career mobility, and a promote-from-within philosophy.

Balance That Works for You
We value flexibility and well-being. From “Wellness Fridays” to volunteer time off, to flexible vacation, we make sure you have the space to recharge, contribute to your community, and live your best life.

Benefits That Matter

  • Equity in a well-funded, scaling company.
  • Comprehensive health benefits, telemedicine, and lifestyle spending accounts.
  • Parental leave top-up and family support programs.

Inclusive by Design
We celebrate diverse perspectives and foster belonging through our DEIB initiatives. Employee-led events, summits, and social activities, both in-person and virtual, create meaningful connections across our global teams.

AI at Work

At AlayaCare, AI is a core part of how we work. Success in this role requires bringing a working knowledge of AI, having used AI tools in practice, and being able to demonstrate how AI has helped improve the quality, efficiency, or impact of your work. We look for people who can adapt to new tools and ways of working and use AI responsibly in line with our privacy and security standards. We’ll support you with the tools, training, and coaching needed to succeed in an AI‑enabled environment.

Ready to Join Us?

Apply today and be part of a company that makes a real difference in the future of home and community care. Not the right role for you? Share this posting with someone who might be a great fit.

AlayaCare uses AI tools during our hiring process to support fair, consistent, and objective decision-making. Some initial screening steps may be automated to help identify qualified candidates. If your application is declined automatically, you may request a human review.

We’re committed to creating a workplace where everyone belongs. If you require accommodation during the application process, please reach out to [email protected]

#LI-JM1 #LI_Remote

Similar Jobs

An Hour Ago
Remote or Hybrid
245K-336K Annually
Senior level
245K-336K Annually
Senior level
Fintech • Machine Learning • Payments • Software • Financial Services
Lead and deliver large-scale AI/ML programs and the next-generation Generative AI platform. Build and grow a world-class TPM discipline, manage cross-functional delivery, mitigate technical risk, and drive execution across product, engineering, design, and data science to achieve business impact in regulated environments.
Top Skills: AgileAIAWSCloud ComputingData PlatformsDistributed ComputingDistributed SystemsGenerative AiLow-Latency SystemsMachine Learning
An Hour Ago
In-Office or Remote
249K-373K Annually
Senior level
249K-373K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide physician leadership for utilization management: conduct coverage reviews, render determinations, document findings, engage in peer-to-peer discussions, collaborate with providers and internal teams, participate in clinical rounds, and ensure cost-effective, evidence-based care for members.
Top Skills: ExcelMs WordOutlook
An Hour Ago
In-Office or Remote
73K-130K Annually
Junior
73K-130K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Perform quantitative and qualitative research and analysis to identify fraud, waste, and abuse in government health programs; support project teams with data review, ad hoc analyses, deliverable improvement, and client-ready presentations while managing multiple priorities and maintaining high accuracy.
Top Skills: ExcelPowerPointSpssSQLStataWord

What you need to know about the Austin Tech Scene

Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.

Key Facts About Austin Tech

  • Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
  • Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
  • Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
  • Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account