RCM Operations Director

We are looking for an experienced Operations Director with Revenue Cycle Management (RCM) expertise to manage and organize the daily operations of the company. The Operations Director will be responsible for overseeing the organization's processes and providing personnel with guidance to make sure that it runs smoothly and efficiently.

Job Duties and Responsibilities:

In close collaboration with the VP for Operations, leads the operations team to continuously deliver performance outcomes that satisfy clients.Leads and is responsible for the performance and direction of senior level professional personnel and several layers of management.
Plans operational activities and establishes strategic goals in collaboration with internal leaders and client representatives.
Offers excellent tactical strategies to guarantee everyday operations that are continually improved and that maximize client and team satisfaction.
Issues instructions to others to address business issues that touch on many disciplines or functions.
Create and/or implement internal and/or external service level agreements to guarantee that program performance (such as turnaround time, quality, and effectiveness) can be tracked and evaluated.
Determine and/or secure the resources (such as finance, personnel, system security, real estate, telecommuting needs, and hardware/software) needed to implement initiatives.
Ensure programs and initiatives are implemented and maintained successfully by offering internal and/or external partners (such as claims, contact centers, benefits, and clinical) advice, knowledge, and/or help.
Ensure that reliable reports are created to validate program performance review by working with internal and/or external partners (such as claims and call centers).
Analyze combined operational performance data to assess overall efficacy, implement appropriate adjustments, and spot chances for new programs, program consolidation, or program expansion.
Include performance data from operational programs in strategic and business planning.
Examine operational performance in accordance with pertinent standards (such as specific financial measurements, quality indicators, performance promises, and/or incentives).
Develop and show that you comprehend the management style, organizational structure, job duties, and workflow of pertinent business areas.
Review programs in-depth with the appropriate internal and/or external stakeholders to find areas for ongoing improvement.
Support Operations Policies and Procedures Development and ensure compliance. Exhibits knowledge of and adherence to pertinent rules, procedures, and laws.
Keep up with updates to pertinent policies, procedures, and regulations.
Use stakeholder input to shape and carry out ongoing operational quality and financial performance improvement. 
Ensure that business continuity and disaster response plans are frequently reviewed, tested, and readily executable. 
Exhibits comprehension of the language, procedures, and instruments used in budgeting and forecasting.
Examine the fiscal year's budget performance and deviations and suggest and/or implement any necessary adjustments and corrections. 
Examine and assign initiatives and projects in accordance with available resources, skills, and knowledge.

Job Requirement and Qualifications:

Bachelors degree holder

Proven expertise in Revenue Cycle Management (RCM)

Proven experience in Medical Coding

Proven background in US Healthcare industry.

Experience and/or certification in Lean Six Sigma methodology

More than 5 years' experience as a Site Director or Director of Operations in a

BPO or shared services setting.

2+ years of management experience in both internal (in-house) and external

(remote - work from home) operations.

Three or more years of experience in primary POC, account management, and

direct client communication and problem-solving.

Project management expertise with clients of any size and across all

professions

Knowledge of and expertise with cost analysis and profit & loss statements

Working knowledge in developing and maintaining operational statistics,

financial management data, and outcomes reporting

Capable of communicating with people in a variety of professions and

departments thanks to strong listening, verbal, and written communication

skills.

Excellent time-management and organizational abilities, including the capacity

to work under pressure.

Possessing the aptitude and drive to achieve program and internal business

KPIs.

The capacity to implement innovation and transformation across teams.

Amenable to working on a night shift