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Head of Delivery – Healthcare RCM BPO, AI-Enabled at Codvo.ai | JobVerse
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Head of Delivery – Healthcare RCM BPO, AI-Enabled
Codvo.ai
Remote
Website
LinkedIn
Head of Delivery – Healthcare RCM BPO, AI-Enabled
United States
Full Time
1 day ago
H1B Sponsor
Apply Now
Key skills
RPA
C
AI
ML
NLP
GenAI
Analytics
Leadership
Communication
Account Management
Sales
About this role
Role Overview
Oversee end-to-end delivery across all RCM towers: Patient Access, Medical Coding, Charge Capture, Billing, AR, Denials, Cash Posting, and Provider Helpdesk.
Lead high-performance operations across multi-site, multi-client delivery centers.
Build scalable operational frameworks supporting rapid growth, high productivity, and cost efficiency.
Establish and manage SLAs, KPIs, quality metrics, and performance governance across all accounts.
Champion the adoption of AI, ML, GenAI, NLP, OCR, RPA, and workflow automation for RCM processes.
Evaluate and deploy AI-enabled RCM platforms for denial prediction, coding automation, AR optimization, and intelligent document processing.
Partner with data and engineering teams to implement dashboards, process mining, and predictive analytics.
Drive continuous automation to reduce manual effort, accelerate turnaround times, and improve margins.
Act as the senior delivery leader for enterprise healthcare clients including provider groups, MSOs, ASCs, hospitals, and payers.
Ensure delivery excellence resulting in high NPS, retention, and revenue expansion.
Collaborate with account management and sales to support renewals, expansions, and new solution offerings.
Lead executive-level reviews, QBRs, and performance discussions with C-level stakeholders.
Ensure adherence to HIPAA, CMS, coding guidelines, and payer compliance standards.
Establish quality frameworks that meet regulatory and client expectations.
Mitigate operational risks through strong controls, governance, and audit readiness.
Drive certification programs (AAPC, AHIMA, CHFP) for staff.
Lead large cross-functional teams including delivery, quality, training, and workforce management.
Build leadership layers such as operations managers, senior managers, and process leads.
Drive workforce planning, utilization, productivity improvement, and talent development.
Promote a culture of accountability, learning, and innovation.
Requirements
10+ years of experience in Healthcare RCM BPO operations with at least 3+ years in a delivery leadership role.
Deep expertise across the full RCM lifecycle and strong understanding of US healthcare provider and payer ecosystems.
Proven experience scaling 100–500+ FTE delivery operations across multiple clients.
Strong background implementing AI/ML, automation, digital workflows, and analytics in RCM operations.
Expertise in SLA management, lean/automation-driven improvements, and delivery governance.
Experience managing P&L, operational budgets, margins, and account growth.
Strong executive communication and client-facing leadership capability.
Deep understanding of HIPAA, PHI, coding compliance, and industry standards.
Tech Stack
RPA
Benefits
Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Apply Now
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