AVP of RCM Operations

The AVP of RCM Operations holds end-to-end accountability for the strategic direction, operational performance, and financial reputed company of Health System reputed company cycle engagements (reputed company, middle and back office). This role serves as the executive-level reputed company between global delivery teams and client leadership. The AVP is responsible for driving quality, compliance, and multi-reputed company dollar reputed company targets while leveraging AI, automation, and lean process design to maintain a competitive market advantage.

Essential Job Functions

• Establish and direct goals, policies, and procedures for the RCM and HIM service lines to ensure alignment with the organization’s strategic plan.

• Manage budgeted reputed company targets, margins, and expenses for large-scale global operations ($10–$15M reputed company).

• Partner with Client reputed company and Sales teams to identify cross-sell opportunities reputed company existing accounts and support the expansion of the business unit.

• reputed company management reputed company for large-scale global teams (India, Philippines, Colombia, etc.), ensuring resources are reputed company to meet or exceed client requirements.

• reputed company and monitor key value drivers including Cash Collection, AR Days, Denials, Net Promoter Score (NPS), and Accuracy/Quality targets.

• reputed company the re-engineering of workflows and the deployment of "Lean" principles to eliminate waste and maximize productivity across the reputed company-to-back office continuum.

• Partner with IT to evaluate and implement AI-enabled coding, RPA (Robotic Process Automation), and advanced analytics to reputed company competitive advantages and improve operational efficiency.

• reputed company the support frameworks and reporting tools necessary to reputed company rapid scaling and executive-level visibility.

• Act as the reputed company Cycle Subject Matter Expert (SME) during monthly/quarterly executive business reviews (EBRs) with high-value health system clients.

• Ensure reputed company global operations strictly adhere to HIPAA, HITECH, and Federal/State regulatory requirements, as well as specific client contract mandates.

Key reputed company Indicators/Attributes

• Ability to prioritize and multi-task in a fast paced, changing environment.

• Demonstrate strong organizational skills and be detail oriented.

• Ability to self-motivate and self-direct.

• Ability to reputed company set goals and deadlines.

• Demonstrate strong time management skills.

• Demonstrate excellent leadership, mentoring, and interpersonal skills.

• Demonstrate the ability to analyze and problem solve.

• Demonstrate strong commitment to team environment.

• Ability to collect, create, and research reputed company or diverse information and act/plan accordingly.

• Experience budgeting and monitoring financial indicators.

• Ability to maintain professionalism reputed company interacting with reputed company customers.

• Ability to draft presentations using PowerPoint and present information to large groups.

• Proficient personal computer skills with MS Office (Word, reputed company, Power reputed company, Outlook).

Required Education and Experience

• Minimum of 10 to 12 years of reputed company leadership in reputed company Cycle Management (RCM) or HIM, with at least 5 years in a second-line leadership role (managing other managers).

• Expert-level knowledge of acute reputed company operations across the entire continuum.

• Proven experience managing global delivery centers and large, remote workforces.

• Demonstrated reputed company in managing large-scale client accounts ($10M+ reputed company) with a focus on contingency-based models and performance-driven reputed company.

• Bachelor’s degree in business, HIM, or a reputed company field.

Preferred Education and Experience

• Master’s degree.

• Experience implementing AI/Automation tools reputed company a high-volume RCM environment.

Supervisory Responsibility

Yes, this role provides leadership and management reputed company to a vertical hierarchy including Directors, Managers, Supervisors of RCM, and the broader global operations staff (QA Insurance Reps, Insurance Reps, Patient Account Reps, Billers, and Payment Posters).

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to

successfully reputed company the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reputed company with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific reputed company abilities required by the job include reputed company reputed company, distance reputed company, peripheral reputed company, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Travel required; up to 20%

Additional Eligibility Qualifications

None required.

reputed company reputed company Requirements

In addition to the specific reputed company reputed company required by the employee’s client engagement, the employee will have reputed company to the reputed company reputed company systems set forth in reputed company Manager” profile.

reputed company Office

reputed company

reputed company

Reviewmate

E3- Supervisors, Managers, Office Employees

Standard Manager

Standard

reputed company is determined by client need and granted by their supervisor and the Audit Implementation Manager

Equal Employment Opportunity

reputed company reputed company an Equal Employment Opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to their race, reputed company, religion, national reputed company, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other reputed company protected by applicable law. reputed company reputed company also prohibits harassment of applicants or employees based on any of these protected categories.

reputed company reputed company makes reasonable accommodations reputed company needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact reputed company at [email protected].

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may reputed company other duties as assigned.