Operations Manager

Job Roles & Responsibilities

• Develop and execute innovative strategies to strengthen business delivery, operational stability, and collections performance.
• Establish and scale pilot RCM processes and implement data-driven strategies to enhance resolved claims.
• Demonstrate strong expertise in end-to-end Revenue Cycle Management (RCM) functions and KPI frameworks, including Prior Authorization, Insurance Verification, Denial Management, AR Follow-up, and Patient Billing.
• Possess in-depth understanding of downstream revenue cycle operations, including Payment Posting, AR Management, Denials, and Patient Financial Services.
• Understand operational nuances and regulatory requirements across diverse provider specialties.
• Ensure assigned portfolios consistently meet or exceed client SLAs and internal performance benchmarks.
• Lead, mentor, and develop management teams, strengthening business acumen and leadership capabilities of direct reports.
• Execute organizational policies, processes, and compliance requirements with consistency and accountability.
• Provide strong people leadership, managing teams of approximately 100–120 FTEs in high-performance environments.
• Demonstrate excellent verbal, written, and presentation skills for client communication and executive reporting.
• Conduct structured annual performance reviews and ongoing employee evaluations.
• Prepare and present weekly/monthly operational reports and dashboards using Excel and PowerPoint for internal and client stakeholders.
• Apply effective people management practices to foster collaboration, engagement, and win-win outcomes.
• Maintain strong focus on customer service excellence and optimized collections outcomes.
• Drive employee engagement, career development, and retention initiatives.
• Lead Monthly Business Reviews (MBRs) with clients and internal leadership.
• Oversee staffing models, workforce planning, and capacity management.
• Manage operational inventories and develop scalable delivery strategies.
• Monitor end-to-end process KPIs and ensure compliance with contractual SLAs.
• Demonstrate strong negotiation, persuasion, and stakeholder management skills to build trust and consensus.
• Collaborate effectively with cross-functional support teams including HR, IT, Quality, Compliance, and Training.

Candidate Requirements

• Minimum 5-8 years of end-to-end Revenue Cycle Management (RCM) experience with strong expertise in operational metrics and performance measurement.
• At least 3 years of experience in a managerial or leadership role, or currently holding a management position.
• Proven experience managing large teams of 100+ members in a high-volume operations environment.
• Demonstrated leadership capabilities, including the ability to plan, organize, and optimize human resources to achieve business objectives.
• Strong proficiency in MS Office applications, particularly Excel and PowerPoint, for reporting, analysis, and presentations
• Preferred Qualification: Graduate in any discipline.

Benefits:

Benefits include medical insurance, paid leave and holidays, and a 401K