Job Title

Manager / Senior Manager - US Healthcare Presales (RCM & AR Calling Specialist)LocationPrimera Medical Technologies, HyderabadJob SummaryPrimera Medical Technologies is seeking an experienced

US Healthcare Presales & Solutioning professional

with deep expertise in

Revenue Cycle Management (RCM), Accounts Receivable (AR) Calling, Provider Operations, and Healthcare Business Processes

. The ideal candidate will act as a domain leader supporting sales, solutioning, consulting, and client engagements while driving healthcare transformation initiatives for provider organizations.This role requires strong functional knowledge of the US healthcare ecosystem, provider workflows, RCM operations, AR follow-up processes, denial management, and healthcare technologies. The candidate will collaborate with sales, solution architects, delivery teams, and client stakeholders to design business-driven solutions and support strategic growth initiatives.

Key ResponsibilitiesDomain-Led Pre SalesServe as the primary US Healthcare and RCM domain expert across presales opportunities.Lead discovery workshops and requirement-gathering sessions with healthcare provider clients.Analyze client business challenges and design tailored solutions aligned with operational and financial goals.

Revenue Cycle Management (RCM) & AR Calling ExpertiseDemonstrate deep expertise in the end-to-end Revenue Cycle Management lifecycle.Lead solution design around:AR Follow-up & CollectionsInsurance CallingDenial Analysis & AppealsUnderpayment IdentificationPrior Authorization Follow-upClaims Status VerificationPayment Variance ResolutionAging AnalysisCredit Balance ResolutionPatient CollectionsProvide consulting and best-practice recommendations to improve:Days in ARCollection EffectivenessFirst Pass Resolution RateClean Claim RateDenial PreventionNet Collection RatioSupport automation, analytics,



and AI-driven optimization initiatives within RCM operations.

Proposal, RFP & Solution Response SupportLead and contribute to RFI, RFP, RFQ, and proposal responses.Develop healthcare-specific solution content, workflows, business rules, and operational models.Create solution assumptions, scope definitions, and effort estimation inputs.Define KPIs, SLAs, operational governance, and performance metrics.Ensure solution compliance with industry regulations and client-specific requirements.

Collaboration & Internal EnablementWork closely with sales, business development, solution architects, and delivery teams.Support creation of:Solution acceleratorsReusable assetsCase studiesCapability presentationsGo-to-Market (GTM) collateralMentor internal teams on healthcare processes, RCM operations, and AR calling best practices.Participate in organizational capability-building initiatives.

Thought LeadershipStay current with emerging healthcare trends, technologies, and regulatory updates.Develop point-of-views, whitepapers, capability frameworks, and industry insights.Contribute thought leadership in areas such as:Revenue Cycle TransformationAI in Healthcare OperationsIntelligent Claims ManagementDigital Patient Financial ExperienceValue-Based CareHealthcare AnalyticsInteroperability (FHIR & HL7)





Required Qualifications & ExperienceDomain Expertise12 to 15 years of experience in the US Healthcare industry.Minimum 8+ years of hands-on exposure to Revenue Cycle Management (RCM).Strong expertise in Accounts Receivable (AR) Calling and Insurance Follow-up.Extensive experience across:Medical BillingClaim ManagementDenial ManagementPayment PostingEligibility & Benefits VerificationPatient CollectionsProvider OperationsRevenue IntegrityCare ManagementStrong understanding of Provider business operations.

Presales & Consulting ExperienceProven experience supporting presales, consulting, solutioning, or healthcare transformation engagements.Ability to convert business requirements into scalable solution frameworks.Experience in proposal development, client presentations, workshops, and solution demonstrations.Robust analytical and problem-solving capabilities.

Healthcare Platforms & Technology ExposureExposure to healthcare platforms and EHR systems including:EPICCernerAthenahealtheClinicalWorksOther Provider Workflow SystemsUnderstanding of healthcare digital transformation initiatives including cloud, analytics, AI, and automation solutions.

Preferred QualificationsExperience working with healthcare BPO, RCM service providers, consulting firms, or healthcare technology organizations.Experience supporting US-based healthcare provider clients.Exposure to AI, RPA, Analytics, Digital Transformation, and Automation initiatives within healthcare operations.Certifications related to Healthcare, RCM, Revenue Integrity, or Healthcare Information Systems are highly preferred.

Why Join Primera Medical Technologies?At Primera Medical Technologies, you will have the opportunity to work with leading healthcare organizations, drive transformative RCM initiatives, shape innovative healthcare solutions, and contribute to industry-leading healthcare technology and operational excellence programs.

Please share your resume at [email protected]

📌 Manager / Senior Manager - US Healthcare Presales (RCM ) (Mumbai)
🏢 PrimEra Medical Technologies
📍 Mumbai