Vice President of RCM Operations

Executive Leadership Responsibilities

Enterprise Revenue Cycle Strategy


* Define and execute the enterprise operational strategy for revenue cycle services across Ambulatory and Hospital client segments.


* Drive the operational roadmap that supports revenue growth, margin expansion, and service scalability.


* Partner with executive leadership to align RCM operations with the company’s strategic growth and market expansion objectives.


* Identify and implement initiatives that accelerate cash performance, operational efficiency, and client value delivery.

Financial Performance & EBITDA Accountability


* Own operational performance supporting $45M in annual revenue, ensuring consistent achievement of financial and operational targets.


* Drive improvement across core RCM performance metrics including:
+ Days Sales Outstanding (DSO)
+ AR aging and backlog management
+ Clean claim rate
+ Net collection rate
+ Denial rate and appeal success
+ Cash acceleration and revenue yield


* Identify and eliminate revenue leakage across the revenue cycle.


* Partner with Finance on budgeting, forecasting, margin improvement initiatives, and cost optimization.


* Implement scalable operational models that improve productivity, quality, and profitability.

Global Operations Leadership


* Provide executive leadership for a 700+ person global workforce operating across the U.S., India, and the Philippines, supported by multiple external contracting firms.


* Oversee operational performance across all core revenue cycle functions including:
+ Coding
+ Patient services / call center operations
+ Credentialing and provider enrollment
+ Charge entry and billing/data entry
+ Payment posting
+ Claims follow-up
+ Denials management
+ Appeals


* Establish governance and accountability structures across onshore, offshore, and vendor-delivered operations.


* Lead workforce strategy including capacity planning, staffing models, vendor utilization, and global labor optimization.

Operational Transformation & Process Excellence


* Drive enterprise-wide operational transformation initiatives to modernize and scale revenue cycle operations.


* Implement standardized operating models including:
+ Enterprise SOPs
+ Quality assurance frameworks
+ Productivity benchmarks
+ Workflow standardization
+ Global performance management


* Lead continuous improvement initiatives using Lean, Six Sigma, and data-driven operational methodologies.


* Champion adoption of automation, AI-enabled RCM technologies, and robotic process automation (RPA) to improve efficiency and accuracy.

Technology & Multi-Platform Operational Enablement


* Provide operational oversight across 30+ EHR, practice management, and billing platforms suppo...