RCM Operations Manager

Position Overview


The **RCM Operations Manager*** provides strategic and operational leadership for the RCM program. This role owns end-to-end service delivery, P&L/cost efficiency, client relationship management, and the leadership development of Assistant Managers and Supervisors. The Manager is accountable for driving operational excellence, scaling performance, and ensuring full compliance with U.S. healthcare standards and BPO operational frameworks.


Key Responsibilities

A. Strategic Operations & Service Delivery

•Oversee end-to-end RCM operations, ensuring consistent achievement of contractual SLAs, KPIs, and financial targets across all lines of business.

•Partner with Workforce Management (WFM) for accurate volume forecasting, capacity planning, staffing optimization, and schedule alignment.

•Identify operational risks and workflow bottlenecks early, implementing proactive, data-driven solutions and process optimizations.


B. People Leadership & Organizational Development

•Lead, mentor, and develop a high-performing leadership bench of Supervisors and support staff.

•Drive engagement, accountability, and retention initiatives across the operational workforce.

•Establish structured performance management frameworks, career pathways, and leadership training pipelines.


C. Client Governance & Stakeholder Management

•Serve as the primary operational point of contact and trusted partner for client stakeholders.

•Lead Daily, Weekly, and Monthly Business Reviews (WBR / MBR / QBR), presenting operational metrics, trend analyses, and strategic growth initiatives.

•Manage client escalations, service recovery plans, and operational alignment.


D. Quality, Compliance & Continuous Improvement

•Champion continuous improvement initiatives, Six Sigma/Lean methodologies, and automation projects to enhance operational efficiency and reduce processing costs.

•Enforce rigorous compliance standards regarding HIPAA, healthcare data privacy, and internal quality frameworks.

•Oversee audit readiness, compliance checks, and cross-functional collaboration with HR, IT, Finance, Training, and QA.


Qualifications & Requirements

•Non-Negotiable: 5+ years of progressive leadership experience in BPO operations, with significant tenure managing Healthcare RCM campaigns at a managerial level.

•Proven track record in large-scale team management, multi-LOB operations, scorecard management, and client relationship governance.

•Comprehensive expertise in RCM metrics, financial analytics, capacity planning, and workforce optimization.

•Exceptional executive communication, strategic thinking, and change management capabilities.

•No job-hopping. Candidates must have at least 2 years of tenure in their previous roles.

•Candidates with multiple previous roles lasting less than 2 years should not be endorsed