Process Excellence Manager

Job Description

Role & responsibilities Key Responsibilities: Process Analysis: Analyze existing workflows within the RCM lifecycle (e.g., patient access, billing, AR follow-up, denial management) to identify root causes of inefficiencies and improvement opportunities. Process Transformation: Design and implement transformative projects to enhance operational efficiency, reduce costs, and improve KPIs such as Days in AR and denial rates. Lead initiatives that improve compliance with PHI/HIPAA, ensuring robust data protection processes. Benchmark RCM processes against industry standards to bring in innovations like automation tools, payer-specific optimization, and denial prevention strategies. Lean & Six Sigma Deployment: Utilize Green Belt-certified expertise to run process improvement initiatives, including root cause analysis and DMAIC projects. Ensure projects align with business objectives and deliver measurable outcomes. Project Management: Support the execution of process improvement projects, including planning, coordinating, and tracking progress. Ensure projects are completed on time and within budget. Documentation: Develop and maintain documentation for processes, procedures, and improvement projects. Ensure all process changes are properly documented and communicated to relevant stakeholders. Data Analysis & Management: Leverage MS Office (Visio, Excel, PowerPoint, and Word) and analytics tools to track key metrics and project milestones if required. Present performance reports and transformation updates to leadership and stakeholders. Use data to identify trends, make recommendations, and measure the impact of changes. Continuous Improvement: Promote a culture of continuous improvement by encouraging and facilitating the identification of process improvement opportunities across the organization. Compliance and Quality: Ensure that all process improvements comply with industry standards, regulations, and internal quality requirements. Stakeholder Management: Collaborate with onshore and offshore teams to ensure alignment with client goals. Work with stakeholders across functions to review, track progress of solutions/initiatives by setting up meetings as needed, following up through emails. Additionally, engage with end customers to ensure their requirements are addressed and they are appraised of the status of the solutions/initiatives thereby ensuring zero escalation. Preferred candidate profile: Bachelors degree in science (Preferably in Biology, Microbiology, Biotechnology, Pharma) or a related field. 4–6 years of experience in Revenue Cycle Management for providers, with a strong focus on process improvement. 3-5 years of experience in process improvement, project management, or a related role.