Senior Process Manager

RCM Process Manager

About the Role

As part of our organizational growth our client is introducing a new management layer to strengthen RCM (Revenue Cycle Management) execution and operational governance. The ideal candidate will have over 7-12 years of comprehensive end-to-end leadership in either front-end processes (Authorization Eligibility & Benefits Verification) Billing or back-end processes (Accounts Receivable Denial Management). This role requires a strong leader who can drive performance ensure compliance and implement process improvements to maximize revenue and operational efficiency. We are looking for team size management experience of minimum 60-100 people.

This role is internal-facing and requires strong project management people leadership and operational rigor.

Key Responsibilities

1. People Leadership and Team Development

Lead mentor and motivate a large team of 80-150 RCM professionals to consistently achieve and exceed performance targets.

Groom internal leadership by conducting regular performance reviews providing constructive feedback and identifying specific training and development needs.

Foster a positive and collaborative work environment that encourages continuous professional growth and learning.

2. Operational Excellence and Quality

Own and manage all operational aspects of either the front-end or back-end Revenue Cycle Management (RCM) processes.

Ensure all processes are executed with high accuracy and efficiency adhering strictly to company policies and industry best practices.

Monitor and analyze key performance indicators (KPIs) including claims submission rates denial rates and collection percentages to ensure operational goals are met.

Maintain strict regulatory compliance ensuring adherence to all relevant healthcare regulations (e.g. HIPAA) and company compliance standards.

Stay updated on changes in payer regulations coding standards and billing requirements to ensure continuous compliance.

3. Process Improvement and Efficiency

Develop implement and maintain clear Standard Operating Procedures (SOPs) for all tasks within the assigned RCM process.

Proactively identify process bottlenecks and implement corrective actions to improve workflow enhance productivity and drive operational efficiency.

Collaborate effectively with cross-functional departments (e.g. CRM CoE) to resolve systemic issues and streamline workflows.

Desired Skills & Experience

Exceptional attention to detail and a strong capability for process optimization directly ensuring the delivery of high-quality efficient services and solutions.

Proven ability to perform reliably under high-pressure deadlines while consistently maintaining and elevating service quality standards .

Groom internal leadership by conducting regular performance reviews providing constructive feedback and identifying specific training and development needs.

Key Skills

Loan Processing,Continuous Improvement,Lean,Management Experience,Math,Process Improvement,Fair Housing Regulations,Project Management,Process Management,Underwriting,Leadership Experience,Supervising Experience

Employment Type : Full Time

Experience : years

Vacancy : 1