Vice President of RCM Operations

Executive Leadership ResponsibilitiesEnterprise Revenue Cycle StrategyDefine and execute the enterprise operational strategy for revenue cycle services across Ambulatory and Hospital client segments.Drive the operational roadmap that supports revenue growth, margin expansion, and service scalability.Partner with executive leadership to align RCM operations with the company’s strategic growth and market expansion objectives.Identify and implement initiatives that accelerate cash performance, operational efficiency, and client value delivery.Financial Performance & EBITDA AccountabilityOwn operational performance supporting $45M in annual revenue, ensuring consistent achievement of financial and operational targets.Drive improvement across core RCM performance metrics including:Days Sales Outstanding (DSO)AR aging and backlog managementClean claim rateNet collection rateDenial rate and appeal successCash acceleration and revenue yieldIdentify and eliminate revenue leakage across the revenue cycle.Partner with Finance on budgeting, forecasting, margin improvement initiatives, and cost optimization.Implement scalable operational models that improve productivity, quality, and profitability.Global Operations LeadershipProvide executive leadership for a 700+ person global workforce operating across the U.S., India, and the Philippines, supported by multiple external contracting firms.Oversee operational performance across all core revenue cycle functions including:CodingPatient services / call center operationsCredentialing and provider enrollmentCharge entry and billing/data entryPayment postingClaims follow-upDenials managementAppealsEstablish governance and accountability structures across onshore, offshore, and vendor-delivered operations.Lead workforce strategy including capacity planning, staffing models, vendor utilization, and global labor optimization.Operational Transformation & Process ExcellenceDrive enterprise-wide operational transformation initiatives to modernize and scale revenue cycle operations.Implement standardized operating models including:Enterprise SOPsQuality assurance frameworksProductivity benchmarksWorkflow standardizationGlobal performance managementLead continuous improvement initiatives using Lean, Six Sigma, and data-driven operational methodologies.Champion adoption of automation, AI-enabled RCM technologies, and robotic process automation (RPA) to improve efficiency and accuracy.Technology & Multi-Platform Operational EnablementProvide operational oversight across 30+ EHR, practice management, and billing platforms supporting a diverse healthcare client base.Partner with Product, Technology, and Engineering teams to:Improve system interoperabilityEnable automation and workflow orchestrationEnhance analytics and reporting capabilitiesReduce manual operational dependenciesSupport technology-enabled revenue cycle innovation that differentiates the organization in the market.Client Delivery & Strategic PartnershipServe as the senior operational leader responsible for client delivery excellence and SLA performance.Partner with Client Success and Account Management teams to drive:Client satisfaction and retentionTransparent performance reportingProactive issue resolutionStrategic operational improvementsParticipate in executive-level client governance meetings, QBRs, and escalation management.Support sales and growth initiatives, including participation in RFP responses, operational due diligence, and new client onboarding strategies.Analytics, Reporting & Operational IntelligenceEstablish enterprise performance dashboards and reporting frameworks that provide real-time visibility into revenue cycle performance.Leverage analytics to drive improvement across:Payer performanceDenial root causesAR aging trendsWorkforce productivityClient financial outcomesDeliver executive-level reporting and insights to C-suite leadership and board stakeholders.Organizational Leadership & Talent DevelopmentBuild and lead a high-performing global leadership team including Directors, senior operational leaders, and functional experts.Establish leadership development programs that strengthen organizational depth and succession planning.Foster a culture centered on:AccountabilityOperational excellenceContinuous improvementClient-centric service deliveryDrive workforce engagement within a large-scale remote and distributed workforce model.Originally posted on Himalayas