Senior Project Manager - RCM Analytics

Location: SMILES 1, Bengaluru

Years of Experience: 16-20 Years

Job Summary: We are seeking an experienced Senior Project Manager to lead our Revenue Cycle Management (RCM) analytics initiatives. The ideal candidate will possess a deep understanding of RCM processes and analytics, with a proven track record in service delivery and stakeholder management. This role requires a strategic thinker who can drive performance improvements and ensure client satisfaction through effective governance and analytics.

Key Responsibilities

Own the RCM analytics operating model, including tower roadmap, delivery performance, and client governance.
Lead analytics for eligibility, authorization, charge capture, clean claims, denials, accounts receivable (AR), and collections.
Govern payer, reimbursement, coding-quality, and revenue-leakage insights.
Build domain expertise in analytics, engineering, business intelligence (BI), audit, and data quality capabilities.
Separate analytics responsibilities from transactional RCM operations unless explicitly contracted.

Experience And Capability Requirements

15+ years of experience in US healthcare revenue cycle, RCM analytics, or provider financial operations.
Experience leading large delivery organizations and transformation programs.
Data-led mindset with strong client and commercial credibility.

Core Competencies

Executive stakeholder management.
Structured problem solving and decision-making.
Quality, risk, and governance discipline.
Clear written and verbal communication skills.
Talent Development.
Commercial and operational judgment.

Mandatory Skills

Proven experience in service delivery within RCM analytics.
Strong understanding of claims, denials, reimbursement, coding, and AR processes.

Preferred Skills

Experience with advanced analytics tools and methodologies.
Familiarity with healthcare regulations and compliance standards.

Qualifications

Bachelor's degree in Business Administration, Healthcare Management, or a related field; Master's degree preferred.
Relevant certifications in project management (e.g., PMP, Six Sigma) are a plus.

We are looking for a dynamic leader who can drive our RCM analytics initiatives to new heights. If you meet the qualifications and are ready to take on this challenge, we encourage you to apply.

Service Delivery, Hospital & Clinical Operations, Predictive Analytics

DIRECTOR - Service Delivery