Job Duties/Responsibilities

- Provide overall leadership and strategic direction for the Enterprise department.
- Define and implement long-term departmental strategies aligned with organizational objectives and growth plans.
- Oversee multi-layer leadership teams (Senior Managers, Managers, Process Leads, and Client Account Leads) and ensure accountability across service delivery.
- Own financial outcomes, including revenue performance, client profitability, cost optimization, budgeting, and financial stewardship.
- Drive business growth by identifying expansion opportunities, supporting new client acquisitions, and strengthening strategic partnerships across existing accounts.
- Serve as the executive sponsor for key client relationships, ensuring long-term partnership success, client retention, and achievement of contractual commitments.
- Lead strategic client governance, including executive escalations, Quarterly Business Reviews (QBRs), Year-to-Date (YTD) performance reviews, contract renewals, and business growth discussions.
- Monitor and drive performance across all RCM functions, including charge posting, payment posting, accounts receivable (AR), denials management, reporting, and client governance.
- Review AHT vs. FTE utilization, workforce capacity, and operational efficiency metrics, implementing optimization strategies to improve productivity and scalability.
- Establish and monitor operational governance frameworks to ensure effective decision-making, performance management, and accountability across all leadership levels.
- Own risk management and business continuity planning, ensuring proactive identification and mitigation of operational, financial, and delivery risks.




- Ensure compliance with HIPAA, ISMS, QMS, payer regulations, client requirements, and other applicable regulatory standards.
- Drive adoption of automation, analytics, AI/GenAI, and BOT solutions to enhance operational efficiency, scalability, and customer experience.
- Foster innovation, leadership development, succession planning, and organizational capability building across the department.
- Collaborate with Finance, Compliance, HR, Technology, and other cross-functional teams to support budgeting, audits, workforce planning, and digital transformation initiatives.

General Responsibilities
- Promote a culture of excellence, innovation, accountability, and client-first delivery.
- Ensure transparent communication with clients and internal leadership.
- Foster innovation, talent development, and succession planning within leadership layers.
- Represent the department in executive forums, client summits, and industry events

Requirements

Required Qualifications

- Bachelor’s degree or higher (MBA, MHA, or equivalent strongly preferred)
- 15+ years of end-to-end RCM experience with at least 5+ years in senior leadership roles
- Proven experience in managing large, multi-practice RCM operations across specialties
- Strong financial acumen including P&L; ownership, budgeting, cost optimization,



and AHT vs. FTE management.
- Experience in all specialty Revenue Cycle Management with robust understanding of reimbursement methodologies, payer policies, authorization requirements, denial management, and operational performance drivers. Preferred certifications: CRCS – Certified Revenue Cycle Specialist (AAHAM), CRCR – Certified Revenue Cycle Representative (HFMA), and Lean Six Sigma Black Belt (LSSBB), CSPR – Payment & Reimbursement, CSBI – Business Intelligence, CSPPM – Physician Practice Management (all HFMA), and PMP (PMI).

Required Skills
- Expertise in client governance, escalations, and executive-level communication
- Strong knowledge of automation/AI in RCM (BOTs, analytics, PMS optimization)
- Deep understanding of compliance standards (HIPAA, ISMS, QMS, payer regulations)
- Exceptional leadership, strategic planning, and organizational development skills
- Ability to influence and collaborate across executive, client, and cross-functional teams.
- Deep understanding of reimbursement trends, payer regulations, and revenue optimization strategies.

Performance Metrics
- Financial Outcomes – Achieve departmental revenue targets with margins planned levels and deliver year-on-year cost optimization 5%.
- RCM KPIs – Maintain collections 95%, AR aging <25 days, denials 6%, and clean claim rate 99% across practices.
- Operational Efficiency – Improve AHT vs. FTE utilization by 10% annually through workforce planning and process optimization.
- Client Governance – Ensure 95% client retention, 4.5/5 satisfaction scores, and on-time contract renewals.

📌 Process Head - RCM (Chennai)
🏢 Billedright Healthcare Solutions
📍 Chennai