About Our Client
Our client is a global business process management (BPM) organisation which provides a wide range of services to clients across multiple industries.
Brief Role Description
We are seeking a highly skilled Director or Senior Director to join our team as a Techno-Functional Expert in the field of Revenue Cycle Management (RCM). This role serves as a vital bridge between business stakeholders, domain experts, and technology teams, and will play a key role in developing a next-generation RCM platform that leverages outcome-driven automation and AI-powered capabilities.
This platform will focus on enhancing areas such as claims automation, autonomous coding, collections, analytics, and denials management.
Job Responsibilities
- Collaborate with RCM stakeholders (operations, compliance, technology) to capture and document detailed business requirements across intake, coding, billing, claims, accounts receivable, and denials.
- Define clear user stories, business rules, data flows, and expected system behaviors aligned with business outcomes.
- Work with product managers to prioritize features based on business value, operational impact, and technical feasibility.
- Provide field-level insights across the full lifecycle—from patient intake through back-end collections and appeals.
- Stay abreast of industry trends and provide guidance on compliance, best practices, and AI/automation adoption.
- Act as a trusted liaison between business users and technical teams, ensuring alignment between solution design and functional requirements.
- Collaborate with architects and engineers on data models, workflow orchestration, and integration of AI/ML models.
- Support user acceptance testing (UAT) to validate that system outputs meet business expectations.
Qualification
- 10+ years of experience in RCM operations, business analysis, or product development, preferably in a healthcare technology or BPO environment.
- Strong understanding of end-to-end RCM workflows, common bottlenecks, and operational challenges.
- Familiarity with major RCM platforms and EHR systems such as Epic, Cerner, Athena, and clearinghouse integrations.
Job Location: Gurugram
Experience: 15+