Vice President of RCM Operations

Executive Leadership Responsibilities

Enterprise Revenue Cycle Strategy

• Define and execute the enterprise operational strategy for revenue cycle services across Ambulatory and Hospital client segments.
• Drive the operational roadmap that supports revenue growth, margin expansion, and service scalability.
• Partner with executive leadership to align RCM operations with the company’s strategic growth and market expansion objectives.
• Identify and implement initiatives that accelerate cash performance, operational efficiency, and client value delivery.

Financial Performance & EBITDA Accountability

• Own operational performance supporting $45M in annual revenue, ensuring consistent achievement of financial and operational targets.
• Drive improvement across core RCM performance metrics including:
  • Days Sales Outstanding (DSO)
  • AR aging and backlog management
  • Clean claim rate
  • Net collection rate
  • Denial rate and appeal success
  • Cash acceleration and revenue yield
• Identify and eliminate revenue leakage across the revenue cycle.
• Partner with Finance on budgeting, forecasting, margin improvement initiatives, and cost optimization.
• Implement scalable operational models that improve productivity, quality, and profitability.

Global Operations Leadership

• Provide executive leadership for a 700+ person global workforce operating across the U.S., India, and the Philippines, supported by multiple external contracting firms.
• Oversee operational performance across all core revenue cycle functions including:
  • Coding
  • Patient services / call center operations
  • Credentialing and provider enrollment
  • Charge entry and billing/data entry
  • Payment posting
  • Claims follow-up
  • Denials management
  • Appeals
• Establish governance and accountability structures across onshore, offshore, and vendor-delivered operations.
• Lead workforce strategy including capacity planning, staffing models, vendor utilization, and global labor optimization.

Operational Transformation & Process Excellence

• Drive enterprise-wide operational transformation initiatives to modernize and scale revenue cycle operations.
• Implement standardized operating models including:
  • Enterprise SOPs
  • Quality assurance frameworks
  • Productivity benchmarks
  • Workflow standardization
  • Global performance management
• Lead continuous improvement initiatives using Lean, Six Sigma, and data-driven operational methodologies.
• Champion adoption of automation, AI-enabled RCM technologies, and robotic process automation (RPA) to improve efficiency and accuracy.

Technology & Multi-Platform Operational Enablement

• Provide operational oversight across 30+ EHR, practice management, and billing platforms supporting a diverse healthcare client base.
• Partner with Product, Technology, and Engineering teams to:
  • Improve system interoperability
  • Enable automation and workflow orchestration
  • Enhance analytics and reporting capabilities
  • Reduce manual operational dependencies
• Support technology-enabled revenue cycle innovation that differentiates the organization in the market.

Client Delivery & Strategic Partnership

• Serve as the senior operational leader responsible for client delivery excellence and SLA performance.
• Partner with Client Success and Account Management teams to drive:
  • Client satisfaction and retention
  • Transparent performance reporting
  • Proactive issue resolution
  • Strategic operational improvements
• Participate in executive-level client governance meetings, QBRs, and escalation management.
• Support sales and growth initiatives, including participation in RFP responses, operational due diligence, and new client onboarding strategies.

Analytics, Reporting & Operational Intelligence

• Establish enterprise performance dashboards and reporting frameworks that provide real-time visibility into revenue cycle performance.
• Leverage analytics to drive improvement across:
  • Payer performance
  • Denial root causes
  • AR aging trends
  • Workforce productivity
  • Client financial outcomes
• Deliver executive-level reporting and insights to C-suite leadership and board stakeholders.

Organizational Leadership & Talent Development

• Build and lead a high-performing global leadership team including Directors, senior operational leaders, and functional experts.
• Establish leadership development programs that strengthen organizational depth and succession planning.
• Foster a culture centered on:
  • Accountability
  • Operational excellence
  • Continuous improvement
  • Client-centric service delivery
• Drive workforce engagement within a large-scale remote and distributed workforce model.