Head of Delivery – Healthcare RCM BPO, AI-Enabled
Codvo.ai
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
Tech Stack
About the role
- Oversee end-to-end delivery across all RCM towers: Patient Access, Medical Coding, Charge Capture, Billing, AR, Denials, Cash Posting, and Provider Helpdesk.
- Lead high-performance operations across multi-site, multi-client delivery centers.
- Build scalable operational frameworks supporting rapid growth, high productivity, and cost efficiency.
- Establish and manage SLAs, KPIs, quality metrics, and performance governance across all accounts.
- Champion the adoption of AI, ML, GenAI, NLP, OCR, RPA, and workflow automation for RCM processes.
- Evaluate and deploy AI-enabled RCM platforms for denial prediction, coding automation, AR optimization, and intelligent document processing.
- Partner with data and engineering teams to implement dashboards, process mining, and predictive analytics.
- Drive continuous automation to reduce manual effort, accelerate turnaround times, and improve margins.
- Act as the senior delivery leader for enterprise healthcare clients including provider groups, MSOs, ASCs, hospitals, and payers.
- Ensure delivery excellence resulting in high NPS, retention, and revenue expansion.
- Collaborate with account management and sales to support renewals, expansions, and new solution offerings.
- Lead executive-level reviews, QBRs, and performance discussions with C-level stakeholders.
- Ensure adherence to HIPAA, CMS, coding guidelines, and payer compliance standards.
- Establish quality frameworks that meet regulatory and client expectations.
- Mitigate operational risks through strong controls, governance, and audit readiness.
- Drive certification programs (AAPC, AHIMA, CHFP) for staff.
- Lead large cross-functional teams including delivery, quality, training, and workforce management.
- Build leadership layers such as operations managers, senior managers, and process leads.
- Drive workforce planning, utilization, productivity improvement, and talent development.
- Promote a culture of accountability, learning, and innovation.
Requirements
- 10+ years of experience in Healthcare RCM BPO operations with at least 3+ years in a delivery leadership role.
- Deep expertise across the full RCM lifecycle and strong understanding of US healthcare provider and payer ecosystems.
- Proven experience scaling 100–500+ FTE delivery operations across multiple clients.
- Strong background implementing AI/ML, automation, digital workflows, and analytics in RCM operations.
- Expertise in SLA management, lean/automation-driven improvements, and delivery governance.
- Experience managing P&L, operational budgets, margins, and account growth.
- Strong executive communication and client-facing leadership capability.
- Deep understanding of HIPAA, PHI, coding compliance, and industry standards.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
RCM operationsAIMLGenAINLPOCRRPApredictive analyticsSLA managementcoding compliance
Soft Skills
leadershipcommunicationcollaborationaccountabilityinnovationtalent developmentperformance governanceclient-facing leadershiprisk mitigationprocess improvement
Certifications
AAPCAHIMACHFP