Associate Operations Manager - Underpayments

R1 RCM; Hyderabad; On-site; INR 1,500,000 - 2,200,000; Full time

Job summary

R1 RCM in Hyderabad is seeking a Senior Revenue Analytics Lead to manage a team of associates and deliver end-to-end revenue cycle analysis for US healthcare providers.

You will drive improvements, develop SOPs, monitor KPIs, and collaborate with stakeholders across US teams to maximize reimbursement and reduce leakage. 5+ years in US health care, TL/AM experience, and strong SQL/Excel skills required.

Qualifications

• Bachelor's degree from a recognized university
• Proficient in SQL, MS Excel, and PowerPoint
• Excellent written and verbal communication skills
• Experience working with stakeholders in a fast-growing environment
• Minimum 5 years in US health care and 2 years in TL/AM roles

Responsibilities

• Lead a team of associates/SME to operate independently
• Conduct revenue analytics to identify reimbursement opportunities in US revenue cycle
• Analyze end-to-end revenue cycle to prevent leakage and improve accuracy
• Develop SOPs, TATs, and MIS reports to monitor performance
• Communicate findings with US teams and drive action and improvements
• Manage daily huddles, performance metrics, and team engagement

Skills

SQL

MS Excel

PowerPoint

Communication

US Healthcare

Team Leadership

Education

Bachelor's degree

Job description

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.

About the role:

Needs to work closely and communicate effectively with internal and external stakeholders. Be able take up continuous improvement ideas, initiatives, managing team and MIS reporting, maintain synchrony in the team. Be able to create and define SOPs, TATs for ongoing and upcoming projects.

What you will do:

• Members should be able to manage a team of associates to lead associate/SME level independently.
• Revenue Analytics to identify additional reimbursement opportunities in revenue cycle management of US Healthcare.
• Prevention of revenue leakage in Hospital/Physician business. Strong knowledge of end-to-end revenue cycle management to be able to do analytics in each area.
• Well versed knowledge of Contract Model, Expected Reimbursement methodologies, Underpayment/Payment variance analysis, Denial Analytics, Revenue Capture Ideas, Appeal Follow up with insurance.
• Meet required benchmarks for production, accuracy, and efficiency.
• Able to control Shrinkage and Attrition of team members.
• Regular connect with Team members, performance metrics, incentive discussion and team engagement activities/Professional growth.
• Clearly communicate the goal to employees.
• Create a positive and inclusive work environment.
• Bring out the best from the employees to ensure they are making progress.
• Set appropriate deadlines and assign right individuals for each task as required skills.
• To effectively communicate the findings/ observations with recommended action to US team
• To manage daily huddles, challenges, any conflicts within team or with external team members
• To manage work allocation, inventory management and TNI for quality feedback
• Maintaining proper data for weekly, monthly, and quarterly reporting and evaluation for predictive analysis and reporting in effective Dashboards.
• Effectively involves new transitions and trainings to new joiners and upgrades the skill set of existing members as per process requirements.

What you will Need:

• Graduate in any discipline from a recognized university/college with a good academic track record.
• Knowledge of Basic SQL, MS Excel, Power Point
• Excellent communication Skills (both written & verbal)
• Working closely and communicating effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines.
• Minimum 5 years of experience in US health care and 2 years experience in leading process at TL/AM level.
• Strong analytical skills with emphasis on complex equations
• Understanding advanced technology that helps to improve process efficiency.
• Flexible to work in 24*7 environment.