About Firstsource

Firstsource is a global provider of business process services and part of the RP-Sanjiv Goenka Group. Our brand promise is Intelligence that Operates: deep domain expertise encoded into AI that does not merely advise or automate, but runs the work end to end, with accountability for the result.

In healthcare, we support more than 1,000 providers — hospitals and health systems, physician practices, and billing platforms — with blended teams of revenue cycle specialists and certified coders working across patient access, coding, denials, receivables and patient collections. We operate as one AI-enabled operating model rather than a collection of point vendors, and we put our own revenue behind the outcomes we commit to.

Company Website : https://www.firstsource.com/

The opportunity

This is the senior-most revenue cycle leadership role in India, and it carries a business, not a function.

You will own hospital and physician revenue cycle delivery for our provider portfolio out of India — the outcomes our clients contracted for, the economics that make those outcomes profitable, the capability that keeps us ahead, and the leadership team that delivers all three. You will report to the Global Delivery Head, Healthcare Provider, and partner with US business leadership, Solutioning, Technology and Finance.

It is a role for someone who has already run a large multi-site operation and wants the next thing: deciding what work the business should take on and at what price, standing behind outcome-based commitments in front of a health system CFO, and rebuilding the cost curve with agentic AI rather than adding heads to the problem.

What you will own The business

- Full India P&L; for hospital and physician RCM: revenue, gross margin, EBIT, and the investment cases that trade near-term margin for long-term capability.
- The annual operating plan and multi-year capacity strategy — location footprint, build-versus-flex decisions, and the economics of expansion.
- Pricing authority within delegation, including sign-off on outcome-linked and at-risk commercial constructs. Where Firstsource underwrites a result, you decide whether it is deliverable before it is offered.

Delivery and client outcomes

- End-to-end delivery across both settings: patient access and financial clearance; facility and skilled coding, including inpatient and complex outpatient; charge integrity; claims and edits; denials, appeals and underpayments; A/R follow-up; credit balances; cash posting; and patient collections.
- Attainment of every committed outcome — cost to collect, net collection rate, first-pass clean claim rate, denial and overturn rates, days in A/R and A/R over 90 days, DNFB and DNFC, coding accuracy and turnaround — with root-cause accountability rather than variance reporting.




- The operating rhythm that surfaces problems before a client raises them, and the governance behind every transition, ramp and go-live.

Clients

- Executive sponsorship of the portfolio, engaging client CFOs, COOs and Chief Revenue Cycle Officers on the economics of their revenue cycle — not the status of their queues.
- Portfolio retention, renewal and expansion targets, held jointly with US business leadership. You will personally lead the largest renewals.
- Anchoring strategic pursuits: solution design, transformation narrative, and the commercial case in the room.

Transformation

- The automation and agentic AI roadmap for provider RCM, co-owned with Technology and Product — including the business case, the sequence in which service lines are transformed, and an honest measurement of benefit against a real baseline.
- Governed autonomy in live operations: human oversight where it matters, quality assurance on AI-assisted output, and clear boundaries on what a model decides alone.
- Process re-engineering at scale using Lean Six Sigma and structured root-cause methods across the full cycle.

People

- A leadership team of VPs and functional heads across Delivery, Quality, Coding, Transformation and Workforce Management — and the design of the India organisation itself.
- Succession for every role in the layer below you, and the bench beneath that.
- The culture of a multi-thousand-person, multi-site operation: engagement, ethics, speak-up, and the credibility of the quality function.
- Coding certification capability across CPC, CCS, COC, CIC and RHIT, and payer-specific domain depth.

Risk and compliance

- The India risk posture for the service line: HIPAA and PHI handling across every workflow and seat, client and host-system access governance, regulatory change, business continuity, client audit outcomes, and the control environment behind AI-assisted decisioning.

What you bring

Essential

- 15+ years in US healthcare revenue cycle, with direct P&L; ownership of a service line.
- Demonstrated ownership of both hospital/facility and physician/professional revenue cycle. Depth in one with genuine working command of the other is welcome; single-setting experience is not sufficient for this role.
- Accountability for a 3,000+ FTE multi-site operation, with a track record of organic scaling and of turning a struggling operation around.
- Evidence of having built a business,



not only run one — a new service line stood up, a new geography opened, a major account won and scaled, or a transformation that changed the unit economics.
- Command of the operating metrics above, and the ability to explain to a client CFO exactly why a number moved.
- Working fluency across provider platforms — Epic, Cerner, Meditech, Athenahealth, NextGen, eClinicalWorks, Modernizing Medicine — including the practical reality of client-owned licences, host credentialing and offshore access approval.
- Credibility with US health system and large physician enterprise executives at CFO and CEO level, sustained across time zones.
- Bachelor's degree required; MBA, MHA or equivalent postgraduate qualification preferred.

Valued

- Experience structuring and standing behind outcome-based or at-risk commercial models.
- A delivered automation or AI programme in live RCM operations, with a benefit case that held up after go-live.
- Lean Six Sigma Black Belt or an equivalent transformation credential.
- Experience with acquired-book or rebadge transitions, including novation, system provisioning and staff transfer.
- A coding credential or formal HIM background.

What success looks like In your first twelve months, we would expect you to have:

First 90 days A clear-eyed read on every account — where we are delivering, where we are exposed, and which relationships need you personally. An honest baseline on cost to serve.

By six months

Your leadership team settled and accountable. A transformation roadmap agreed with Technology, with the first benefit case in flight and measured.

By twelve months

Committed outcomes met across the portfolio, retention protected, the cost curve visibly bending, and at least one expansion or new logo won on the strength of the delivery story.

Why this role

- Scale with autonomy. A large, established operation and a genuine mandate to change how it works.
- A commercial model with conviction behind it. Outcome accountability is not marketing language here; it shapes what we sell and how we are paid.
- AI in production, not in pilot. You will run operations where agentic systems already do real work, and decide where they go next.
- Executive visibility. Direct line to global delivery and US business leadership, with board-level exposure on service-line performance.

Firstsource is an equal opportunity employer. We welcome applications from all qualified candidates and make hiring decisions without regard to gender, gender identity or expression, sexual orientation, marital status, age, disability, religion, caste, ethnicity or any other characteristic protected by applicable law. Reasonable adjustments are available at every stage of our process — please tell us what you need.

📌 Head – (Provider) Hospital & Physician Revenue Cycle Management (India)
🏢 Firstsource
📍 India