VP - RCM Operations

About the Company

Is a fast-scaling, founder-led RCM and healthcare technology company serving hospitals, physician groups, and health plans across the US. The company blends expert coding and billing teams with AI-enabled technology to deliver accurate, compliant, and efficient end-to-end revenue cycle solutions

Roles and Responsibilities

• Head complete end-to-end RCM operation verticals across locations, ensuring optimal utilisation of resources and maximizing operational efficiency with SLA compliance.
• Adhere to client SLAs with quality benchmarks and timely delivery of production to clients.
• Drive operation excellence across Patient Registration & Eligibility, Medical Coding, Charge Entry, Billing & Claims Submission, Accounts Receivable (AR) Management, and Denial Management & Appeals.
• Monitor revenue realization, collections, and cash flow - reduce days in AR, improve clean claim rates, and drive improvements in net collection ratio and first-pass resolution.
• Build and maintain strong relationships with clients and stakeholders, acting as the executive escalation point for operational issues.
• Participate in client reviews, MBRs, QBRs, HBRs, and YoY status reviews, and contribute to business development efforts.
• Lead strategic planning and process optimization across all RCM functions, adopting innovation to drive continuous improvement.
• Ensure compliance auditing and risk management standards are consistently met across multi-client environments.
• Champion data-driven decision-making, leveraging analytics to inform operational and financial performance.
• Mentor and develop the team, fostering a culture of self-learning and continuous improvement.

Skills and qualifications

1. 15+ years of experience in leadership roles managing large teams, with strong experience in US healthcare systems (RCM) and the payer landscape.
2. Strong strategic and business acumen in RCM and coding operations, with complete healthcare business acumen.
3. Proven operational excellence and functional expertise across end-to-end revenue cycle functions.
4. Strong client and stakeholder management skills in multi-client environments.
5. Experience in compliance auditing and compliance risk management.
6. Data-driven approach to decision-making, comfortable working with data analytics.
7. Ability to manage multi-client environments and act as a trusted advisor to executive leadership.
8. Working knowledge of total rewards and compensation strategy, including PMS.
9. CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification preferred.

What's On Offer

A rare opportunity to lead end-to-end revenue cycle management operations at scale within a fast-growing, founder-led RCM and healthcare technology company, with direct ownership of operational performance, client relationships, and strategic decision-making across a multi-location, multi-client global platform.