Director- Denial Management RCM

R1 RCM, Inc.; Chennai District; On-site; INR 3,500,000 - 7,000,000; Full time

Job summary

R1 RCM, Inc. in Chennai seeks a Director - Denial Management (Backend Operations) to lead end-to-end denial management with a span of about 800 FTEs and to drive client satisfaction across multiple sites.

The role reports to the Senior Director and requires strong leadership of DR and non-DR teams while ensuring adherence to policies and performance targets. The position is work-from-office with a shift timing of 6 pm to 3 am.

Responsibilities

• Driving Company Values/Vision: As Part of the Senior Leadership team, need to make sure the complete span is aligned with the end goals and values of the organization.
• Leadership/Coaching: Provides overall leadership to teams and day-to-day leadership to all DR and Non DRs but which in the span. Coach teams to be able to identify inquiries which are beyond the scope of authority and take appropriate actions. Inspire all DRs to focus on adherence to policies and processes; foster a positive work environment. Develops and maintains productive working relationships with Sr. Manager Ops Managers, setting a positive example for their working relationships with their teams
• Career Development/Performance Dialogue: Set goals and standards of performance for DRs and their team members which are linked to business goals; use appropriate measurement methods to monitor progress; take suitable accountability for successful completion of assignments or tasks. Provide ongoing dialogue to DRs about their performance. Coaches and helps establish individual development.
• Continuous Improvement: Identifies and strategies approve process changes to improve customer experience. Maintain in-depth knowledge of client needs. Promotes and maintains a positive, professional image of R1 RCM.
• Knowledge Leadership: Candidate is expected to provide knowledge leadership by displaying a high degree of domain expertise in end-to-end RCM functions.

Job description

Job Summary

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 industry's 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.

Role Overview

Designation: Director - Denial Management (Backend Operations)

Reports to (level of category): Senior Director

Mode of Work: Work from office

Shift Timing: 6 pm to 3 am

Job Location: Chennai

Responsibilities

• Driving Company Values/Vision: As Part of the Senior Leadership team, need to make sure the complete span is aligned with the end goals and values of the organization.
• Leadership/Coaching: Provides overall leadership to teams and day-to-day leadership to all DR and Non DRs but which in the span. Coach teams to be able to identify inquiries which are beyond the scope of authority and take appropriate actions. Inspire all DRs to focus on adherence to policies and processes; foster a positive work environment. Develops and maintains productive working relationships with Sr. Manager Ops Managers, setting a positive example for their working relationships with their teams
• Career Development/Performance Dialogue: Set goals and standards of performance for DRs and their team members which are linked to business goals; use appropriate measurement methods to monitor progress; take suitable accountability for successful completion of assignments or tasks. Provide ongoing dialogue to DRs about their performance. Coaches and helps establish individual development.
• Continuous Improvement: Identifies and strategies approve process changes to improve customer experience. Maintain in-depth knowledge of client needs. Promotes and maintains a positive, professional image of R1 RCM.
• Knowledge Leadership: Candidate is expected to provide knowledge leadership by displaying a high degree of domain expertise in end-to-end RCM functions.

As Director, the candidate is responsible for:

• Responsible for a span in the range of 800 FTEs. The span can vary depending upon process complexity and stage of business
• PL Management by keeping close watch on LLR
• Client relationship management
• Upselling capabilities and performance to add further business scope of work
• Identify and lead projects of high impact within the business
• Manage delivery of clients' expectations outlined in the scope of work SOW.
• Manage day-to-day operations by applying appropriate contractual provisions (scope of work), following quality compliance guidelines, and leveraging expert resources.
• Ability to oversee and manage a team that will handle Backend service delivery for multiple clients/sites/facility.
• This role is to ensure that the Middle management is managing their teams and meets all KRAs and SLAs.
• Understand Operations and Corporate Compliance, Policies and procedures, and best practices.
• Respond to all telephonic and email inquiries for clients' onsite team in a clear, concise, and timely manner.
• Other duties as outlined by leadership