Vice President - Operations - Revenue Cycle Management

Vice President - Operations (Global Revenue Cycle Management)

Position: Vice President - Operations (Global RCM)

Experience: 22+ Years

Location: Hyderabad / Chennai / Bangalore

Position Overview:

We are seeking a seasoned and transformational Vice President - Operations to lead large-scale global Revenue Cycle Management (RCM) operations across multiple service lines. The incumbent will be responsible for end-to-end delivery, operational excellence, client success, financial performance, and strategic growth of a complex healthcare operations portfolio.

This role requires a proven leader who has successfully managed 2,000+ FTEs, owned large-scale P&L responsibilities, driven operational transformation initiatives, and built high-performing teams delivering exceptional outcomes across global healthcare clients. The leader will play a critical role in shaping the organization's growth strategy, driving margin expansion, and strengthening customer partnerships.

Key Responsibilities:

Strategic Leadership:

- Define and execute enterprise-wide operational strategies aligned with organizational goals and growth objectives.

- Lead business transformation initiatives focused on scalability, automation, productivity, quality enhancement, and margin improvement.

- Partner with executive leadership to drive strategic planning, workforce expansion, and service diversification.

End-to-End Revenue Cycle Management Leadership:

- Oversee global RCM operations across key functions including:

1. Patient Access & Registration

2. Eligibility & Benefits Verification

3. Medical Coding

4. Charge Capture

5. Claims Processing

6. Payment Posting

7. Accounts Receivable Management

8. Denial Management & Appeals

9. Credit Balance & Revenue Integrity

10. CDI and Audit Functions

- Ensure operational excellence, compliance, quality, and client satisfaction across all service lines.

P&L Ownership:

- Own and manage a significant operations P&L with accountability for revenue growth, profitability, EBITDA, and operational efficiency.

- Drive cost optimization programs, utilization improvements, and productivity gains.

- Develop and execute business plans to achieve financial targets while maintaining delivery excellence.

Large Scale Operations Management:

- Lead and manage a workforce of 2,000+ FTEs through a multi-layer leadership structure.

- Establish robust governance mechanisms, performance management frameworks, and succession planning initiatives.

- Build a culture of accountability, engagement, innovation, and continuous improvement.

Client & Stakeholder Management:

- Serve as an executive sponsor for strategic client relationships.

- Collaborate with client leadership teams to develop growth plans and deliver transformational outcomes.

- Lead executive business reviews, contract renewals, expansion discussions, and client governance forums.

Operational Excellence & Transformation:

- Drive Lean Six Sigma, automation, AI, analytics, and digital transformation initiatives across operations.

- Establish best-in-class operational metrics, productivity benchmarks, and quality standards.

- Lead process re-engineering and continuous improvement programs to enhance service delivery.

Governance, Compliance & Quality:

- Ensure adherence to HIPAA, healthcare compliance guidelines, internal controls, and customer-specific requirements.

- Drive risk management, regulatory compliance, information security, and audit readiness initiatives.

- Establish robust quality assurance frameworks across delivery functions.

Data Analytics & Performance Management:

- Utilize operational dashboards, financial metrics, and business intelligence tools to drive decision-making.

- Monitor key performance indicators including:

1. Revenue Realization

2. A/R Days

3. Net Collection Rate

4. Denial Rate

5. Productivity

6. Quality Scores

7. Client SLA Performance

8. Employee Attrition

Required Qualifications:

- Bachelor's degree in healthcare administration, Business Administration, Life Sciences, Finance, or related discipline.

- MBA or equivalent postgraduate qualification preferred.

- 22+ years of experience with at least 12+ years in senior operational leadership roles within Healthcare BPO, RCM, Healthcare Services, or Provider Operations.

- Demonstrated experience managing end-to-end Revenue Cycle Management operations globally.

- Proven track record of leading 2,000+ FTE operations in a multi-location environment.

- Significant P&L ownership experience with accountability for revenue, costs, margins, and growth.

- Deep understanding of US Healthcare, Provider Revenue Cycle, Medical Coding, AR Management, and Operational Excellence frameworks.