Job
Description
Role: Operating Leader Revenue Cycle Management Location: Gurgaon Role Overview: We are seeking an experienced and results-driven Operating Leader to oversee large-scale revenue cycle management (RCM) operations, managing end-to-end service delivery, client relationships, and P&L for accounts and annual revenue management. This is a strategic role within the Healthcare vertical and will directly report to the Global Head of Healthcare Operations based in India. The Operating Leader should possess a strong track record in operational excellence, strategic client engagement, team leadership, and financial performance management in the healthcare RCM domain. Will be responsible for providing leadership and subject matter expertise in the Provider and Payer areas with Primary focus on RCM. The personnel will be responsible for driving growth and innovation within existing clients and new potential healthcare customers. The ideal applicant should bring 16+ years of experience in the US Payer and Provider area with at least 10+ years in Revenue Cycle Management. Prior Experience in BPO/Captive operations with hands on experience leading provider practice management systems will be an added advantage. Key Responsibilities: Operational Leadership Lead delivery and operational performance across assigned Provider and/or Payer accounts right from Transition to BAU. Should implement best practices and risk mitigation strategies for new and existing RCM operations Drive productivity, efficiency, and compliance across end-to-end RCM functions (coding, billing, collections, A/R, denials, etc.). Oversee multi-site or global delivery teams, ensuring high-quality service and SLAs are met. P&L Management: Own P&L responsibility for a high value business portfolio Drive revenue growth and profitability improvements through operational excellence, automation, and strategic account management. Develop and manage budgets, forecasts, and financial reporting for assigned portfolios. Own the P&L for the healthcare vertical, ensuring achievement of financial goals through data-driven decision-making and cost optimization. Strategic Initiatives and Process Improvement: Partner with senior leadership on strategic initiatives in RCM, including automation, analytics, digital transformation, and new service offerings. Lead transformation projects that drive cost reduction, enhance quality, and scale operations. Proactively work with technology and transformation teams to implement automation and reduce cost of operations Leverage advanced analytical skills to monitor performance metrics, identify trends, and implement corrective actions for sustained growth People & Performance Management Lead large, cross-functional teams, including front-line managers and operational support functions. Build differentiated RCM operating environment Foster a First Time Right team culture Mentor and develop operational leaders to ensure a strong succession pipeline. Foster a culture of accountability, continuous improvement, and employee engagement. Client Relationship Management Serve as a strategic partner to clients, understanding their business needs and proactively identifying value-add opportunities. Manage executive-level stakeholder relationships and provide regular business reviews and performance updates. Ensure high levels of client satisfaction and retention. Candidate Profile: Bachelors degree in Business, Healthcare Administration, or related field (MBA or advanced degree preferred). Minimum 16 years of experience in BPO/Captive operations focused on US Healthcare RCM. Proven expertise in managing large-scale healthcare operations across geographies. Strong financial acumen with a demonstrated ability to manage P&L and drive profitability. Deep understanding of healthcare industry trends, compliance, and best practices. Exceptional leadership, communication, and stakeholder management skills. Strategic thinker with a hands-on approach to execution and team development. Deep expertise in end-to-end Revenue Cycle Management (RCM), including patient registration, insurance verification, medical coding, charge entry, claims submission, payment posting, denial management, and AR follow-up. Preferred Skills: Exposure to global delivery models (India, Philippines, Nearshore). Knowledge of healthcare IT platforms (e.g., Epic, Cerner, Athena). Experience driving digital/automation initiatives (e.g., RPA, AI, analytics). Six Sigma or Lean certification (preferred but not required). Qualifications Bachelors Degree
