
Process Excellence Manager
4 weeks ago
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.
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