KPMG- Operations Lead role

Operations Lead – RCM (US Healthcare)

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Location:

Ahmedabad - Onsite

Role Summary:

We are seeking an experienced Operations Lead to manage end-to-end Revenue Cycle Management (RCM) operations for the US Healthcare process. The role involves leading teams, driving process efficiency, ensuring client satisfaction, and achieving operational KPIs.

Key Responsibilities:

• Lead and manage day-to-day RCM operations (Eligibility, Coding, Billing, AR, Denials, Payment Posting)
• Handle a team of Team Leads/Executives and ensure productivity & quality targets are met
• Monitor KPIs such as TAT, SLA, accuracy, and revenue realization
• Drive process improvements, automation, and cost optimization initiatives
• Manage client communication, reporting, and stakeholder expectations
• Identify training needs and support team development
• Ensure compliance with HIPAA and other regulatory standards

Key Requirements:

• 8–13 years of experience in US Healthcare RCM
• Minimum 5–6 years in a team handling/leadership role
• Strong understanding of end-to-end RCM lifecycle
• Excellent stakeholder management and communication skills
• Experience in handling large teams and multiple processes
• Proficiency in MIS reporting and performance tracking

Preferred Skills:

• Experience in AR/Denials management or end-to-end RCM operations
• Exposure to transition, process setup, or client onboarding
• Lean/Six Sigma certification is a plus