Huron Consulting Group - General Manager - RCM Quality - US Healthcare

Summary:

- As a General Manager - Quality, you will be involved in the full lifecycle of RCM.

- Manage and report adherence to service levels as agreed with client.

- Responsible for Customer satisfaction measured through CSAT & ESAT scores.

- Ensure Best-In-Class process/system are deployed for the set revenue and cost goals.

- Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role.

- Must be well versed with financial numbers and P&L reporting.

Key Responsibilities:

- Lead Quality Assurance initiatives across US Healthcare Revenue Cycle Management (RCM) processes.

- Conduct quality audits for Billing, AR Follow-up, Denials, Payment Posting, and related RCM functions.

- Monitor process quality metrics and ensure process health scores meet defined targets.

- Perform Root Cause Analysis (RCA) for quality issues and drive corrective and preventive actions (CAPA).

- Identify training needs based on audit findings and collaborate with operations teams for skill improvement.

- Prepare and present MIS reports, quality dashboards, and performance insights to leadership and clients.

- Ensure compliance with client requirements, SOPs, and regulatory guidelines.

- Drive continuous improvement initiatives to enhance accuracy, productivity, and customer satisfaction.

- Partner with Delivery Heads, Operations teams, and clients to improve process performance.

- Support recruitment by participating in candidate screening and interviews for quality-related roles.

Required Skills & Qualifications:

- Strong communication skills with a neutral accent.

- Excellent written and verbal English communication.

- Willingness to work in US shift timings.

- Strong stakeholder management and client-facing experience.

- Ability to collaborate across departments with a One Team approach.

- Good knowledge of US Healthcare RCM processes.

- Experience in quality management, audits, RCA, and process improvement.

- Lean Six Sigma certification (preferred).