Director, Revenue Cycle Management Services (RCMS), India Operations (healthcare)

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, state reporting, billing, and business intelligence. The company's mission is to be an innovative and trusted technology partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts offers a comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, catering to the entire behavioral health, rehabilitative, and human services market. With a loyal customer base of over 2,500 customers and more than 6 million patients served, Qualifacts has been recognized for having the top-ranked Behavioral Health EHR solutions in the 2022 and 2023 Best in KLAS: Software and Services report. If you are seeking to work in an environment where innovation is purposeful and your ambition contributes to supporting customers and their communities, then consider applying for the following role: This position is for an onsite Director of Revenue Cycle Management (RCM) based in the Vadodara office, working the NIGHT SHIFT from 6:30 pm to 3:30 am IST, 5 days a week. Remote applicants will not be considered. As the Director of RCM Operations, you will be responsible for leading and optimizing end-to-end revenue cycle operations for the company's US-based healthcare clients. This role requires deep expertise in US healthcare RCM processes, including medical billing, coding, insurance claims, accounts receivable (A/R) management, denials management, and compliance. You will drive process efficiency, ensure regulatory adherence, implement automation solutions, and lead a high-performing team to achieve revenue and operational goals. Key Responsibilities: - Develop and implement best practices, policies, and workflows to optimize revenue cycle performance and ensure compliance with US healthcare regulations. - Drive automation and process improvement initiatives leveraging technology, analytics, and AI-driven solutions. - Set performance metrics, monitor KPIs, and ensure achievement of key revenue cycle objectives. - Foster a culture of accountability, continuous learning, and process excellence within the team. - Analyze revenue cycle trends, identify revenue leakage, and implement corrective actions to improve financial outcomes. - Partner with technology teams to implement and optimize RCM tools, EHR systems, and automation solutions. - Stay updated on industry trends, regulatory changes, and emerging technologies in healthcare RCM. Qualifications: - Advanced degree in Business Administration, Healthcare Management, Finance, or a related field. - Minimum 12+ years of experience in US healthcare RCM, with at least 5+ years in a senior leadership role. - Proven experience in managing large RCM teams and driving performance improvements. - Certifications such as CRCR, CPC, or CRCE are preferred. - Experience in healthcare technology firms, BPO/KPO, or RCM service providers catering to US healthcare clients is preferred. **Qualifacts is an equal opportunity employer that celebrates diversity and is dedicated to fostering an inclusive environment for all employees.**,