GM / Director RCM

Strategic Leadership & Operations Management

• Provide strategic leadership and direction for end-to-end Revenue Cycle Management (RCM) operations, including Medical Billing, Coding, Payment Posting, Accounts Receivable (AR), and Denial Management.
• Develop and execute operational strategies that support organizational growth, client satisfaction, and financial objectives.
• Lead large, cross-functional teams across multiple locations while driving a culture of accountability, performance, and continuous improvement.
• Ensure operational scalability, efficiency, and adherence to quality standards and service-level agreements (SLAs).

Client Relationship Management

• Build and maintain strong client relationships to ensure service excellence and long-term partnerships.
• Serve as the primary escalation point for key client accounts, providing regular business reviews, performance updates, and strategic recommendations.
• Address client concerns proactively and ensure timely resolution of operational issues.
• Drive high levels of client satisfaction by delivering services that consistently meet or exceed expectations and contractual commitments.

Process Improvement & Transformation

• Identify opportunities to improve operational processes, productivity, quality, and cost efficiency.
• Lead initiatives related to automation, digital transformation, and technology adoption to enhance operational excellence.
• Standardize workflows, documentation, reporting, and communication practices across departments and clients.
• Implement best practices, methodologies, and performance frameworks to improve delivery outcomes and operational effectiveness.

Financial & Business Management

• Manage P&L responsibilities, ensuring revenue growth, cost optimization, and sustainable profitability.
• Oversee departmental budgets, resource allocation, and financial forecasting.
• Monitor operational metrics and financial performance to identify improvement opportunities and mitigate risks.
• Ensure projects and operational initiatives are delivered within approved financial and resource constraints.

Reporting & Analytics

• Provide regular operational and business performance reports to executive leadership.
• Analyze key performance indicators (KPIs), productivity, quality, client satisfaction, and financial metrics.
• Identify trends, operational challenges, and improvement opportunities through data-driven analysis.
• Present actionable recommendations to senior leadership for enhancing efficiency, profitability, and service delivery.

Collaboration & Stakeholder Management

• Partner closely with internal departments including Operations, Technology, Quality, Compliance, Human Resources, Training, and Client Services.
• Ensure alignment between client expectations, operational objectives, and organizational goals.
• Drive cross-functional collaboration to support process improvements, workforce planning, and strategic initiatives.
• Act as a trusted advisor to executive leadership on operational and business matters.

Compliance & Risk Management

• Ensure adherence to HIPAA regulations, healthcare compliance requirements, client contractual obligations, and audit standards.
• Develop and maintain governance frameworks to support operational compliance and risk mitigation.
• Establish controls and monitoring mechanisms to ensure consistent quality and regulatory compliance.

Qualifications & Experience

• 15+ years of progressive leadership experience in Healthcare Services, Revenue Cycle Management (RCM).
• Proven experience leading mid size, geographically distributed and cross-functional teams.
• Deep expertise in Patient Calling, Client Transition, Medical Billing, Accounts Receivable, Payment Posting, Denial Management, and overall Revenue Cycle Operations.
• Demonstrated success in driving operational transformation, automation initiatives, and business process optimization.
• Strong financial acumen with significant experience managing P&L, budgeting, forecasting, and margin improvement initiatives.
• Comprehensive understanding of HIPAA regulations, healthcare compliance frameworks, and audit preparedness.
• Experience managing client-facing operations and global delivery models across India and U.S. time zones.
• Experience in scaling operations while maintaining quality, compliance, and client satisfaction.
• Bachelor's degree required.
• Experience working in an EOS (Entrepreneurial Operating System) environment is an added advantage.

Skills & Competencies

• Strategic Leadership and Organizational Development
• Revenue Cycle Management (RCM)
• Client Relationship Management
• Program & Project Management
• Operational Excellence and Continuous Improvement
• Change Management and Business Transformation
• Financial Management and P&L Oversight
• Process Automation and Technology Enablement
• Stakeholder and Vendor Management
• Data Analytics and Performance Reporting
• Risk Management and Regulatory Compliance
• Team Building, Coaching, and Mentoring

Personal Attributes

• Client-focused with a strong commitment to delivering exceptional service and measurable business outcomes.
• Results-oriented leader with strong business acumen and execution capabilities.
• Proactive and solution-driven mindset with the ability to navigate complex business challenges.
• Strong decision-making and problem-solving abilities in fast-paced environments.
• Highly adaptable and capable of managing multiple priorities across diverse teams and stakeholders.
• Effective communicator with executive-level presentation and influencing skills.