Associate Director Back Office RCM Operations
Job Description
Location: NCR / Hyderabad
Grade: 29
Description - External
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Role Summary We are seeking a high-impact Associate Director RCM Operations to lead large-scale back-office delivery while owning and driving end-to-end revenue outcomes. This role goes beyond operational delivery and requires a leader who can connect back-office performance with upstream RCM drivers, influence cross-functional teams, and deliver measurable improvements in cash collections, AR days, denial rates, and net revenue realization. The ideal candidate brings deep RCM expertise, a strong cost and efficiency mindset, and the ability to leverage automation, analytics, and AI to transform operations.
Key Responsibilities 1. Outcome Ownership (Revenue & Performance Metrics)
Own and drive improvement in key RCM outcome metrics, including:
o
Cash collections / cash acceleration
o
AR days reduction
o
Denial rates & overturn rates
o
Gross Collection Rate (GCR) / Managed Net Collection Rate (MNCR)
o Write-offs and revenue leakage reduction
Translate operational performance into measurable financial outcomes.
Build strong visibility and governance around metric performance, trends, and drivers.
2. Back-Office Operations Leadership: Lead large-scale back-office RCM functions (AR follow-ups,
denials, payment posting, coding support, adjustments).
Ensure high performance on:
o Productivity
o Quality
o SLA adherence
Drive operational rigor and standardization to support consistent delivery of outcomes
3. Closed-Loop Feedback with Front & Mid Office
Actively collaborate with front-end and mid-cycle teams to address upstream issues impacting
back-end outcomes.
Establish and drive a closed-loop feedback mechanism to:
o Identify root causes of denials, rejections, and delays
o Fix process gaps at source (eligibility, authorization, coding, billing)
Influence cross-functional stakeholders to improve first-time-right rates and reduce rework.
4. RCM Domain Expertise & Insight-Led Problem Solving
Leverage deep understanding of the end-to-end RCM lifecycle to diagnose systemic issues.
Use data and analytics to identify revenue leakage, bottlenecks, and inefficiencies.
Provide actionable insights to clients and internal teams to improve overall RCM performance
5. Cost Optimization & Efficiency Focus
Drive initiatives to reduce cost-to-collect while improving revenue outcomes.
Identify and act on key levers:
o Productivity improvement
o Process simplification
o Automation adoption
Build a culture focused on efficiency, cost consciousness, and value delivery.
6. Transformation, Automation & AI Enablement
Identify and implement automation and AI-driven solutions across RCM workflows.
Drive use cases such as:
o Intelligent AR prioritization
o Denial prediction & prevention
o Automated workflows and exception handling
Partner with technology teams to align RCM domain needs with digital solutions
7. Client & Stakeholder Management
Engage with clients and onshore stakeholders as a value-driven partner, not just a delivery owner.
o
Lead governance discussions with focus on: Outcome metrics
o
Insights and root causes
o
Continuous improvement opportunities
Build strong credibility through data-backed recommendations and execution.
8. Process Excellence & Innovation
Lead continuous improvement initiatives (Lean / Six Sigma) focused on both efficiency and revenue impact.
Standardize and scale best practices across accounts.
Encourage innovative and out-of-the-box thinking to solve complex RCM challenges.
9. People Leadership
Lead and develop large teams (300 500+ FTEs), including managers and supervisors.
Build a high-performance culture focused on:
Accountability for outcomes (not just tasks)
Capability building in RCM domain
Continuous improvement mindset
10. Transition & Change Management
Lead/support transitions of RCM processes into offshore/global delivery.
Ensure effective stabilization with strong focus on outcome continuity and improvement.
Drive adoption of new processes, tools, and transformation initiatives.
11. Governance & Compliance
Ensure adherence to client SLAs, compliance standards (HIPAA), and internal controls.
Proactively identify and mitigate risks impacting operations and revenue outcomes.
Establish strong governance frameworks for performance tracking and reporting.
Desired Profile
Education: Graduate (MBA preferred)
Experience: 12 15 years in US Healthcare RCM / BPO operations
Proven experience managing large-scale back-office operations (300 500+ FTEs)
Strong exposure to end-to-end RCM lifecycle and performance metrics
Core Competencies
RCM Domain & Outcome Orientation
Operational Excellence
Cost & Efficiency Mindset
Transformation & Technology Orientation
Stakeholder Management
Leadership
Preferred Qualifications
Lean Six Sigma certification
Experience in transformation / automation programs
Exposure to analytics and digital RCM solutions
Success Metrics (What Good Looks Like)
Improvement in cash collections, AR days, GCR/MNCR, and write-off %
Reduction in denials and rework through upstream fixes
Lower cost-to-collect with improved efficiency
Successful implementation of automation / AI initiatives
Strong collaboration across front, mid, and back-office teams
High client satisfaction and team engagement
VDart: Digital Consulting & Staffing Solutions
VDart is a leading digital consulting and staffing company founded in 2007 and headquartered in Alpharetta, Georgia. VDart is one of the top staffing companies in USA & also provides technology solutions, supporting businesses in their digital transformation journey. Digital consulting services, Digital consulting agency
Core Services:
- Digital consulting and transformation solutions
- Comprehensive staffing services (contract, temporary, permanent placements)
- Talent management and workforce solutions
- Technology implementation services
Key Industries: VDart primarily serves industries such as automotive and mobility, banking and finance, healthcare and life sciences, and energy and utilities. VDart - Products, Competitors, Financials, Employees, Headquarters Locations
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