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RCM Operations Head (US Healthcare)

14 - 20 yrs
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Not Disclosed by Recruiter Openings: 1 Posted 12 days ago Job Applicants: 2000+ Job Views: 4000+

Job Description

 
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    Required Experience
    • 14+ years related experience of which 8+ years in US Healthcare provider side RCM operations.

    • Measures target achievements, skills at man-management, P&L/ EBITDA / Customer Satisfaction.

    • Managed team size of 500+ FTEs. 

    • Driven sustained margin growth on year on year

    • Strong client interaction & Account management skills. 

    • Independently, managed at least 200+ people accounts

    • Managed all aspects of Delivery including recruiting, training, career mapping, quality & operational finance

    • Leadership support a positive culture and work environment that promotes IKS as an employer of choice.

    • Lead by example (courteous, energetic, punctual, and respectful, of others and team player)

    • Commitment, Strategic Thinking, Effective People Management, open for suggestion, deliberate the decisions

    • Open to Travel Domestic & International as applicable

    Job Description
    • Support market leader on achieving revenue and growth budgets, own achieving profitability targets for account (up to GM %).
    • Responsibility for the assigned customer account to effectively manage the P&L (aspects defined as per KPI / KRA on Revenues & Operating Efficiency).
    • Ensure timely preparation and validation of monthly invoice, forecast IKS Revenue, Costs and Headcount for signed SOWs.
    • Manage to the contract (including scope creep, support contract renewals).
    • Collaborate with the Market Leader and sign off any out of contract discounts or incentive conversations during the term of the SOW (only if needed).
    • Provide annual budgets for signed SOWs and act as CBO Leader for the client practice.
    • Drive teams to achieve agreed SLA / Metrics by optimal use of resources, review & execution of identified action plans & team performance reviews.
    • Proactively identify areas of improvement in overall performance and direction to direct reportees on delivery Course Correction (Analyze business metrics trends, potential issues & escalations, Client feedback & business strategy / goals).
    • Embrace escalations and identified opportunities from clients / CS / or market leader. Run toward smoke as if you were literally on fire. Track smoke on a monthly basis. Fix the root cause of the issues.
    • Raise the bar of engagement & delivery to come across as a partner rather than a vendor
    • Become a healthcare / RCM expert thus enable value conversations with Clients down to any depth
    • Manage VOC & Customer Satisfaction for the account through governance and timely detection and prevention of issues while aligning with the client business objectives.
    • Work with Solutions, Implementation, and Client Services to understand, contribute, and shape client startup to ensure a successful solution start and migration to steady state.
    • Collaborate with Implementation on the Standard Operating Document, maintain and adhere that document, only deviating with written approval via client, post creation.
    • Be proficient in creating / comprehending SOW / Contract nuances for accounts managed.
    • Demonstrate in-depth know how & understanding of the economics of the RCM business, the levers that need to be exercised / leveraged / moved constantly to achieve the required financial outcomes. Be able to create forecasts & plan for account growth.
    • Align & execute Org level initiatives for operational / process efficiency. Assess gap to goal and review with PI / PE leader
    • Work in collaboration with client services and CS National SME to alleviate market leaders from any delivery /CSAT related opportunities / problems while leveraging them to work on revenue growth leads assessed / identified in the account managed
    • Support client services in building relationships with practices, providers & payers to enhance CBO delivery
    • Contribute to making Dyad Structure Effective, managing monthly Dyad Meeting with the Market Leader
    • Identify and collaborate with the Market leaders on the new business opportunities
    • Educate & drive adherence to Compliance policies & initiatives across the functions managed
    • Enforce & support on PHI & HIPAA compliance across the org under self
    • Update & keep abreast on the regulations, statutory changes & any other such client market mandates /changes impacting business ( IKS/ Client)
    • Lead by example & develop congenial, productive work environment & high employee satisfaction for the Org to be the employer of choice.
    • Be able to lead own teams / people effectively & persuade them to strive for & achieve ongoing excellence & improvement across roles

    Qualification

    Any Graduate preferably with MBA from leading institutes


Salary: Not Disclosed by Recruiter

Industry: KPO, Research, Analytics

Functional Area: ITES , BPO , KPO , LPO , Customer Service , Operations

Role Category:Senior Management

Role:Head/VP/GM-Operations

Employment Type: Permanent Job, Full Time

Keyskills

Desired Candidate Profile

    Please refer to the Job description above

Education-

UG: Any Graduate - Any Specialization

PG:Any Postgraduate - Any Specialization

Doctorate:Any Doctorate - Any Specialization

Company Profile:

Inventurus Knowledge Solutions Private Limited

IKS Health is the only integrated solution that enables enterprise healthcare organizations to achieve superior financial and clinical outcomes while also empowering them to grow successfully, operate efficiently, and navigate industry change. IKS Margin, IKS Practice, and IKS CARE solutions leverage the provider organizations existing technology investments to deliver industry leading results across the practice continuum. IKS Health maximizes revenue and expands margins, eases provider burden while reducing costs, and enables organizations to scale profitably. For more information please visit http://www.ikshealth.com.

What We Offer
IKS Health offers customers a Fully Integrated Revenue Management (FIRM) solution that includes - financial solutions (including revenue generation, revenue capture, revenue collection, and revenue protection); technology solutions (including software, implementation, training, and support); clinical solutions (coding, compliance review, utilization review and other services that utilize trained doctors in India) and analytics solutions.

What distinguish IKS Health from others are our healthcare expertise; understanding of customers' business requirements; technology expertise; and our analytics/business intelligence capabilities. Our team includes medical doctors, healthcare professionals who have managed clinical practices, management consultants, revenue cycle professionals, and technology practitioners. We are a privately held company that is funded and supported by one of Asia's leading investors.

The IKS Health Mission
Our mission is to enable healthcare providers to succeed financially, operate efficiently, and provide excellent care to patients and populations. IKS Health services allow our clients to grow effectively and navigate industry changes successfully.
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Job Posted by

Sunil Menon Director IKS Health Mumbai

582 followers

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