We're hiring: Assistant Vice President – Operations (US Healthcare RCM) | Pune

Our client, a US healthcare Revenue Cycle Management services organisation, is looking for a senior operations leader to run end-to-end RCM delivery from their Pune center.

This is a P&L-owning; role. You'll be accountable for revenue realisation, client satisfaction, and building operations that scale.

WHAT YOU'LL OWN

• End-to-end RCM operations: patient access, prior authorization, coding, charge capture, billing, AR follow-up, denial management, payment posting, and write-offs

• Operational strategy aligned to client SLAs, with SOPs, workflows, and escalation matrices that hold up at scale

• KPIs that matter: Days in AR, DSO, clean claim rate, denial rate, first-pass yield, cash collections, and old AR reduction

• AR and denial strategy across Commercial, Medicare, and Medicaid payers, driven by root-cause analysis and corrective action

• Client leadership relationships: primary point of contact, QBRs/MBRs, recent client transitions and onboarding

• P&L; for the Pune operation: revenue, margins, utilization, cost optimization, and automation-led productivity gains

• Compliance with CMS,



OIG, HIPAA, and payer-specific regulations, including audits and internal controls

• A leadership bench of operations managers, team leaders, and functional heads across coding, billing, AR, and denials

WHAT WE'RE LOOKING FOR

• 15+ years in US healthcare RCM, with 5–7 years in senior leadership (Director / Sr. AVP / AVP or above)

• Experience running large, multi-functional RCM operations (voice and non-voice) from an India delivery center; Pune experience preferred

• Strong command of US payers, ICD-10, CPT, HCPCS, and denial management levers

• Proven ability to link RCM metrics to business outcomes and manage a P&L;

• Executive-level client communication and a data-driven approach to problem solving

GOOD TO HAVE

• Experience in BPO/ITeS or RCM outsourcing

• Exposure to PM/EHR systems such as Epic, NextGen, Athena, or eClinicalWorks

• Six Sigma, Lean, or other process improvement certifications

• Bachelor's in Healthcare Administration, Business, Finance, or related field; Master's preferred

📌 AVP - RCM Operations (Pune)
🏢 r3 Consultant
📍 Pune