RCM Quality and Outcome Improvement Manager

3 weeks ago

hyderabad, India ModMed Full time

We are united in our mission to make a positive impact on healthcare. Join Us 

South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2023 Company of the Year | 2023 BIG Innovation Awards Fastest-Growing Company of the Year – Large (Bronze) | 2022 Best in Biz Awards

Who we are:

We Are Modernizing Medicine (WAMM) We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.

At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars

South Florida Business Journal, Business of the Year 2022 BIG Awards for Business, Company of the Year 2021 Best in Biz Award (Silver), Fastest-Growing Company of the Year 2021 South Florida Business Journal, Best Places to Work 2021 Inc. Magazine Best Workplaces of 2020

Who We Are
 We Are Modernizing Medicine (WAMM) We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.
The Manager of RCM Quality and Outcome Improvement will be responsible for leading and guiding the team to ensure day-to-day operations are running smoothly, productivity targets are met, a high level of customer service is delivered, and overall service delivery is consistently maintained at the highest standards. This position will report to the AVP, RCM Global Operations, and be based in our ModMed India office. As the RCM team continues to grow and mature, the Senior Manager, RCM QOI will elevate to a Director level and this Manager role will report into the Director role.

Your Role:

Lead Manager has to develop a highly knowledgeable and motivated RCM team to ensure high-quality, timely service delivery and promote an open-door policy with the team, demonstrating an available, hands-on leadership style Collaborate and communicate with teams across multiple geographical locations to resolve RCM escalations and other RCM business challenges while ensuring compliance to ModMed’s RCM processes and Standard Operating Procedures (SOPs) are followed. They will be actively participating in Client escalation discussions providing directional guidance across the Teams. Maintain visibility into the team’s projects and provide guidance on RCM best practices to educate team members, improve efficiencies and provide deliverables in a timely manner. Work closely with the Quality and Training Teams to drive first-rate RCM performance. Monitoring the Quality of deliverables for each Team Member and filling the gaps with appropriate knowledge sharing is a key responsibility. Manage the distribution of resources and overall productivity of the team. They will ensure that the production capacity is most optimally utilized while running highly efficient operations. Monitor and track all issues raised by teams and ensure they are resolved within defined timelines while working closely with internal and external Teams in a highly collaborative environment.  Provide industry best practice advice and guidance to process improvement and standardization initiatives. Function as a key stakeholder and leader in these meetings and discussions. Ensuring a focused approach at practice level, they will review the Practice KPI Trends and ensure that the team identifies and resolves issues promptly and thoroughly while continuously improving the overall grades. Keep leadership and other key stakeholders informed across the organization of critical findings impacting RCM performance and recommend solutions to improve outcomes. Closely monitor new client implementations to identify any challenges while simultaneously working with onshore and offshore teams to ensure required knowledge is shared across teams.

Skills & Requirements:

Bachelor’s degree preferably in Human Science / Commerce/ Business Administration Previous experience as a Quality and Process Improvement champion and people leader required. 12+ years of relevant working experience in core Provider RCM, of which at least 5 years was at a manager Level leading a Delivery Team of approximately 50 -75 FTEs deployed across various functions; related certification preferred Prior experience working with multiple teams across geographies in a professional setting; experience managing a start-up operation is a plus. Proven experience and commitment to actively promoting a positive work environment and developing an employee-focused, supportive workplace aligning to ModMed’s culture.  Extensive hands-knowledge of all the workflows and best practices across functions within Physician RCM Strong communication and presentation skills Should be able to relocate to Hyderabad and willing to work full time from the Hyderabad office. Must be able to work during India night shift - this position requires working closely with onshore / offshore teams

ModMed Benefit Highlights - India Specific:

High growth, collaborative, transparent, fun, and award-winning culture Comprehensive benefits package including medical for you, your family, and your dependent parents The company supported community engagement opportunities along with a paid Voluntary Time Off day to use for volunteering in your community of interest Global presence, and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office based roles and remote availability Company-sponsored Employee Resource Groups that provide engaged and supportive communities within ModMed

ModMed Benefits Highlight:
 At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:

Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution, 401(k) Plan with immediate vesting in the company matching contribution, Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability

ModMed Benefits Highlight:

At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:

Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution, 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.

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