Gm - Healthcare Rcm Ops Job in Getix Health

General Manager Healthcare RCM Operations

Job Category: Management
Location: Bangalore

Job Overview
We are seeking an experienced General Manager Healthcare RCM Operations to lead end-to-end Revenue Cycle Management (RCM) operations across multiple clients. This leadership role is responsible for strategic planning, operational excellence, client management, team leadership, compliance, and financial performance, ensuring efficiency, accuracy, and client satisfaction in all RCM functions.

Key Responsibilities

Strategic Leadership

• Drive strategy, planning, and execution across all RCM functions including patient access, billing, coding, charge capture, claims processing, payment posting, AR follow-up, and denial management.
• Develop and implement initiatives to improve collections, reduce denials, and optimize cash flow.
• Align operational strategies with client expectations, regulatory compliance, and industry best practices.

Operational Excellence

• Oversee large-scale RCM operations across multiple clients/accounts.
• Monitor key performance indicators (AR days, clean claim rate, denial rate, net collection rate, etc.) and drive continuous improvement.
• Implement process automation and digital transformation initiatives to enhance operational efficiency.

Client & Stakeholder Management

• Serve as the primary point of contact for client leadership.
• Build strong client partnerships, ensuring SLAs, TATs, and quality standards are consistently met or exceeded.
• Manage escalations and drive resolutions with a client-focused approach.

Team Leadership

• Lead, mentor, and inspire a large team of managers, SMEs, and associates across functions.
• Hire, train, and develop leadership talent to ensure a strong succession pipeline.
• Promote employee engagement, retention, and a performance-driven culture.

Compliance & Quality

• Ensure strict adherence to HIPAA, CMS guidelines, and client-specific compliance requirements.
• Establish and maintain robust internal controls and audit processes.
• Collaborate with Quality and Training teams to maintain high accuracy and performance standards.

Financial Management

• Own the P&L for assigned accounts and operations.
• Drive cost optimization initiatives without compromising service quality.
• Provide accurate financial forecasts, budgets, and performance reports to leadership.

Key Skills & Competencies

• Deep expertise in US healthcare RCM (front-end to back-end).
• Strong knowledge of payer rules, coding guidelines, and HIPAA compliance.
• Proven experience in managing large-scale operations (250+ FTEs).
• Client-facing leadership with the ability to build CXO-level relationships.
• Data-driven decision-making with strong analytical and problem-solving skills.
• Experience driving digital transformation and automation (RPA, AI in RCM).
• Excellent communication, negotiation, and stakeholder management capabilities.

Success Metrics

• Improvement in collections and AR performance.
• Reduction in denials and operational errors.
• Achievement of SLA and client satisfaction targets.
• Strong employee retention and a robust leadership pipeline.
• Profitability and cost optimization in line with business objectives.