Vice President of Operations (Healthcare BPO)

Private Advertiser; Pasay; On-site; PHP 3,500,000 - 7,000,000; Full time

Job summary

Private Advertiser in the Philippines seeks a Vice President of Operations to lead strategy and execution across RCM, clinical services, payer operations, and provider operations for international healthcare clients.

You will own the operational strategy, financial performance, and KPI governance while building scalable, compliant BPO delivery. You will mentor senior leaders and drive cross-functional collaboration across distributed teams.

Qualifications

• 12–15 years of progressive experience in healthcare operations
• 5–7 years in senior leadership roles managing large-scale operations
• Experience overseeing two or more of: RCM, clinical operations, payer operations, and provider operations

Responsibilities

• Develop and execute the operational strategy for the healthcare BPO portfolio
• Lead multiple operational functions and accounts across RCM, clinical, payer, and provider operations
• Establish objectives, governance frameworks, and accountability across all service lines
• Drive standardization, scalability, and service delivery excellence across accounts and locations
• Oversee end-to-end RCM operations including patient access, verification, prior authorization, coding, and claims
• Provide strategic oversight of clinical support services including documentation, utilization management, and care coordination
• Sponsor strategic accounts and governance with clients
• Own financial performance including revenue, costs, gross margin, and profitability
• Define KPI framework covering productivity, quality, turnaround, SLA, client satisfaction, and financials
• Lead and develop operations directors, senior managers, and account leaders

Skills

Healthcare operations

Executive leadership

Budget management

Client governance

Multi-account delivery

Education

Bachelor’s degree in Business Administration, Nursing, Health Information Management, Finance, or related

Job description

About the role

The Vice President of Operations is responsible for providing strategic and operational leadership across multiple healthcare service lines, including Revenue Cycle Management (RCM), clinical operations, payer services, and provider services. This executive role oversees the delivery of high-quality, compliant, cost-effective, and scalable healthcare business process outsourcing solutions for international healthcare clients. The VP of Operations drives operational excellence, client satisfaction, financial performance, workforce productivity, and continuous improvement across the assigned portfolio of accounts.

Key responsibilities

• Develop and execute the operational strategy for the healthcare BPO portfolio, aligned with corporate goals, growth targets, and client commitments.
• Lead multiple operational functions and account portfolios across RCM, clinical services, payer operations, and provider operations.
• Establish operational objectives, performance standards, governance frameworks, and accountability structures across all service lines.
• Drive standardization, scalability, operational efficiency, and service delivery excellence across multiple accounts and delivery locations.
• Oversee end-to-end RCM operations, including patient access, insurance eligibility and verification, prior authorization, medical coding, charge capture, claims submission, payment posting, denial management, accounts receivable follow-up, and patient billing.
• Provide strategic oversight of clinical support services, including clinical documentation improvement, utilization management support, care coordination, clinical review, and medical records management.
• Serve as the executive sponsor for strategic and high-value healthcare accounts and establish effective client governance.
• Own the operational financial performance of the assigned portfolio, including revenue contribution, operating costs, gross margin, and profitability.
• Define and maintain a comprehensive KPI framework covering productivity, quality, turnaround time, SLA attainment, client satisfaction, employee performance, and financial results.
• Lead, coach, and develop operations directors, senior managers, account leaders, and other functional heads.

About you

• Bachelor's degree in Business Administration, Nursing, Health Information Management, Finance, or a related discipline.
• Minimum of 12-15 years of progressive experience in healthcare operations, healthcare BPO, or healthcare services management.
• At least 5-7 years in senior leadership roles managing large-scale, multi-account, or multi-functional operations.
• Demonstrated experience overseeing two or more of the following: RCM, clinical operations, payer operations, and provider operations.
• Proven track record of managing complex client relationships, operational budgets, profitability, and executive-level escalations.
• Experience leading large, geographically distributed teams and managing service delivery across multiple client accounts.
• Experience in US healthcare processes and payer-provider operating models is strongly preferred for organizations serving the US healthcare market.
• Demonstrated success in operational transformation, performance improvement, account retention, and business growth.