HealthRecon Connect provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.

At HealthRecon Connect (HRC), we hold ourselves accountable for setting and maintaining high standards. Day after day, we passionately strive for high achievement; for customer delight and thrive on the challenge of high expectations and commitment to excel.

We are seeking a highly skilled and experienced Healthcare RCM Professional to join our agile team. .

Role & responsibilities

Strategic Mandate:
- Architect and own the end-to-end quality framework aligned with organizational strategy and client SLAs.
- Lead the QA functions evolution from a reactive audit model to a proactive, data-driven quality intelligence engine.
- Champion automation and AI adoption within QA identifying use cases, piloting tools,



and scaling proven solutions across processes.
- Serve as the internal subject-matter expert bridging quality insights with operational improvement, technology enablement, and workforce capability.
- Build and sustain a quality-first culture rooted in accountability, transparency, and continuous learning.

Quality Strategy:
- Design, implement, and continuously refine the enterprise QA framework for assigned RCM processes (e.g., Billing, Coding, AR Follow-Up, Denials, Payment Posting).
- Develop risk-based sampling methodologies that intelligently prioritize high-impact audit areas over blanket volume-based checks.
- Establish quality governance structures including calibration cadences, error taxonomy, root-cause classification, and trend reporting.
- Align QA standards with US regulatory requirements including HIPAA, CMS guidelines, and applicable payer-specific policies.
- Review, approve, and maintain SOPs

📌 We are hiring Manager (India)
🏢 HealthRecon Connect
📍 India