Director of Healthcare Operations

3 weeks ago

Quezon City, Philippines Curran Daly + Associates Full time

We are seeking an accomplished leader in Revenue Cycle Management (RCM) operations to oversee large-scale healthcare delivery teams, drive process transformation, and ensure financial performance. This role is responsible for managing end-to-end RCM functions—including patient registration, billing, claims, and collections—while ensuring compliance, operational excellence, and strong client satisfaction. Education & Certifications Preferably Graduate/ MBA from reputed universities. Preferably Six Sigma / Lean Sigma– Green Belt/ Black Belt certified. Relevant industry certifications (e.g., Certified Professional in Healthcare Management, Certified Revenue Cycle Specialist) are highly beneficial. Awareness of U.S Healthcare Governance, Compliance and Audit guidelines. Key Responsibilities Provide strategic direction and thought leadership in the RCM domain, with a strong understanding of delivery models and solution frameworks. Lead the design and execution of innovative operational strategies to optimize performance, efficiency, and revenue outcomes. Act as a change leader by continuously identifying opportunities for process enhancements and operational improvements. Oversee projects across provider and RCM functions, including system upgrades, workflow improvements, and data migration initiatives. Manage the entire claims lifecycle from submission to resolution, ensuring timely follow-ups to reduce denials and accelerate collections. Supervise multi-site operations across different client accounts, ensuring consistency and service quality. Drive key KPIs such as denial rate reduction, AR aging, insurance collections, and overall cash acceleration. Ensure effective headcount management and optimal resource utilization across teams. Implement structured transaction and FTE billing processes to deliver accurate business outcomes. Uphold the highest standards of service delivery and operational excellence through data-driven decision making. Collaborate with internal teams (Technology, CRM, Operations, Sales) and external stakeholders to align on operational and reporting needs. Serve as the escalation point for provider data-related issues, ensuring timely resolution and client satisfaction. Partner with clients on transformation initiatives and identify opportunities to expand services. Maintain adherence to healthcare regulations including HIPAA, HITECH Act, ACA, and NSA. Establish and maintain policies and procedures that reinforce compliance requirements, conducting audits and risk assessments when needed. Define, monitor, and report on operational KPIs and metrics related to RCM and provider operations. Provide performance updates and business insights to senior leadership and client stakeholders. Stay informed on healthcare industry trends, RCM technologies, and best practices, and apply insights to strengthen operations. Seniority level : Executive Employment type : Full-time Job function : Strategy/Planning and Project Management Industries : Hospitals and Health Care, Outsourcing and Offshoring Consulting, and Business Consulting and Services #J-18808-Ljbffr

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