Director-Knowledge COE

Golden Opportunities

20 - 30 years

30 - 45 Lacs

chennai

Posted:2 weeks ago| Platform:

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Skills Required

process excellence rcm operational excellence transformation continuous improvement business improvement healthcare process improvement lean six sigma black belt wfm

Work Mode

Work from Office

Job Type

Full Time

Job Description

15–20 years in U.S. Healthcare RCM operations with 5+ years leading multi-pillar functions (QA, KM, WFM, MIS).
Global stakeholder management experience preferred.
seeking a transformational operations leader to establish and scale our Knowledge Centre of Excellence (KCoE) — a strategic enterprise function designed to raise the bar on operational excellence across our Revenue Cycle Management (RCM) value chain.
The role offers a rare opportunity to architect the foundation of a global RCM operations excellence model that balances efficiency, compliance, and client delight.
Process Excellence & Transactional Quality (QA & Continuous Improvement)
Design and run the enterprise Quality Assurance framework—sampling plans, audit cadence, calibration, and blind rechecks—across all RCM processes.
Define quality standards, scoring rubrics, and COPQ baselines; lead RCA (5 Whys, Fishbone) and CAPA initiatives.
Build a Lean/Six Sigma pipeline (Kaizens, DMAIC projects) linked to throughput, TAT, and compliance outcomes.
Lead automation/RPA/AI-based initiatives to drive standardization and operational efficiency.
Partner with Compliance on HIPAA and payer-specific requirements; ensure audit readiness and process adherence.
Organizational Knowledge Management (Content, Change, Enablement)
Workforce Planning, Capacity Management & Organizational MIS/Analytics
Build volume forecasting models based on historical trends, seasonality, and client pipelines.
Own capacity planning, hiring plans, cross-training, and resource allocation to balance SLA compliance with utilization.
Implement WFM discipline—interval-level forecasting, scheduling, shrinkage planning, real-time adherence (RTA), and intraday management.
Lead KCoE governance bodies: Quality Council, WFM Council, Operations, Customer Success, Compliance, and IT.
Define and publish OKRs and quarterly roadmaps for each pillar, demonstrating measurable business impact.
Serve as a trusted advisor to clients and internal leaders during QBRs, representing quality, capacity, and operational health.
Bachelor’s degree required; master’s in healthcare administration, Operations, or Analytics preferred.
Lean Six Sigma Green/Black Belt certification strongly preferred.
Proven expertise across two or more RCM domains (e.g., Coding, Charge Capture, Billing, AR/Denials).
Hands-on experience with WFM systems, QA frameworks, and BI/Analytics tools (SQL, Excel, Power BI, Tableau).
Strong understanding of HIPAA, payer policies, and compliance frameworks.
Client-facing experience (QBRs, transitions) is a plus.

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