Director of Healthcare Operations

3 days ago

Quezon City, National Capital Region, Philippines Curran Daly + Associates Full time ₱1,500,000 - ₱3,000,000 per year

Overview

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– Geen 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.

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