Vice President - US Healthcare RCM Operations

Job Summary:

Vice President US Healthcare RCM

Key Responsibilities:

Strategic Leadership:

• Develop and execute strategic plans to drive growth and efficiency in RCM operations.
• Lead transformation initiatives including automation, analytics, and process re-engineering.
• Collaborate with senior leadership across delivery, sales, technology, and client management functions.

Operations Management:

• Oversee end-to-end RCM operations including patient access, charge capture, coding, billing, AR follow-up, payment posting, and denial management.
• Ensure performance metrics (KPIs, SLAs) are consistently met or exceeded.
• Optimize workflows using technology, tools, and best practices to reduce cost-to-collect and improve collection rates.

Client Engagement:

• Serve as executive sponsor for key client relationships; ensure client satisfaction, account growth, and retention.
• Lead QBRs and strategic discussions with US-based clients and stakeholders.

Team Leadership:

• Manage and mentor a large team (2000+ FTEs) including AVPs, Directors, Managers, and SMEs.
• Drive talent development, succession planning, and performance management.
• Promote a culture of accountability, excellence, and continuous improvement.

Compliance & Quality:

• Ensure operations are compliant with HIPAA, CMS, and other applicable regulatory standards.
• Support and help Implementing robust quality assurance programs and drive Six Sigma/Lean initiatives.

Required Qualifications:

• 23+ years of experience in US Healthcare Revenue Cycle Management, with at least 5+ years in a senior leadership role.
• Proven experience leading large-scale offshore RCM operations in a BPO or healthcare services environment.
• In-depth understanding of US healthcare payer-provider ecosystem, including Medicare/Medicaid, commercial payers, and regulatory frameworks.
• Strong leadership, analytical, and strategic thinking skills.
• Excellent client-facing and communication skills, with a strong executive presence.
• Bachelor's degree required; Master's degree (MBA, MHA) preferred.

Preferred Skills & Competencies:

• Experience with Epic, Cerner, Athenahealth, or similar EMR/EHR systems.
• Familiarity with RPA, AI/ML applications in RCM.
• Certifications such as HFMA, AAPC, or AHIMA preferred.
• Track record of driving EBITDA improvement and operational excellence.