Manager, RCM Quality and Outcome Improvement

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Who we are :

We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.

The Manager of RCM Quality and Outcome Improvement is a leadership role requiring 12+ years of relevant Provider RCM experience, including 5+ years at the manager level leading a large RCM delivery team (50-75 FTEs). The core function is to build, mentor, and lead this team to ensure smooth day-to-day operations, meet all productivity targets, and deliver the highest standards of overall service and customer satisfaction.

Roles and Responsibilities :

Build and develop a highly knowledgeable and motivated QOI team to ensure high-quality, timely service delivery and promote an open-door policy with the team, demonstrating an available, hands-on leadership style

Collaborate and communicate with teams across multiple geographical locations to resolve RCM escalations and other RCM business challenges while ensuring compliance with ModMed’s RCM processes and Standard Operating Procedures (SOPs) are followed. They will be actively participating in Client escalation discussions.

Providing directional guidance across Teams. Maintain visibility into the team’s projects and provide guidance on RCM best practices to educate team members, improve efficiencies, and provide deliverables in a timely manner. Work closely with the Quality and Training Teams to drive first-rate RCM performance.

Monitoring the quality of deliverables for each Team Member and filling the gaps with appropriate Knowledge sharing is a key responsibility. Manage the distribution of resources and overall productivity of the team.

They will ensure that the production capacity is optimally utilized while running highly efficient operations. Monitor and track all issues raised by teams and ensure they are resolved within the defined timelines while working closely with internal and external Teams in a highly collaborative environment.

Provide industry best practice advice and guidance to process improvement and standardization initiatives. Function as a key stakeholder and leader in these meetings and discussions.

Ensuring a focused approach at the practice level, they will review the Practice KPI Trends and ensure that the team identifies and resolves issues promptly and thoroughly while continuously improving the overall grades. Keep leadership and other key stakeholders informed across the organization of critical findings impacting RCM performance and recommend solutions to improve outcomes.

Closely monitor new client implementations to identify any challenges while simultaneously working with onshore and offshore teams to ensure the required knowledge is shared across teams. Drive Automation initiatives within the team to drive quality and efficiency

Educational qualification :

Bachelor’s preferably in Human Science / Commerce / Business Administration

Experiences, Competencies and Skills :

Previous experience as a Quality and Process Improvement champion and people leader required.

12+ years of relevant working experience in core Provider RCM, of which at least 5 years was at a manager Level leading a Delivery Team of approximately 50 -75 FTEs

deployed across various functions; related certification preferred

Prior experience working with multiple teams across geographies in a professional

setting; experience managing a start-up operation is a plus.

Proven experience and commitment to actively promoting a positive work environment and developing an employee-focused, supportive workplace aligning to ModMed’s

culture

Extensive hands-knowledge of all the workflows and best practices across functions within Physician RCM.Strong communication and presentation skills

ModMed Benefits Highlight : At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits :

India

United States

PHISHING SCAM WARNING :   ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.