Director - Clinical Reimbursement and Compliance

Discover your 100% YOU with MicroSourcing
Position:
Director - Clinical Reimbursement and Compliance

Location:
Taguig

Work setup & shift:
Onsite | Night shift

Why join MicroSourcing?
You'll Have

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role:
As a
Director - Clinical Reimbursement and Compliance
, you will:

• Develop and implement a strategic plan for the Philippines-based Revenue Cycle team, including setting up infrastructure, hiring key personnel, and creating operational processes.
• Oversee day-to-day operations in collaboration with Huron global operations, ensuring efficient processes and adherence to best practices.
• Drive continuous improvement initiatives to optimize team performance and operational outcomes.
• Collaborate with global and cross-shore leadership on workforce planning, team effectiveness, and role alignment.
• Serve as the primary escalation point for project teams and drive issue resolution across global operations.
• Build and maintain strong relationships with global counterparts and stakeholders, fostering a "one-team" culture.
• Recruit, train, and lead a high-performing team while promoting professional development and growth.
• Develop and manage the division's budget, ensuring financial targets are achieved.
• Ensure compliance with local regulations and global standards in collaboration with Huron and local partners.
• Partner with US-based sales teams to drive growth opportunities, expand services, and enhance client offerings.

What You Need:
Non-negotiables

• At least 10 years of experience in Revenue Cycle Management, with a minimum of 5 years managing RCM operations for US-based clients.
• Minimum of 3 years in a senior leadership role (Director level or higher).
• Bachelor's degree in Business Administration, Healthcare Management, or a related field.
• Strong background in Clinical RCM functions (Clinical Documentation Improvement/Coding, Utilization Review, Clinical Denials & Appeals).
• Hands-on experience with large EMR systems such as Cerner, Epic, or Meditech.
• Proven success in building or scaling a new RCM solution, service line, or team.

Preferred skills/expertise

• Experience working in the Philippine RCM industry.
• Master's degree or credentials in business or healthcare (MD/RN, CCDS/CDIP, CCS, CPHQ, or CCM) preferred.
• Proficiency in RCM software tools and Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, SharePoint).
• Familiarity with automation tools and CoPilot is a plus.
• Strong leadership experience managing teams of 20+ employees, including coaching, mentoring, and performance management.
• Excellent communication, presentation, and stakeholder management skills.
• Analytical and critical thinking abilities, with experience managing budgets and utilization metrics.
• Strong understanding of the healthcare outsourcing landscape and local regulatory environment.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

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