Talent.com
Associate Vice President - Process Excellence - Healthcare
Associate Vice President - Process Excellence - HealthcareCredence Global Solutions • Pune, India
No longer accepting applications
Associate Vice President - Process Excellence - Healthcare

Associate Vice President - Process Excellence - Healthcare

Credence Global Solutions • Pune, India
30+ days ago
Job description

Job Roles & Claims Reimbursement & Revenue Cycle Management :

  • Oversee the entire claims reimbursement process, ensuring that claims from payers (insurance companies, government programs, etc.) are processed accurately and promptly.
  • Analyze claims data to identify reimbursement trends and develop strategies to optimize claim submission, reduce denials, and improve reimbursement rates.
  • Collaborate with finance, billing, and coding teams to ensure seamless claims submission, compliance with payer requirements, and financial success.

Client Engagement & Relationship Management :

  • Act as the primary point of contact for clients regarding claims reimbursement and revenue cycle management, providing guidance and expertise.
  • Build and maintain strong relationships with clients, ensuring their needs are met, and their expectations are exceeded.
  • Present data-driven insights, process improvement strategies, and RPA implementation updates to clients and senior leadership.
  • Conduct regular client meetings, deliver presentations, and communicate complex reimbursement and operational details in an understandable and actionable manner.
  • Proactively identify opportunities to improve client operations, providing customized solutions and strategic advice.

    • RPA Strategy & Implementation :

  • Lead the design and implementation of Robotic Process Automation (RPA) solutions to streamline claims reimbursement and revenue cycle functions.
  • Identify opportunities to automate manual tasks and eliminate bottlenecks, reducing cycle times and improving accuracy in claims processing.
  • Work with IT teams and external partners to implement and optimize RPA tools, ensuring they align with business needs and improve operational performance.
  • Provide leadership and training for teams to effectively adopt RPA technologies and drive automation across revenue cycle functions.

    • Revenue Cycle Optimization & Process Improvement :

  • Identify inefficiencies within the revenue cycle and lead initiatives to improve workflows, accelerate payment cycles, and increase revenue.
  • Monitor performance metrics related to claims processing, reimbursement rates, and revenue cycle KPIs to identify opportunities for improvement.
  • Collaborate with cross-functional teams to implement and sustain process improvements, leveraging RPA and other automation tools to drive efficiency and reduce costs.
  • Stay up-to-date with healthcare industry trends, payer policies, and regulatory changes to ensure the revenue cycle is in compliance and optimized.

    • Leadership & Team Collaboration :

  • Lead, mentor, and develop a high-performing team focused on revenue cycle management, claims reimbursement, and RPA implementation.
  • Work closely with senior management and other departments to align revenue cycle strategies with broader organizational goals and drive company-wide performance improvements.
  • Foster a culture of innovation, continuous improvement, and collaboration across teams, ensuring the successful adoption of new technologies and strategies.

    • Client Presentations & Reporting :

  • Develop and deliver strategic presentations and reports for clients, detailing revenue cycle performance, claims reimbursement trends, and recommendations for process improvements.
  • Clearly communicate complex data and solutions, offering actionable insights to help clients enhance their operational efficiencies and revenue (Masters degree Minimum of 12 years of experience in revenue cycle management, claims reimbursement, and healthcare operations, with at least 5 years in a leadership or senior management role.
  • Proven experience with RPA technologies (e.g., UiPath, Automation Anywhere, Blue Prism) and a strong ability to implement automation solutions to improve business processes.
  • Strong background in client engagement, relationship management, and delivering client presentations.
  • Expertise in healthcare billing systems, EHR, and claims processing & Competencies :
  • Excellent communication and presentation skills, with the ability to explain complex data and technical concepts to both clients and non-technical stakeholders.
  • Proven ability to build and sustain client relationships and successfully manage client expectations.
  • Exceptional leadership and team management skills, with the ability to inspire, coach, and develop high-performing teams.
  • Strong analytical skills with a focus on driving actionable insights from data.
  • Knowledge of payer requirements, insurance regulations, and healthcare revenue cycle operations.
  • Ability to lead change and drive process improvements across a large, complex organization.

    • (ref : iimjobs.com)

    Create a job alert for this search

    Vice President • Pune, India

    Related jobs
    Vice President - FP&A (Pricing)

    Vice President - FP&A (Pricing)

    Everise • Pune, IN
    The VP – Business Controllership is responsible for ensuring proper analysis, documentation and thorough execution of processes and compliance in the areas of revenue forecasting, pricing, and othe...Show more
    Last updated: 8 days ago • Promoted
    Associate Consultant - Advanced Analytics

    Associate Consultant - Advanced Analytics

    PharmaACE Analytics • Pune
    Description : PharmaACE is a rapidly growing global healthcare consulting firm headquartered in Princeton, New Jersey, with operations across the US, Canada, Europe, ...Show more
    Last updated: 30+ days ago • Promoted
    Associate / Vice President, Placements and Employee Mobility Support

    Associate / Vice President, Placements and Employee Mobility Support

    Confidential • Pune, India
    TresVista is a global enterprise whose business model is built to deliver enduring value.TresVista combines best practices, technology-enabled execution, and industry-leading talent to drive meanin...Show more
    Last updated: 24 days ago • Promoted
    Associate Consultant

