Associate Vice President Operations - AR US Healthcare RCM

Job Title:

People Leadership

• Provide strategic leadership to project teams, ensuring productivity, quality, and performance.
• Mentor and guide Team Leaders, SMEs, Trainers to reduce AR ageing and optimize collections.
• Handle personnel issues, resolve conflicts, and ensure employee engagement.
• Manage multiple accounts with 400+ FTEs, covering diverse work streams.
• Drive attrition control, talent retention, and job enrichment initiatives.

Client Management & Service Delivery

• Ensure service delivery excellence for processes including Denials Management, AR Follow-up, Claim Processing, AR Aging, EDI Rejections, Billing, Payment Posting, and Charge Entry.
• Monitor workflows to meet SLA timelines and quality KPIs.
• Develop and execute business growth plans in alignment with company goals.
• Negotiate with clients on non-payment cases and oversee credit checks.
• Lead implementation of new client systems and training programs.
• Conduct regular client calls to enhance satisfaction and foster long-term partnerships.

Budget & P&L Management

• Meet budgetary targets and manage the Profit & Loss statement for assigned operations.

Reporting & Invoicing

• Maintain and track key operational and collections metrics.
• Monitor invoice processing and ensure accuracy.
• Prepare monthly, quarterly, annual, and ad-hoc forecasting reports.

Compliance & Quality

• Ensure invoicing and collections comply with legal and industry standards.
• Enforce adherence to accounting principles and RCM compliance norms.
• Stay updated on industry trends, technology, and legislative changes.

Process Improvement & Transformation

• Lead process re-engineering initiatives to improve efficiency, cost optimization, and service quality.
• Introduce new technologies, automation, and resource optimization measures.
• Identify new business opportunities and showcase organizational capabilities to prospects.

Qualification & Experience

• Graduate with 16+ years of overall experience in the US Healthcare RCM domain
• Proven expertise in managing large teams (500+ FTEs) in an operations leadership capacity
• Strong background and mandatory experience in end-to-end US Healthcare RCM operations