Delivery Head

Datamatics; Nashik District; On-site; INR 3,500,000 - 5,200,000; Full time

Job summary

Datamatics is seeking an experienced Delivery Head to oversee end-to-end operations for a US Healthcare BPO account in Nashik. You will lead the delivery, drive RCM, billing, and claims processing, while managing a large team of 150+ FTEs in a 24x6/24x7 setup.

AR responsibilities include SLA/KPI oversight, client management, process improvement, and ensuring HIPAA/HITECH compliance and data security across international clients. A strategic leader with strong domain expertise is required.

Qualifications

• 8-10 years of experience in BPO/ITES, preferably in US Healthcare operations.
• Minimum 3 years in a senior delivery leadership role.
• Strong knowledge of US Healthcare RCM, medical billing, and claims processing.
• Experience with CMS-1500/HCFA-1500 and UB-04 claim forms.
• Understanding of HIPAA, HITECH, and healthcare data security.
• Proven experience managing 150+ FTEs and 24x6/24x7 operations.

Responsibilities

• Manage end-to-end US Healthcare BPO operations, including medical billing, claims processing, and document indexing.
• Ensure accurate processing of professional claims (CMS-1500/HCFA-1500) and institutional claims (UB-04).
• Lead and manage large operational teams of 150+ FTEs in a 24x6 or 24x7 environment.
• Monitor SLAs, KPIs, productivity, turnaround time, claims accuracy, and quality performance.
• Ensure compliance with HIPAA, HITECH, PHI protection, and data security requirements.
• Manage international client relationships, escalations, MBRs, and QBRs.
• Drive process improvements, root cause analysis, and corrective action plans.
• Manage workforce planning, resource utilization, operational costs, and account profitability.
• Lead employee engagement, performance management, and retention initiatives.

Skills

Healthcare RCM

Medical billing

Claims processing

Client management

Operations leadership

HIPAA/HITECH knowledge

Education

Bachelor's or Master's degree in a relevant discipline

Job description

Job Opportunity: Delivery Head Healthcare BPO

Location: Nashik, Maharashtra
Experience: 8 + Years
Industry: US Healthcare BPO / ITES
Operations: 24x6
Team Size: 150+ FTEs

Job Description:

We are looking for an experienced Delivery Head to manage end-to-end operations for an international US Healthcare account. The ideal candidate should have strong expertise in Healthcare Revenue Cycle Management (RCM), medical billing, claims processing, client management, and large-scale operations delivery.

Key Responsibilities:

• Manage end-to-end US Healthcare BPO operations, including medical billing, claims processing, and document indexing.
• Ensure accurate processing of professional claims (CMS-1500/HCFA-1500) and institutional claims (UB-04).
• Lead and manage large operational teams of 150+ FTEs in a 24x6 or 24x7 environment.
• Monitor SLAs, KPIs, productivity, turnaround time, claims accuracy, and quality performance.
• Ensure compliance with HIPAA, HITECH, PHI protection, and data security requirements.
• Manage international client relationships, escalations, MBRs, and QBRs.
• Drive process improvements, root cause analysis, and corrective action plans.
• Manage workforce planning, resource utilization, operational costs, and account profitability.
• Lead employee engagement, performance management, and retention initiatives.

Candidate Requirements:

• 8- 10 years of experience in BPO/ITES, preferably in US Healthcare operations.
• Minimum 3 years of experience in a senior delivery leadership role.
• Strong knowledge of US Healthcare RCM, medical billing, and claims processing.
• Experience with CMS-1500/HCFA-1500 and UB-04 claim forms.
• Practical understanding of HIPAA, HITECH, and healthcare data security.
• Proven experience managing 150+ FTEs and 24x6/24x7 operations.
• Strong expertise in SLA management, client handling, workforce planning, and operational performance.
• Bachelors or masters degree in a relevant discipline.
• Six Sigma certification will be an added advantage.