    Associate Consultant

    IQVIA India • pune, maharashtra, in
    Job title : Associate Consultant.Location : Bangalore or Gurgaon.Must have experiences : Healthcare / Lifesciences / Pharm. Performing qualitative & quantitative research and analysis to identify key...Show more
    Last updated: 7 hours ago • Promoted • New!
    Client Partner - VP

    Client Partner - VP

    ANSR • Pune, Maharashtra, India
    We are looking for an experienced Client Partner to manage a wide range of programs.You will be responsible for the delivery and overall success of the GCC. The goal is to ensure every program will ...Show more
    Last updated: 11 days ago • Promoted
    VP of Community Building

    VP of Community Building

    NorthStar HR Consultants • Pune, Maharashtra, India
    Job Title - VP of Marketing & Community.Budget - INR 30 lacs (includes 25% variable).Community Building & Ecosystem Engagement (Primary Focus). Build and grow a high-value community of founders, GTM...Show more
    Last updated: 14 days ago • Promoted
    Associate Vice President Sales

    Associate Vice President Sales

    Confidential • Pune
    What we are looking for in you : .Years of experience in B2B Sales in Research and Consulting Companies.M plus in new client acquisition. A strong belief in a 10x growth mindset.Passion to realize suc...Show more
    Last updated: 30+ days ago • Promoted
    VP - Operations and Project

    VP - Operations and Project

    Torq Commodities • Pune, Maharashtra, India
    Responsibilities : - Assist and manage the process of a variety of initiatives of the CEO and leadership team.Collaborate with the executive team members to determine and prioritize business strate...Show more
    Last updated: 7 days ago • Promoted
    Associate Director - Advanced Analytics

    Associate Director - Advanced Analytics

    KMK Consulting Inc. • Pune, IN
    KMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions. Our data analytics and software platform...Show more
    Last updated: 30+ days ago • Promoted
    Associate Consultant / Consultant – Advanced Analytics

    Associate Consultant / Consultant – Advanced Analytics

    PharmaACE • Pune, Maharashtra, India
    PharmaACE is a growing Global Healthcare Consulting Firm, headquartered in Princeton, New Jersey.Our expert teams of Business Analysts, based across the US, Canada, Europe, and India, provide Analy...Show more
    Last updated: 20 days ago • Promoted
    Associate Product Owner - Roadmap & Strategy

    Associate Product Owner - Roadmap & Strategy

    ACA Global • Pune
    Description : About the job About ACA : ACA was founded in 2002 by four former SEC r...Show more
    Last updated: 30+ days ago • Promoted
    Anchanto - Associate Director - Supply Chain Consulting - SaaS Product Implementation

    Anchanto - Associate Director - Supply Chain Consulting - SaaS Product Implementation

    ANCHANTO SERVICES PVT. LTD. • Pune, India
    The Associate Director - Supply Chain Consulting is responsible for leading the APAC regional supply chain consulting team, ensuring successful deployment and adoption of SaaS solutions across dive...Show more
    Last updated: 26 days ago • Promoted
    Anchanto - Associate Director / Director - Content & Communications

    Anchanto - Associate Director / Director - Content & Communications

    ANCHANTO SERVICES PVT. LTD. • Pune, India
    At Anchanto, our mission is to revolutionize eCommerce operations for businesses of all sizes by providing innovative and intelligent SaaS platforms. We strive to simplify backend eCommerce processe...Show more
    Last updated: 30+ days ago • Promoted
    Associate Director of ICSR

    Associate Director of ICSR

    Confidential • Pune, India
    We are PrimeVigilance (part of Ergomed PLC), a specialised mid-size pharmacovigilance service provider established in 2008. We are proud to have achieved global organic growth year after year, with ...Show more
    Last updated: 24 days ago • Promoted
    Associate Consultant

    Associate Consultant

    Future Market Insights, Inc. • Pune, Maharashtra, India
    Associate Consultant Level -2”.We deliver a complete packaged solution, which combines current market intelligence, statistical anecdotes, technology inputs, valuable growth insights, aerial view o...Show more
    Last updated: 30+ days ago • Promoted
    Associate Process Manager

    Associate Process Manager

    Eclerx Services Limited, Mumbai, Maharashtra • Pune, Maharashtra, India
    Key Responsibilities : - Lead and manage a team of customer service representatives to ensure exceptional service delivery and achievement of performance targets. Provide ongoing coaching, training,...Show more
    Last updated: 14 days ago • Promoted
    DATA Intelo - Associate Vice President - Research & Consulting Growth

    DATA Intelo - Associate Vice President - Research & Consulting Growth

    DATA INTELO • Pune, India
    Posting Associate Vice President (AVP) Research & Consulting Growth Location : Pune, India (Onsite) Experience : 10 to 15 years Func...Show more
    Last updated: 30+ days ago • Promoted
    Vice President of Learning and Development

    Vice President of Learning and Development

    Mancer Consulting Services • Pune, Maharashtra, India
    We are looking for an experienced Vice President – Talent Development to design, lead, and institutionalize learning and leadership development strategies. This role will build critical capabiliti...Show more
    Last updated: 1 hour ago • Promoted • New!