Associate Director- RCM

Annova Solutions is looking for an experienced Revenue Cycle Management professional to play a key role in expanding our Provider RCM practice. This position requires a strong combination of RCM operations expertise, analytical capability, client-facing skills, and solution design experience. The ideal candidate should be able to independently review an ATB/AR file, understand the composition and quality of the inventory, identify revenue recovery opportunities, and develop actionable recovery strategies and operating models. This individual will also serve as an RCM Subject Matter Expert (SME) in client discussions, solution sessions, due diligence, and new business pursuits as Annova scales its RCM service line.

• Lead and support RCM operations across areas such as Accounts Receivable, Denials Management, Claims Follow-up, Underpayments, Payment Variance, Billing and Revenue Recovery.

• Independently analyze ATB/AR inventory by aging, payer, balance, denial category, claim status, specialty, location and other relevant dimensions.

• Identify collectability, liquidation opportunities, high-value inventory, denial trends and root causes within AR portfolios.

• Develop revenue recovery models that estimate collectible dollars, recovery timelines, staffing requirements, productivity, cost-to-collect and expected ROI.

• Segment inventory and develop differentiated work strategies based on age, balance, payer, denial type, likelihood of recovery and financial impact. • Establish operational KPIs including AR days, aging distribution, denial rates, net collection rate, cash collections, productivity, quality, liquidation rate and cost-to-collect.

• Identify opportunities for automation, analytics, workflow optimization and AI-enabled interventions across the revenue cycle.

• Serve as the RCM SME during client meetings, confidently discussing operational challenges, performance improvement opportunities and proposed solutions with client leadership.

• Participate in new business pursuits, discovery sessions, RFPs, solution design, due diligence and presentations.

• Translate client data and operational challenges into a compelling business case, staffing model, transition approach and value proposition.

• Help develop Annova's RCM capabilities, including SOPs, operating models, productivity benchmarks, solution frameworks, governance structures and best practices.

• Support transition and stabilization of new RCM engagements and work closely with Operations, Analytics, Technology and Business Development teams

• 8–10+ years of experience in US Healthcare Revenue Cycle Management, preferably within healthcare BPO, provider operations, consulting or RCM services.

• Strong hands-on experience in AR follow-up, denials, claims management and revenue recovery.

• Demonstrated ability to analyze large ATB/AR datasets and convert the analysis into actionable recovery strategies.

• Strong understanding of payer behavior, claim lifecycle, denial categories, aging, timely filing, appeals and reimbursement processes.

• Ability to develop revenue recovery forecasts, staffing models, productivity assumptions and financial/business cases.

• Strong analytical skills with advanced proficiency in Excel; experience with BI/analytics tools is preferred.

• Strong understanding of RCM operational metrics and industry benchmarks.

• Excellent client-facing communication and presentation skills, with the ability to operate as a credible SME with senior client stakeholders.

• Experience supporting solution, pre-sales, RFPs or new client pursuits is highly desirable.

• Ability to move comfortably between detailed operational analysis and executive-level conversations.

• Experience managing teams and driving operational performance in a metrics driven environment.