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Vice President - Operations: End-to-End RCM US Healthcare 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 (1000+ 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.

Navi Mumbai

Mumbai

GeBBS Healthcare Solutions - Vice President - Operations 

Job Description for GeBBS Healthcare Solutions - Vice President - Operations  in Gebbs Healthcare Solutions Pvt. Ltd. in  Navi Mumbai Mumbai for (18-28) years of experience. Apply Now!

GeBBS Healthcare Solutions - Vice President - Operations  | iimjobs.com