Head of RCM Operations

Location: Kochi, India
Work Hours: 3:00 PM – 12:00 AM IST
Reporting to: CEO
Experience: 8+ years preferred

About Needletail
Needletail is building an AI-powered Revenue Cycle Management (RCM) platform for U.S. healthcare providers.

We believe the future of RCM will be built by combining intelligent AI agents with robust operational processes and human expertise. Our goal is to transform traditionally manual, repetitive, and time-intensive RCM workflows into highly automated, scalable, and outcome-driven operations.

As we scale, operations will be at the heart of our ability to deliver exceptional results for our customers.

We are looking for a Head of RCM Operations to build and lead that operating engine.

The Role
As Head of RCM Operations, you will own the day-to-day delivery and scaling of Needletail’s RCM operations.

You will initially lead a team of approximately 20 people, with the expectation that the organization will scale to 100+ team members as the business grows.

This is a highly hands-on leadership role.



You will be responsible not just for managing a team, but for building the systems, processes, culture, metrics, and operating discipline required to scale a high-performing RCM organization.

You will work closely with the CEO, product, technology, and customer-facing teams to ensure that Needletail consistently delivers high-quality outcomes for U.S. dental practices.

The ideal candidate has spent significant time operating large teams in software, KPO, BPO, shared-services, or other high-volume operational environments and has personally experienced the challenges of rapidly scaling teams while maintaining quality and productivity.

What You Will Own
1. RCM Delivery & Operations
- Own end-to-end operational delivery of RCM services for Needletail’s customers.
- Establish clear operating processes, workflows, SLAs, and accountability across the RCM organization.
- Ensure consistent delivery of high-quality outcomes acro

📌 Head of RCM Operations (Kochi)
🏢 Needletail
📍 Kochi