Process Excellence Manager

Key Responsibilities:

• Process Analysis: Analyze existing workflows within the RCM lifecycle (e.g., patient access, billing,
• AR follow-up, denial management) to identify root causes of inefficiencies and improvement
• opportunities.
• Process Transformation: Design and implement transformative projects to enhance operational efficiency, reduce costs, and improve KPIs such as Days in AR and denial rates.
• Lead initiatives that improve compliance with PHI/HIPAA, ensuring robust data protection processes.
• Benchmark RCM processes against industry standards to bring in innovations like automation tools, payer-specific optimization, and denial prevention strategies.
• Lean & Six Sigma Deployment: Utilize Green Belt-certified expertise to run process improvement initiatives, including root cause analysis and DMAIC projects.
• Ensure projects align with business objectives and deliver measurable outcomes.
• Project Management: Support the execution of process improvement projects, including
• planning, coordinating, and tracking progress. Ensure projects are completed on time and within budget.
• Documentation: Develop and maintain documentation for processes, procedures, and improvement projects. Ensure all process changes are properly documented and communicated to relevant stakeholders.
• Data Analysis & Management: Leverage MS Office (Visio, Excel, PowerPoint, and Word) and analytics tools to track key metrics and project milestones if required.
• Present performance reports and transformation updates to leadership and stakeholders.
• Use data to identify trends, make recommendations, and measure the impact of changes.
• Continuous Improvement: Promote a culture of continuous improvement by encouraging and facilitating the identification of process improvement opportunities across the organization.
• Compliance and Quality: Ensure that all process improvements comply with industry standards, regulations, and internal quality requirements.
• Stakeholder Management: Collaborate with onshore and offshore teams to ensure alignment with client goals. Work with stakeholders across functions to review, track progress of solutions/initiatives by setting up meetings as needed, following up through emails.
• Additionally, engage with end customers to ensure their requirements are addressed and they are appraised of the status of the solutions/initiatives thereby ensuring zero escalation.

Preferred candidate profile:

• Bachelors degree in science (Preferably in Biology, Microbiology, Biotechnology, Pharma) or a related field.
• 4-6 years of experience in Revenue Cycle Management for providers, with a strong focus on process improvement.
• 3-5 years of experience in process improvement, project management, or a related role.

Skills Required
Pharma, Project Managment, Process Excellence, Revenue Cycle Management, Process Improvement