HealthRecon Connect LLC provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.
Following on from an internal restructuring process where our current CM is moving into a different role, we are looking to onboard an experienced executive into the role of CM. The role calls for an individual with strong business acumen in US healthcare (Revenue Cycle Management) and a strong track record of execution through a large onshore/offshore team.
ABOUT THIS ROLE
The Country Manager will have accountability to work with the Head of Operations & CEO to drive end-to-end formulation and implementation of business strategies and operational plans for HRC across geographical locations (Sri Lanka and India). This role will work with the leadership/partner team to construct measures of accountability for the business and shared partner organization performance. This position manages daily operations of direct staff and matrix partners.
The CM is also responsible for the design, coordination, and completion of operational improvement projects across various functional areas within RCM Operations. The CM will review the departments performance and effect change as needed to improve service, simplify the workflow, and assure compliance with regulatory requirements.
The CM is also responsible for management and administration of multiple functions and general business operations, business partners, provider data management and reporting.
Key HighlightsProvide thought leadership and contribute to the HRC Executive Leadership Team as we drive our strategy to develop into a world class RCM Tech and services providerEnsure operations and service models are optimizedEmbed mechanisms and governance to ensure we are compliant and business risk is mitigated.Partner with key internal stakeholders to integrate existing and new technological initiatives to increase operational efficiencies and deliver enhanced operational service.Apply leadership behaviours to build, develop and coach a team of professionals and ensure leadership capabilities are strong across the organization. Inspire others and set the tone for an inclusive and high-performance team.
RESPONSIBILITES
Provide thought leadership and contribute to the HRC Executive Leadership Team as we drive our strategy to develop into a world class RCM Tech and services provider.Set business direction, develop, implement, and oversee operational models to meet the unique needs and business requirements for our clientsUnderstand competitor performance and market conditions to effectively leverage HRC RevenueInform and advise executive management regarding current industry trends, problems and activities to facilitate both short- and long-range strategic plans to improve operational performance and enhance growthHold self and team accountable for creating and maintaining Raving fan customer relationshipsEffectively manage the overall cost structure of HRC RCM Operations
Ensure operations and service models are optimized.Develop effective relationships with and confirms operational leaders can execute day-to-day responsibility for operationsClosely monitor operational metrices to ensure service levels are metEvaluate, re-evaluate processes and KPI achievement for optimizing efficiencyIdentify and resolve technical, and operational and organizational problemsMonitor required reporting and provides direction on findingsDirect others to resolve business problems that affect multiple functions or disciplinesProvide leadership to and is accountable for the performance of staff
Embed mechanisms and governance to ensure we are compliant and business risk is mitigated.Drive company compliance framework and implement necessary controls in process towards adherenceMonitor and confirm all operational activities conform to HRC compliance requirementsProvide oversight and challenge to senior management on decisions and processes regarding strategy and complianceUnderstand and manage the Federal and State requirements and relationships related to operationsProvide governance on network strategy and developmentHold self and team accountable for compliancePractice and inculcate company CREDO, as well as employment policies
Partner with key internal stakeholders to integrate existing and new technological initiatives to increase operational efficiencies and deliver enhanced operational service.Work closely with Solutions towards development and implementation of products and solutionsDrive team towards technological integrationResolve operational bottlenecks in solution developmentUse industry knowledge to provide solution development input
Apply leadership behaviours to build, develop and coach a team of professionals and ensure leadership capabilities are strong across the organization. Inspire others and set the tone for an inclusive and high-performance team.Work closely with the operational leadership team and other senior managers to ensure operational goals are aligned with company goals. This includes planning, execution, continuous assessments and improvement of the performance, and overall effectiveness of the teams and individuals.Foster a performance driven cultureLead and influence team by fostering teamwork and collaboration, and driving employee engagement and leveraging diversity and inclusion PROFILE
PROFESSIONAL EXPERIENCE/QUALIFICATIONS REQUIRED
Domain Expertise - Total work experience of 20+ years in leading Operations and managing E2E delivery and enabling functionsBA/BS in related field plus 15+ years of experience in Full-service RCM service delivery including offshore operationsMinimum 5 years' experience in a similar leadership role (C Level experience)10+ years of extensive experience in managing different client types in RCM across Labs, Hospitals, Multi-Specialty Physician groups, etc.Deep understanding of payer-provider dynamics, regulatory compliance, and healthcare reimbursement methodologies.
Driving Operational Excellence - Strong understanding and ownership of driving profit and loss with full accountability in a mid-to large companyExpertise in process improvement, cost optimization, and performance management across markets to ensure seamless operationsKnowledge and deep understanding of Revenue Cycle Management compliance requirements and RCM Technology landscapeStrong focus on quality assurance, compliance, and risk managementSenior leadership experience in developing and managing portfolio of revenue generative initiatives/efforts, with focus on driving automation and introducing new products and servicesStrong analytical and project management skills with ability to manage several projects of varying complexity simultaneously.
Communication and Interpersonal skills - Ability to work effectively with diverse stakeholders, including C-suite executives, clients, and team membersExcellent communication skills as this role will require public speakingExperience in mergers and acquisitions (advantageous).
Sales and Business Development support - Experience in supporting sales teams by providing strategic insights, operational expertise, and domain knowledge to drive business growthAbility to identify new opportunities, contribute to proposal development, and participate in client presentations
Client Relationship Management - Strong track record of maintaining and enhancing client relationships through effective communication, trust-building, and delivering exceptional resultskilled in client interaction, understanding client needs, and aligning organizational goals to meet and exceed client expectations.
Leadership and Team Management - Proven ability to lead and manage large-scale onshore and offshore delivery teamsExpertise in building high-performing teams, fostering collaboration, and driving operational excellence across geographies. Your Traits:Able to study the industry, market opportunity and craft short term and long-term strategy towards business growthAble to allocate resources towards achieving the strategic goals, staying current with performance against goals and identify roadblocks ahead of timeAble to re-evaluate, adjust, enhance strategy in context of changes in the market, still staying on track for overall achievement of goals Process Competent:Has in depth knowledge of RCM OperationsAble to run process steps at maximum efficiency with the right controlsAdept in technology platforms which can increase process efficiency, and able to use them towards better outcomes
CREDIBLEHas strong empathy and able to identify strategic customer pains and develop unique and compelling value propositions that focus on delivering business value
COMMERCIALKnows the business well enough to craft solutions to client problems as well as to propose internal improvements based on prospecting conversations . click apply for full job details
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