Huron Consulting Group - General Manager - RCM Quality - US Healthcare

Summary:

• As a General Manager - Quality, you will be involved in the full lifecycle of RCM.
• Manage and report adherence to service levels as agreed with client.
• Responsible for Customer satisfaction measured through CSAT & ESAT scores.
• Ensure Best-In-Class process/system are deployed for the set revenue and cost goals.
• Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role.
• Must be well versed with financial numbers and P&L reporting.

Key Responsibilities:

• Lead Quality Assurance initiatives across US Healthcare Revenue Cycle Management (RCM) processes.
• Conduct quality audits for Billing, AR Follow-up, Denials, Payment Posting, and related RCM functions.
• Monitor process quality metrics and ensure process health scores meet defined targets.
• Perform Root Cause Analysis (RCA) for quality issues and drive corrective and preventive actions (CAPA).
• Identify training needs based on audit findings and collaborate with operations teams for skill improvement.
• Prepare and present MIS reports, quality dashboards, and performance insights to leadership and clients.
• Ensure compliance with client requirements, SOPs, and regulatory guidelines.
• Drive continuous improvement initiatives to enhance accuracy, productivity, and customer satisfaction.
• Partner with Delivery Heads, Operations teams, and clients to improve process performance.
• Support recruitment by participating in candidate screening and interviews for quality-related roles.

Required Skills & Qualifications:

• Strong communication skills with a neutral accent.
• Excellent written and verbal English communication.
• Willingness to work in US shift timings.
• Strong stakeholder management and client-facing experience.
• Ability to collaborate across departments with a One Team approach.
• Good knowledge of US Healthcare RCM processes.
• Experience in quality management, audits, RCA, and process improvement.
• Lean Six Sigma certification (preferred).