RCM Process Expert (Process Improvement & Quality) Manager

The Opportunity

• As the RCM Process Expert (Manager), you will be the primary catalyst for operational excellence across our end-to-end US Healthcare Revenue Cycle operations. Reporting to the Head of RCM, you will hold a high-visibility role responsible for identifying revenue leakages and transforming workflows to maximize provider reimbursements. This is an exciting opportunity for a domain expert to bridge the gap between "business as usual" and "best-in-class," utilizing Lean Six Sigma methodologies to influence large-scale operations and drive measurable financial impact.

What you’ll do

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    Optimize Workflows: Review and streamline end-to-end RCM processes, including Patient Access, Coding, Billing, AR, and Denials.

    
    
  
  
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    Identify Revenue Gaps: Proactively detect revenue leakages, quality bottlenecks, and operational inefficiencies across the billing lifecycle.

    
    
  
  
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    Lead Improvement Projects: Execute high-impact Lean / Six Sigma projects to improve First Pass Clean Claim rates and reduce overall cost-to-collect.

    
    
  
  
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    Conduct Deep-Dive RCA: Perform rigorous Root Cause Analysis on claim denials and rejections to implement permanent corrective actions.

    
    
  
  
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    Standardize Operations: Create and govern standardized SOPs, quality checklists, and internal controls to ensure consistency across RCM teams.

    
    
  
  
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    Manage Quality Metrics: Define and track critical KPIs such as Net Collection Ratio, Days in AR, and Defect Rates.

    
    
  
  
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    Support Audits: Partner with internal and client teams to ensure audit readiness and compliance with US healthcare billing standards.

    
    
  
  
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    Cross-Functional Synergy: Collaborate with Training and Automation teams to identify manual tasks that can be optimized through RPA or AI tools.

    
    
  
  
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    Drive Quality Culture: Benchmarking internal performance against industry standards to foster a culture of continuous improvement.

    
    
  
  
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    Stakeholder Influence: Present process improvement findings and ROI reports to senior leadership and client stakeholders.

    
    
  
  
  
  

Who you are

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    7–12 years of hands-on US Healthcare RCM experience is required.

    
    
  
  
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    Deep domain expertise in Provider RCM workflows is required.

    
    
  
  
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    Proven track record in process improvement and quality management is required.

    
    
  
  
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    Strong analytical and documentation skills with proficiency in data presentation is required.

    
    
  
  
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    Lean / Six Sigma Black Belt is required.

    
    
  
  
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    Experience managing large or multi-client RCM operations (preferred).

    
    
  
  
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    Exposure to automation, RPA, or advanced workflow analytics tools (preferred).

    
    
  
  
  
  

Benefits

• Stock-options package


• Health benefits include medical, dental and vision


• 401K


• Long-term disability


• Unlimited PTO


• Life insurance


• Paid Leave Program

👉[include as needed for clinic positions]

Location & Specialties hiring:

👉 [include as needed] Physical Demands: Mostly sedentary work duties require exerting up to thirty pounds of force occasionally and/or small amounts of force frequently. Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods.