Senior Manager, RCMS Operations
Qualifacts (company site, opens in a new tab)10+ yrsVadodaraOn-siteDirect career pageEst. 18–28 LPA
Posted 18h ago
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Job description
Structured overview of role & requirements
About This Role
- Own end-to-end revenue cycle operations across billing, authorization, payment posting, A/R, denials, collections, and related workflows; deliver client SLAs and financial outcomes.
- Run performance, staffing, and cost controls using operational and revenue metrics; address root causes and sustain improvements in quality, productivity, and revenue recovery.
- Lead managers and client escalations, maintain compliance and audit readiness, and implement approved transitions, process changes, and automation.
Minimum Requirements
- Work Experience Required: Typically 10+ years in US healthcare RCM or healthcare services operations, including at least 3 years leading managers and large, multi-layered teams in a shared-services, BPO, KPO, or technology-enabled services environment.
- Bachelor’s degree in Business Administration, Healthcare Management, Finance, Commerce, or a related field.
- Strong working knowledge of RCM workflows and US payer processes, including billing, A/R, denials, payment posting, authorization, collections, CPT, ICD-10-CM, HCPCS, Medicare, Medicaid, HIPAA, and CMS requirements.
- Onsite in Vadodara 5 days/week; night shift, 6:30pm–3:30am IST. Remote applicants will not be considered.
Ideal Candidate Profile
- Has led multi-client US healthcare RCM operations and can connect operational performance to cash, revenue integrity, service quality, and cost-to-serve.
- Can lead through managers, manage complex client escalations and transitions, and coordinate effectively with US-based and cross-functional stakeholders.
- Brings evidence of sustained operational improvement through analytics, root-cause analysis, process change, or automation; experience with EHR/RCM platforms and advanced reporting is relevant.