Scymes - Vice President - Operations - US Healthcare RCM

Strategic Consultant / Fractional Head of Operations (Healthcare RCM)

Location: Remote (India)

Experience: 15+ Years (Ideal for Retired / Semi-Retired VPs or Directors)

About the Role:

We are an agile US Healthcare RCM startup building our core advisory layer. We are looking to recruit a seasoned industry veteran as a Strategic Consultant.

Instead of a rigid 9-to-5, this role offers complete flexibility. You will serve as our operational anchor, structuring workflows, ensuring US compliance, and acting as the technical expert during client pitches.

Key Responsibilities:

- Client Pitching & Advisory: Join Zoom calls with US medical practices to build trust, explain delivery workflows, and handle advanced technical queries.

- Operational Architecture: Guide us in building a HIPAA and SOC 2 compliant, scalable backend system and selecting optimal clearinghouses.

- SLA & KPI Benchmarking: Set up industry-standard performance metrics (e.g., Days in A/R, Clean Claim Rate, Denial Rates) for our upcoming operations.

- Transition & Onboarding Management: Oversee the structural transition plan when onboarding new US client accounts to ensure zero data gaps.

- Workflow & Audit Design: Create robust internal quality audit processes for coding (ICD-10, CPT) and billing to eliminate compliance risks.

- Scale-Up Blueprint: Design the operational roadmap, hiring profiles, and training modules for onboarding full-time delivery teams once contracts go live.

What We Look For:

- The Profile: Former VP of Operations, Director of Delivery, or Head of RCM at a major Healthcare BPO.

- Domain Mastery: Flawless knowledge of end-to-end RCM (Coding, Billing, Denial Management, and A/R).

- Communication: Exceptional client-facing gravitas to converse easily with US healthcare executives.

Compensation Matrix:

- Phase 1 (Pre-Revenue): Low-touch advisory hours compensated via a flexible token retainer or performance milestones.

- Phase 2 (Post-Revenue): Will be discussed