Omega Healthcare Management Services

AVP of RCM Operations

Omega Healthcare Management Services  •  United States (Remote)  •  22 days ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

The AVP of RCM Operations holds end-to-end accountability for the strategic direction, operational performance, and financial success of Health System revenue cycle engagements (front, middle and back office). This role serves as the executive-level bridge between global delivery teams and client leadership. The AVP is responsible for driving quality, compliance, and multi-million dollar revenue targets while leveraging AI, automation, and lean process design to maintain a competitive market advantage.

Essential Job Functions

  • Establish and direct goals, policies, and procedures for the RCM and HIM service lines to ensure alignment with the organization’s strategic plan.

  • Manage budgeted revenue targets, margins, and expenses for large-scale global operations ($10–$15M ACV).

  • Partner with Client Success and Sales teams to identify cross-sell opportunities within existing accounts and support the expansion of the business unit.

  • Provide management oversight for large-scale global teams (India, Philippines, Colombia, etc.), ensuring resources are aligned to meet or exceed client requirements.

  • Pinpoint and monitor key value drivers including Cash Collection, AR Days, Denials, Net Promoter Score (NPS), and Accuracy/Quality targets.

  • Lead the re-engineering of workflows and the deployment of "Lean" principles to eliminate waste and maximize productivity across the front-to-back office continuum.

  • Partner with IT to evaluate and implement AI-enabled coding, RPA (Robotic Process Automation), and advanced analytics to gain competitive advantages and improve operational efficiency.

  • Develop the support frameworks and reporting tools necessary to enable rapid scaling and executive-level visibility.

  • Act as the Revenue Cycle Subject Matter Expert (SME) during monthly/quarterly executive business reviews (EBRs) with high-value health system clients.

  • Ensure all global operations strictly adhere to HIPAA, HITECH, and Federal/State regulatory requirements, as well as specific client contract mandates.

Key Success Indicators/Attributes

  • Ability to prioritize and multi-task in a fast paced, changing environment.

  • Demonstrate strong organizational skills and be detail oriented.

  • Ability to self-motivate and self-direct.

  • Ability to achieve set goals and deadlines.

  • Demonstrate strong time management skills.

  • Demonstrate excellent leadership, mentoring, and interpersonal skills.

  • Demonstrate the ability to analyze and problem solve.

  • Demonstrate strong commitment to team environment.

  • Ability to collect, create, and research complex or diverse information and act/plan accordingly.

  • Experience budgeting and monitoring financial indicators.

  • Ability to maintain professionalism when interacting with internal and external customers.

  • Ability to draft presentations using PowerPoint and present information to large groups.

  • Proficient personal computer skills with MS Office (Word, Excel, Power Point, Outlook).

Required Education and Experience

  • Minimum of 10 to 12 years of progressive leadership in Revenue Cycle Management (RCM) or HIM, with at least 5 years in a second-line leadership role (managing other managers).

  • Expert-level knowledge of acute healthcare operations across the entire continuum.

  • Proven experience managing global delivery centers and large, remote workforces.

  • Demonstrated success in managing large-scale client accounts ($10M+ ACV) with a focus on contingency-based models and performance-driven outcomes.

  • Bachelor’s degree in business, HIM, or a related field.

Preferred Education and Experience

  • Master’s degree.

  • Experience implementing AI/Automation tools within a high-volume RCM environment.

Supervisory Responsibility

Yes, this role provides leadership and management oversight to a vertical hierarchy including Directors, Managers, Supervisors of RCM, and the broader global operations staff (QA Insurance Reps, Insurance Reps, Patient Account Reps, Billers, and Payment Posters).

Work Environment

This job operates in a remote home office environment This role routinely uses standard office equipment such as computers and phones

Physical Demands

The physical demands described here are representative of those that must be met by an employee to

successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Travel required; up to 20%

Additional Eligibility Qualifications

None required.

Security Access Requirements

In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega Healthcare systems set forth in the “Standard Manager” profile.

Microsoft Office

ADP

Oracle

Reviewmate

E3- Supervisors, Managers, Office Employees

Standard Manager

Standard

Access is determined by client need and granted by their supervisor and the Audit Implementation Manager

Equal Employment Opportunity:

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.

#LI-Remote

#L1-DC1

Omega Healthcare Management Services

About Omega Healthcare Management Services

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves 350+ healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

End-to-End Revenue Cycle Management Solutions:

Patient Access

- Scheduling & Registration

- Insurance Eligibility & Benefits Verification

- Prior Authorization

Mid-Revenue Cycle

- Medical Records Coding

- Charge Capture

- Chart Audit

- Chart Audits

- Clinical Documentation Improvement

- HCC Coding Review

Business Office

- Claims Management & Billing

- Payment Posting & Reconciliation

- A/R Management & Collections

- Denials & Appeals Management

- Underpayment Analysis & Recovery

- Data Analytics Platform (WhiteSpace Analytics)

Full Business Office

Care Coordination

- Remote Patient Monitoring

- Telephone/Message Nurse Triage

- Customer Contact Center

Health Data Curation

- Clinical Trial Data Solutions

- Real-World Data Curation

- AI/ML Model Validation and Enablement

- Registry Data Management

Payer Operations

- Risk Adjustment Documentation & Coding Review

- HEDIS Chart Abstraction

- Care Coordination

- Provider & Member Communication

- Utilization Management

- Claims Administration

- Member Management

- Provider Data & Network Management

Pharma:

Access

- Member Enrollment

- Benefit Verification

- Prior Authorizations

Affordability

- Patient Co-pay Assistance

Adherence

- Care Coordination

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Boca Raton, Florida
Year Founded
2003
Social Media