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Associate Vice President - Operations - RCM

Associate Vice President - Operations - RCM

Credence Global Solutionspune, maharashtra, in
30+ days ago
Job description

Job Role & Responsibilities :

1. Training Strategy and Leadership :

  • Develop and implement a company-wide training and development strategy aligned with business objectives, client needs, and industry best practices.
  • Oversee the design, delivery, and continuous improvement of training programs for new hires, existing employees, and leadership teams in the RCM BPO space.
  • Lead, mentor, and manage the training department, including trainers and learning and development professionals, to ensure consistent delivery of training across all service lines.

2. RCM BPO Knowledge Development :

  • Ensure training programs address key components of Revenue Cycle Management, including billing, coding, claims management, payer relations, compliance, and regulatory standards.
  • Collaborate with subject matter experts (SMEs) to create specialized content for different roles within the RCM process (e.g., medical coders, billing specialists, claim adjudicators).
  • Stay current with changes in the healthcare industry and RCM technology to ensure training materials reflect the latest trends, tools, and regulations.

    • 3. Performance Improvement :

  • Analyze operational performance metrics to identify training gaps and areas for improvement and develop targeted programs to address these needs.
  • Monitor the effectiveness of training programs through assessments, feedback, and KPIs to ensure training initiatives result in improved employee performance and business outcomes.
  • Partner with operations leadership to drive continuous improvement in quality, efficiency, and employee engagement through ongoing training initiatives.

    • 4. Onboarding and Upskilling :

  • Oversee the development and execution of comprehensive onboarding programs for new employees, ensuring a smooth transition into the company and its operations.
  • Create and manage upskilling programs for existing staff to increase their knowledge and performance in core RCM functions.

    • 5. Client-Focused Training :

  • Ensure that training programs are tailored to the needs of client accounts, focusing on client-specific processes, systems, and expectations.
  • Serve as a key point of contact for clients regarding training requirements and ensure that the RCM BPO team consistently meets client standards and expectations.

    • 6. Compliance and Certification :

  • Ensure that all training programs adhere to healthcare industry regulations, compliance standards (e.g., HIPAA), and accreditation requirements.
  • Lead efforts to establish and maintain certification programs for employees in relevant areas of RCM, including coding certifications and compliance training.

    • 7. Budget and Resource Management :

  • Manage the training department’s budget, ensuring that resources are allocated efficiently across training programs and initiatives.
  • Evaluate and incorporate training technologies (LMS platforms, virtual learning tools) to enhance program delivery and learner engagement.

    • Desired Skills Education :

  • Bachelor's degree in Healthcare Management, Business Administration, or related field. A Master’s degree is a plus.

    • Experience :

  • Minimum 12 years of experience in training, learning, or development in the BPO or healthcare industry.
  • At least 5 years in a leadership role overseeing large-scale training programs for RCM or similar services.
  • In-depth knowledge of Revenue Cycle Management processes, healthcare billing and coding, regulatory compliance, and payer systems.
  • Experience working with Learning Management Systems (LMS) and other digital learning platforms.

    • Skills :

  • Strong leadership and team management skills with the ability to inspire and motivate staff. Excellent communication, presentation, and interpersonal skills.
  • Proven ability to develop and execute training programs that drive measurable performance improvements.
  • Analytical mindset with the ability to assess training effectiveness and make data-driven decisions.
  • Proficiency in project management and resource allocation.
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