Country Manager

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 Highlights

• 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
• Ensure operations and service models are optimized
• Embed 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 clients
• Understand competitor performance and market conditions to effectively leverage HRC Revenue
• Inform 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 growth
• Hold self and team accountable for creating and maintaining Raving fan customer relationships
• Effectively 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 operations
• Closely monitor operational metrices to ensure service levels are met
• Evaluate, re-evaluate processes and KPI achievement for optimizing efficiency
• Identify and resolve technical, and operational and organizational problems
• Monitor required reporting and provides direction on findings
• Direct others to resolve business problems that affect multiple functions or disciplines
• Provide 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 adherence
• Monitor and confirm all operational activities conform to HRC compliance requirements
• Provide oversight and challenge to senior management on decisions and processes regarding strategy and compliance
• Understand and manage the Federal and State requirements and relationships related to operations
• Provide governance on network strategy and development
• Hold self and team accountable for compliance
• Practice 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 solutions
• Drive team towards technological integration
• Resolve operational bottlenecks in solution development
• Use 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 culture
• Lead 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 functions
• BA/BS in related field plus 15+ years of experience in Full-service RCM service delivery including offshore operations
• Minimum 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 company
• Expertise in process improvement, cost optimization, and performance management across markets to ensure seamless operations
• Knowledge and deep understanding of Revenue Cycle Management compliance requirements and RCM Technology landscape
• Strong focus on quality assurance, compliance, and risk management
• Senior leadership experience in developing and managing portfolio of revenue generative initiatives/efforts, with focus on driving automation and introducing new products and services
• Strong 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 members
• Excellent communication skills as this role will require public speaking
• Experience 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 growth
• Ability 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 results
• killed 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 teams
• Expertise 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 growth
• Able to allocate resources towards achieving the strategic goals, staying current with performance against goals and identify roadblocks ahead of time
• Able 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 Operations
• Able to run process steps at maximum efficiency with the right controls
• Adept in technology platforms which can increase process efficiency, and able to use them towards better outcomes

CREDIBLE

• Has strong empathy and able to identify strategic customer pains and develop unique and compelling value propositions that focus on delivering business value

COMMERCIAL

• Knows the business well enough to craft solutions to client problems as well as to propose internal improvements based on prospecting conversations
• Directs operations with the understanding of HRC financials and cost structures