Senior RCM Leader – US Healthcare / RCM Technology

Location: Ahmedabad, Gujarat

Employment Type: Full-time

Work Mode: Work from Office

Experience: 10+ Years

Industry: US Healthcare / Healthcare Technology / Revenue Cycle Management

About the Role

We are looking for an experienced Senior RCM Leader with 10+ years of hands-on experience in US Healthcare Revenue Cycle Management (RCM), particularly in physician billing and provider workflows.

This is a senior leadership role for a professional who can operate at the intersection of RCM Operations, Healthcare Technology, Product, Engineering, and AI.

The ideal candidate will not only understand RCM operations but also be able to translate healthcare and RCM requirements into clear business, functional, and technical requirements for product and software development teams.

Candidates currently working as Director, Senior Director, VP, or equivalent are encouraged to apply. The designation is less important than the depth of RCM expertise, leadership experience, technology exposure, and ability to work closely with technical teams.

Key ResponsibilitiesRCM Leadership & Operations

- Provide senior-level leadership and subject matter expertise across US Healthcare RCM.
- Oversee and provide guidance on physician billing and revenue cycle operations.
- Demonstrate strong understanding of primary care and physician-office workflows.
- Understand the complete RCM lifecycle, including:
- Patient Intake
- Insurance Verification
- Eligibility & Benefits
- Prior Authorization
- Charge Entry
- Medical Billing
- Claims Processing
- Payment Posting
- Denial Management
- Accounts Receivable
- Collections
- Identify operational gaps, challenges, and opportunities for process improvement.
- Recommend strategies to improve RCM efficiency, accuracy, collections, and overall financial performance.
- Provide guidance and leadership to RCM teams and stakeholders.

Physician Billing & Healthcare Domain Expertise Strong experience in physician billing and provider-office operations is essential.

Experience in any of the following areas will be highly valuable:

- Primary Care
- Cardiology
- Neurology
- Hospital-Based Billing
- Diagnostic Billing
- Neurodiagnostics
- Sleep Diagnostics
- Durable Medical Equipment (DME)

Healthcare Technology & EMR/EHR
- Demonstrate robust understanding of healthcare technology, EMR/EHR, and practice management systems.




- Hands-on experience with eClinicalWorks and athenahealth/Athena is highly desirable.
- Familiarity with other major US healthcare EMR/EHR and physician practice management platforms is preferred.
- Understand physician practice workflows and how operational processes translate into technology requirements.
- Understand front-office and RCM technology requirements related to patient intake, insurance verification, eligibility, authorization, and billing.

Product & Technology Collaboration
- Work closely with Product, Engineering, Software Development, and Technical leadership teams.
- Act as the RCM Subject Matter Expert (SME) for healthcare technology initiatives.
- Translate RCM processes and business needs into clear business, functional, and technical requirements.
- Define workflows, business rules, use cases, and functional requirements for software solutions.
- Review proposed technology solutions from an RCM and healthcare operations perspective.
- Validate that software solutions accurately reflect real-world healthcare workflows.
- Collaborate with developers and technical stakeholders throughout the software development lifecycle.
- Identify gaps between operational requirements and technology solutions and recommend improvements.

AI, Automation & Innovation
- Bring practical experience in AI, automation, or AI-enabled healthcare/RCM solutions.
- Have at least 1 year of practical AI experience, preferably involving an AI use case implemented within a software solution.
- Identify opportunities to use AI and automation to improve:
- RCM workflows
- Claims and billing processes
- Denial management
- Collections
- Operational efficiency
- Accuracy and quality
- Data analysis
- Work with technical and product teams to convert RCM opportunities into practical AI and automation solutions.
- Evaluate AI-enabled solutions from an operational and healthcare-domain perspective.

Required Qualifications
- 10+ years of experience in US Healthcare RCM / Revenue Cycle Management.
- Strong hands-on experience in physician billing and revenue cycle operations.
- Proven experience managing or leading RCM functions at a senior level.




- Strong understanding of physician-office and provider workflows.
- Strong knowledge of US healthcare billing processes and systems.
- Experience with eClinicalWorks and/or athenahealth/Athena is highly preferred.
- 2–3+ years of experience working closely with Product, Engineering, Software Development, or Technology teams.
- Demonstrated ability to translate business/RCM requirements into functional and technical requirements.
- 1+ year of practical experience working with AI, preferably involving an implemented healthcare/RCM software use case.
- Strong analytical and problem-solving skills.
- Excellent stakeholder management and communication skills.
- Ability to work effectively with senior leadership, business teams, product teams, and technical teams.

Preferred Experience Preference will be given to candidates with experience in one or more of the following:
- Hospital-Based RCM
- Cardiology Billing
- Neurology Billing
- Neurodiagnostics
- Sleep Diagnostics
- Diagnostic Billing
- DME / Durable Medical Equipment
- Healthcare Technology / Product Development
- AI-Enabled Healthcare Solutions
- Multiple US Healthcare EMR/EHR Platforms
- Healthcare Software Implementation
- RCM Automation

What We Are Looking For We are looking for a strategic RCM leader who can bridge the gap between healthcare operations and technology.

The ideal candidate should be able to:

Understand RCM → Understand Provider Workflows → Define Business Requirements → Translate Requirements for Technology Teams → Validate Software Solutions → Identify AI & Automation Opportunities

This role is ideal for a senior RCM professional who wants to contribute beyond day-to-day operations and play a key role in building and improving technology-driven healthcare and RCM solutions.

Key Skills

US Healthcare RCM | Revenue Cycle Management | Physician Billing | Medical Billing | Provider Workflows | RCM Operations | EMR/EHR | eClinicalWorks | athenahealth | Healthcare Technology | Product Collaboration | Technical Requirements | Business Requirements | Software Development | AI | Automation | Process Improvement | Strategic Leadership | Stakeholder Management | Problem Solving

Work Location

Ahmedabad, Gujarat – Work from Office

Employment Type: Full-time

Pay: ₹1,500,000.00 - ₹1,800,000.00 per year

Benefits

- Leave encashment
- Provident Fund

Work Location: In person

📌 VP / Senior Leader – Revenue Cycle Management (RCM) (Ahmedabad)
🏢 IRVx Softlabs
📍 Ahmedabad