Gm - Healthcare Rcm Ops

Key Responsibilities

Strategic Leadership

• Drive strategy, planning, and execution for all RCM functions: patient access, billing, coding, charge capture, claims processing, payment posting, AR follow-up, and denial management.
• Develop and execute initiatives to improve collections, reduce denials, and optimize cash flow.
• Align operations with client requirements, compliance standards, and industry best practices.

Operational Excellence

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

Client & Stakeholder Management

• Serve as a key point of contact for client leadership.
• Build strong partnerships, ensuring SLAs, TATs, and quality benchmarks are met/exceeded.
• Manage escalations and drive resolution with a client-first approach.

Team Leadership

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

Compliance & Quality

• Ensure adherence to HIPAA, CMS guidelines, and client-specific compliance requirements.
• Establish and monitor strong internal controls and audit processes.
• Partner with Quality and Training teams to maintain high accuracy levels.

Financial Management

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

Key Skills & Competencies

• Expertise in US healthcare RCM (front-end to back-end).
• Strong knowledge of payer rules, coding guidelines, HIPAA compliance.
• Proven experience in large-scale operations management (250+ FTEs).
• Client-facing leadership skills with ability to build CXO-level relationships.
• Strong analytical and problem-solving mindset; data-driven decision-making.
• Ability to drive digital/automation initiatives (RPA, AI in RCM).
• Excellent communication, negotiation, and stakeholder management skills.

Success Metrics

• Improvement in collections and AR performance.
• Reduction in denials and operational errors.
• Achievement of SLA and client satisfaction scores.
• Employee retention and leadership pipeline strength.
• Profitability and cost optimization in line with business goals.

WHY JOIN GETIXHEALTH?:

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We’re more than revenue cycle experts—we’re a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and—above all—people.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER