Senior Leader For Us Healthcare Rcm

Role Summary

Lead end‑to‑end RCM operations for India delivery centers, ensuring accurate, compliant, and efficient revenue cycle services (front-end, mid-cycle, and back-end) for US healthcare clients. Drive operational excellence, automation, and scalability while meeting financial, quality, and client satisfaction targets.

Key responsibilities

• Own overall RCM operations (coding, charge entry, billing, payment posting, AR, denials, credit balance, refunds) for assigned portfolios.
• Translate organizational and client strategy into operational plans, targets, and SOPs for India delivery teams.
• Define, implement, and continuously refine processes to improve clean-claim rate, reduce denials and AR days, and accelerate collections.
• Establish robust governance : daily / weekly ops reviews, SLA dashboards, root-cause analysis, and corrective action plans.
• Drive productivity and quality improvement through standardization, automation, and use of analytics and RPA / AI where feasible.
• Manage P&L / budget for RCM operations;

track revenue, cost perFTE, productivity, and margins, and execute cost-optimization initiatives.

Candidate profile

comfortable working with complex dashboards and operational data.

KPIs and Operational Metrics

Financial / Revenue KPIs

Billing and claim performance

Denials and AR performance

120 days) with specific targets for AR >

90 / 120 days.

Productivity and quality

Client and people metrics

number of escalations and their resolution TAT.

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