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Vice President of Operations: End-to-End RCM US Healthcare
2 weeks ago
Job Title
Vice President, RCM Operations
Work Location: Mumbai, India
Reports To: Head Operations
Role Overview
The Vice President of RCM Operations will lead large-scale service delivery and transformation initiatives in the US Healthcare RCM domain, managing 2000+ employees across multiple accounts. The role demands proven leadership in end-to-end RCM operations, deep client engagement, operational excellence, and a forward-looking vision to drive profitability, process automation, and best-in-class client satisfaction.
Key Responsibilities
People Leadership
- Provide strategic leadership to large operations, ensuring productivity, quality, compliance, and profitability.
- Mentor and develop senior leaders (directors, managers, senior managers, AMs, TLs, SMEs, and trainers) to create strong succession pipelines.
- Drive employee engagement, talent retention, and leadership development across all levels.
- Manage multiple accounts with diverse RCM workstreams (AR, Denials, Billing, Payment Posting, Coding, Patient Access).
- Implement robust attrition management and skill enhancement frameworks.
Client Management & Service Delivery
Ensure operational excellence across end-to-end RCM services, including:
Medical Coding
- Billing, Charge Capture, and EDI Transactions
- Payment Posting
- AR Follow-up, Denials Management, Appeals
Credit Balance & Refunds
Monitor workflows to achieve SLA, TAT, and quality benchmarks.
- Partner with clients to co-create strategies for AR reduction, denial prevention, and cash acceleration.
- Conduct executive-level business reviews to ensure client confidence and long-term growth.
P&L Management & Business Growth
- Drive overall P&L, ensuring revenue realization, cost optimization, and margin expansion.
- Identify and convert growth opportunities across existing and new accounts.
- Lead pricing discussions, cost modelling, and contract negotiations with clients.
- Partner with Business Development and Solutions teams to support RFPs and client onboarding.
Compliance & Risk Management
- Ensure adherence to HIPAA, CMS, OIG, and payer compliance standards.
- Implement robust internal controls to mitigate financial, compliance, and reputational risks.
- Regularly audit processes to ensure accuracy, regulatory alignment, and client trust.
Technology & Transformation
- Drive adoption of automation (RPA, BOTs), AI/ML tools, and advanced analytics to improve efficiency.
- Partner with technology teams to implement workflow tools, knowledge management platforms, and predictive dashboards.
- Champion digital transformation initiatives such as Denial Predictors, AR Worklist Automation, and Real-time Eligibility/Authorization APIs.
- Standardize best practices across accounts for scalable operations.
Process Excellence
- Lead continuous improvement initiatives using Lean, Six Sigma, and data-driven insights.
- Conduct root cause analysis for denials, underpayments, and process breakdowns.
- Develop frameworks for Critical to Cash (CTC) metrics and ensure E2E accountability across functions.
- Build governance models (daily/weekly/monthly cadence) to ensure delivery discipline.
Qualification & Experience
Graduate / Postgraduate with 18+ years of experience in US healthcare RCM with deep expertise in end-to-end RCM processes.
The candidate should be at the Associate Vice President level or hold an equivalent role
Proven track record of managing large-scale operations FTEs) with direct P&L accountability.
Strong client-facing leadership experience with US healthcare providers, payers, and MSOs.
Demonstrated success in driving automation, analytics, and digital transformation in RCM.
Strong business acumen with ability to balance operations, growth, and client relationships.
Interested candidates are welcome to share their profiles via email at or on WhatsApp