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Vice President of Revenue Cycle Management (RCM)

Vice President of Revenue Cycle Management (RCM)

ConfidentialIndia, Nashik
4 days ago
Job description

Job Description : Vice President – Revenue Cycle Management (RCM)

Location : Navi Mumbai (Work from Office)

Division : RCM Operations

Industry : US Healthcare – RCM, ITES, Tech-enabled Physician Services

Reports to : Managing Partner / CEO – India

Key Interfaces : US-based Executive Team, Client Services, Product & Technology, Automation, and Compliance

About the Company

TRIARQ Health is a physician practice services and technology company that partners with doctors to run modern, patient-centered practices. We help practices transition to value-based care by combining our proprietary cloud-based care management platform with patient engagement services, enabling doctors to focus on better outcomes and sustainable practice growth.

TRIARQ Health is backed by a leading U.S. payer, providing financial strength and strategic alignment for growth.

Role Overview

The Vice President – RCM will lead and scale the India-based revenue cycle organization. This leader will oversee end-to-end RCM delivery while championing intelligent, AI-enabled workflows that transform efficiency, accuracy, and client satisfaction.

This is a senior leadership role requiring a rare blend of deep RCM domain expertise, exceptional people leadership, strong technological fluency, and proven ability to drive large-scale transformation in high-growth environments.

Key Responsibilities

1. Strategic Leadership

  • Lead the transformation and expansion of the India RCM organization, ensuring readiness to scale rapidly while maintaining quality and efficiency.
  • Define and execute a scalable operating model aligned with business growth, margin targets, and evolving client needs.
  • Partner closely with executive leadership to align India operations with corporate strategy, financial performance goals, and customer outcomes.
  • Own the RCM business roadmap, anticipating payer, compliance, and reimbursement shifts.
  • Lead digital transformation through automation, AI / ML, RPA, and advanced analytics.
  • Collaborate with product and engineering teams to implement intelligent platforms, bot-assisted workflows, and real-time reporting, while driving change management to ensure adoption across the delivery organization.
  • Represent the India RCM function in board-level, client, and executive leadership forums.

2. Operations & Delivery Excellence

  • Own end-to-end RCM delivery : patient access, coding, charge entry, claim submission, AR follow-up, denials, payments, and patient contact center.
  • Continuously improve quality, turnaround time, and cost-efficiency by fostering a culture of accountability and performance, supported by robust governance frameworks and operating metrics across teams.
  • Establish real-time dashboards and metrics for AR days, denial reduction, clean claim rate, productivity, and revenue yield.
  • Ensure process standardization across clients while supporting specialty-specific needs.
  • SOP Governance : Establish, update, and audit SOPs across all RCM processes to ensure compliance, consistency, and team adherence.
  • 3. Client Relationship Management

  • Act as executive sponsor for key clients, building long-term partnerships.
  • Serve as the key operational interface for senior U.S. leadership on delivery performance, ensuring client objectives are translated into measurable outcomes across India operations.
  • Proactively serve as a senior escalation point and ensure client goals are consistently translated into measurable operational outcomes.
  • CBRs : Lead structured Client Business Reviews (CBRs / QBRs) to track KPIs, propose improvements, and drive agreed actions to closure.
  • 4. People Leadership & Culture

  • Build and inspire a world-class team through strong leadership layers, workforce planning, and succession development.
  • Foster a high-performance culture of accountability, innovation, inclusion, and continuous learning.
  • Implement structured mentorship, retention programs, and leadership pipeline development.
  • 5. Client Onboarding & Transition Management

  • Lead transition and onboarding of new clients, ensuring seamless workflow mapping, EHR / PM integration, and operational readiness, smooth transition from pre-sales commitments to steady-state delivery.
  • Partner with sales, product, and technology teams to deliver pre-sales commitments into steady-state operations.
  • Oversee structured knowledge transfer and training programs for smooth go-live.
  • 6. Compliance & Risk Management

  • Ensure HIPAA, PHI, HITRUST, and U.S. healthcare regulatory compliance.
  • Drive robust risk assessment, audit readiness, and strong internal controls.
  • Partner with IT / InfoSec to maintain data security, privacy, and disaster recovery preparedness.
  • Ideal Candidate Profile

  • Experience : 15–20+ years in U.S. healthcare RCM, with 5+ years in senior leadership roles managing 1,000+ FTEs.
  • Scale : Demonstrated ability to grow operations from mid-size to enterprise scale (e.g., 2,000+ professionals).
  • Expertise : Deep understanding of U.S. reimbursement models, payer practices, and RCM workflows.
  • Technology : Proven success leading automation, analytics, and AI adoption in RCM; hands-on with platforms like Athena, eClinicalWorks, Epic, or NextGen.
  • Leadership : High EQ, strong communicator, able to lead through complexity and change with board-level presence.
  • Preferred : Background in payer-integrated or payer-aligned organizations is a strong plus. Ability to work U.S.-aligned hours when required.
  • Performance Metrics

  • Reduction in Cost Per Claim
  • Improvement in Margin per Customer
  • Improvement in AR days, denial rates, and net collection rate.
  • Increase in clean claim rate and revenue yield.
  • Profitability and cost-to-collect improvements.
  • Client satisfaction (CSAT / NPS), retention, and growth.
  • Employee engagement and strength of leadership pipeline.
  • Why Join Us

  • Lead the transformation of a high-impact, tech-enabled healthcare services business.
  • Drive innovation at the intersection of healthcare, technology, and global operations.
  • Work in a collaborative, growth-oriented environment with direct influence on company strategy.
  • Executive-level role with significant visibility and P&L ownership.
  • How to Apply

    Send your updated resume to [HIDDEN TEXT] with the subject line : 'Application – Vice President, RCM' .

    Skills Required

    Ml, Advanced Analytics, Rpa, epic, Ai, Rcm, Automation, nextgen

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