SVP, Client Delivery & Operations

ASP-RCM Solutions; Chennai District; On-site; INR 4,000,000 - 8,000,000; Full time

Job summary

ASP-RCM Solutions seeks an senior operations leader to own the client delivery end-to-end and the accompanying P&L. The role requires deep expertise in US healthcare revenue cycle metrics and direct executive-level client ownership, with proven experience in contingent-fee engagements.

You will coach leaders, monitor performance, and scale delivery capabilities to improve client collections and margins across engagements.

Qualifications

• Mandatory: working command of RCM metrics and cost to collect.
• Mandatory: 20+ years in end-to-end US healthcare revenue cycle with escalating leadership responsibility.
• Mandatory: direct P&L ownership at scale (revenue, cost to serve, margin).
• Mandatory: proven experience with contingent/contingency-fee engagement models.
• Mandatory: direct client ownership with hospitals and large physician groups at CFO/executive level.

Responsibilities

• Own client delivery end to end and the associated P&L.
• Oversee delivery outcomes published by the firm.
• Coach, monitor and develop leaders across the team.
• Manage contingent-model economics and firm-client alignment.
• Maintain direct executive-level client relationships with hospitals and large groups.
• Scale and enhance delivery capability to meet client needs.

Skills

RCM metrics

End-to-end revenue cycle

Contingent-model engagement

Executive client ownership

P&L ownership

Leadership development

Hospital CFO negotiations

Education

20+ years in US healthcare RCM with leadership

Job description

This is the operational apex of the company and the seat every service line reports into. You own client delivery end to end, the P&L that sits under it, and the performance of every operational leader below you. The mandate is blunt: our clients stay, our numbers improve quarter over quarter, and our leaders get measurably better because you coached them. We work substantially in contingent models, which means our revenue is our clients' collections. There is no invoice to hide behind and no way to be profitable while the client underperforms. That alignment is the whole thesis of this firm, and this seat is where it is either honoured or lost. Compensation is set to be best in industry for this role, because the seat is worth it and because we intend to win the person, not negotiate them down.

What you will own:

• Client retention, above everything else;
• The delivery P&L;
• Every operational outcome we publish;
• Coaching, monitoring and measuring your leaders;
• Contingent-model economics;
• The client relationship at the executive level;
• Delivery capability and scale

What we look for:

• MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect;
• MANDATORY: 20 or more years in end-to-end US healthcare revenue cycle, with escalating operational leadership responsibility;
• MANDATORY: direct P&L ownership at scale. Revenue, cost to serve and margin, not a cost centre or a headcount budget;
• MANDATORY: proven experience running contingent and contingency-fee engagement models, where the firm is paid on client collections;
• MANDATORY: direct client ownership experience with hospitals and large physician groups, at the CFO and executive level, not through an intermediary or a US-based account team;
• A demonstrable retention record. You can name accounts you saved, what was actually wrong, and what you changed;
• Has built and led multi-layer leadership structures: directors, managers and team leads, with a real performance and development system behind it;
• Fluent across the full revenue cycle: eligibility and authorization, coding and documentation, charge capture, claims and edits, AR and denials, credentialing and enrolment, and patient collections;
• Able to sit in front of a hospital CFO and hold a numbers conversation with total credibility;
• On-site in Chennai, with the schedule flexibility that US client leadership requires