RCM Quality and Outcome Improvement Manager
2 weeks ago
About the Role:
We are seeking a highly skilled RCM Quality and Outcome Improvement Manager to join our team at ModMed. As a key member of our organization, you will be responsible for leading and guiding our RCM team to ensure day-to-day operations are running smoothly, productivity targets are met, and a high level of customer service is delivered.
Key Responsibilities:
- Develop a highly knowledgeable and motivated RCM team to ensure high-quality, timely service delivery and promote an open-door policy with the team.
- 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).
- 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. Monitor the Quality of deliverables for each Team Member and fill the gaps with appropriate knowledge sharing.
- Manage the distribution of resources and overall productivity of the team. 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.
- Ensure a focused approach at practice level, 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.
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.
What We Offer:
- 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.
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