A US Healthcare professional who understands & has in-depth knowledge of the Revenue Cycle Management (RCM) process. Understand client workflows and is able re-design it for offshore fitment. Focuses on developing and deploying tools/methods/best practices to drive seamless knowledge transitions from clients to IKS and running it till stabilization mode - 90 days from knowledge transition.

Responsibilities :

- Leads a team of subject matter experts (Managers) and manage the Onsite knowledge mapping/documentation/transition & operational implementation of the project.

- Manage RCM operations for all knowledge transitioned projects for 90 days from transition.

- Support onshore sales and relationship management team in identifying new/additional business opportunities with the customer

- Participate and run site/company level projects (ex: Standardization initiative, DARE (technology) implementation in all project right from initial stage.)

- Work/coordinate with existing projects on quality issues/learning opportunities and implement it for all future transition as part of continuous learning process.

- Should be responsible for knowledge Transition/Workflow Design for new accounts/projects or expansion of scope for current accounts/projects

- Interact with client during Knowledge Transition and 1st to 3rd months post go live phases on identifying and plugging gaps pertaining to knowledge/processes

- Support Transition team to Manage conflicts arising during the offshore design stage (by agreeing on basic project assumptions, operational definitions, financial assumptions, etc.)

- Resolve conflicts and difference of opinions in project objectives (critical success factors, costs, timelines, etc.)

- Deal with team conflicts (conflicts with support functions, internal conflicts with operations teams, etc.)

Experience, Knowledge, Skills/competencies required :

- Minimum 15 years of experience in the healthcare domain.

- Should have managed large healthcare knowledge transitions or workflow design initiatives. Prior role in Operations will be an added advantage.

- Should have hands-on experience on working on encounters/accounts/transactions in PP/AR/Billing/CE and CBR functions. Exposure to coding will be an added advantage.

- Should have managed teams in the past and should be good with people/team management

- Should be a subject matter expert in RCM

- Payer experience/exposure is an added advantage

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