Senior Manager RCMS India Operations

Job Description:

Qualifacts is the leading behavioral health technology partner, specializing in AI-powered electronic health record (EHR) software and data solutions. Putting the health of individuals first, our award-winning solutions enable behavioral health providers to spend more time on what matters most: delivering superior care that drives better outcomes. Qualifacts is more than a provider of innovative technology—we’re partners in care, working alongside organizations of all sizes nationwide to simplify the lives of behavioral health providers. We simplify clinical workflows and ensure compliance, while strengthening client-provider relationships. Today, we serve more than 2,700 organizations across all 50 states, including 33% of the nation’s Certified Community Behavioral Health Centers (CCBHCs), supporting both non-profit and for-profit organizations in delivering superior behavioral healthcare.

If you want to work inside an atmosphere where innovation has purpose, and your ambition works to support our customers and those they serve, please apply today!

This is an onsite position, 5 days/week, in the Vadodara office working the NIGHT SHIFT. Hours are 6:30pm-3:30am IST. Remote applicants will not be considered. 

Summary of the Sr. Manager, RCMS India Operations

The Sr. Manager, RCMS India Operations is responsible for turning portfolio strategy into operating plans, leading multi-layered teams, and building systems for reliable service, growth, client outcomes, and workforce capability. They will run daily operations, resolve delivery issues, lead service recovery, and advance approved transformation. In addition, they will also escalate material strategic, financial, compliance, workforce, client, or reputational risks.

Responsibilities for the Sr. Manager, RCMS India Operations

• Lead RCM operations across charge capture, billing, prior authorization, payment posting, A/R follow-up, denials, collections, and credit balances
• Convert strategy into operating plans, capacity models, goals, workflows, controls, and manager accountabilities
• Set operating cadences, balance work, and maintain continuity, cross-training, succession coverage, and contingency plans
• Maintain a reliable portfolio view of SLAs, KPIs, backlog, quality, clean claims, denials, days in A/R, aging, collections, turnaround, capacity, and cost-to-serve
• Lead root-cause analysis and corrective action for leakage, underpayments, denials, rework, bottlenecks, and productivity loss
• Build manager capability in forecasting, variance analysis, staffing economics, and value realization; manage assigned expenses within targets
• Serve as the senior India operations contact for assigned clients and partners; lead operational reviews and support executive reviews
• Lead service recovery by stabilizing delivery, communicating clearly, coordinating action, and preventing recurrence
• Partner across operations, customer teams, onboarding, finance, technology, analytics, compliance, HR, training, and quality; close commitments, risks, and dependencies
• Lead through managers, supervisors, team leads, and experts with clear outcomes, decision rights, coaching, recognition, and accountability
• Build succession depth through talent reviews, readiness plans, stretch assignments, mentoring, and cross-functional exposure
• Partner with HR, recruiting, training, and quality on workforce planning, hiring, onboarding, retention, certification, proficiency, and remediation
• Ensure compliance with HIPAA, CMS and payer requirements, client policies, security standards, and company controls
• Maintain audit readiness through current SOPs, access controls, quality checks, documentation, issue tracking, and timely remediation; immediately escalate suspected privacy, security, fraud, compliance, or control issues
• Implement approved process, technology, analytics, automation, RPA, AI, and operating-model changes with measurable adoption and benefits
• Support transitions, expansions, migrations, and stabilization; standardize delivery while preserving contractual, specialty, payer, and regulatory requirements

Qualifications of the Sr. Manager, RCMS India Operations

• Bachelor’s degree in business, healthcare management, finance, commerce, or a related field; experience in lieu of degree acceptable
• 10+ years of progressive US healthcare RCM or services operations experience, including 3+ years leading managers and large teams
• Expertise in behavioral health, physician and/or facility billing, A/R, denials, appeals, payment posting, prior authorization, collections, payer processes, and revenue integrity
• Proven results improving service, financial outcomes, client experience, quality, productivity, workforce performance, and controls across clients or service lines
• Experience leading escalations, transitions, transformation, and cross-functional problem solving with US stakeholders
• Working knowledge of CPT, ICD-10-CM, HCPCS, Medicare, Medicaid, commercial payer requirements, HIPAA, CMS guidance, and RCM controls

• Ability to support US business hours, client meetings, rotational coverage, and limited travel.

• Master's degree, preferred
• Experience with Qualifacts, Epic, Oracle Health/Cerner, athenahealth, NextGen, or related reporting, workflow, workforce, and automation tools
• Advanced Excel and reporting skills; Power BI or similar analytics experience

• CRCR, CRCE, CPC, Lean Six Sigma, PMP, or comparable certification

Knowledge, Skills, and Abilities for the Sr. Manager, RCMS India Operations

• Build systems that turn priorities into reliable execution
• Connect coding, billing, payer, reimbursement, authorization, denials, payments, and collections
• Use data, trends, and root-cause analysis to solve problems
• Understand revenue, cash, margin, cost-to-serve, staffing, productivity, and trade-offs
• Set decision rights, coach managers, and build succession depth
• Communicate performance, risks, and recommendations clearly
• Manage stakeholder impact, resistance, adoption, and benefits
• Align partner, apply sound risk judgment, and use digital tools responsibly

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.