Job Description

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.Position Title: Director - Quality and Process ImprovementFunction: Process Quality (Physician & Enterprise)Location: Gurgaon, NoidaShift Timings: 16:00 to 01:00 HrsReporting To: Sr. DirectorResponsibilities:

• Lead Revenue Cycle Quality Assurance and Continuous Improvement initiatives

• Process Improvement Strategy development as a Thought Leader

• Act as a change agent to help establish common goals and create alliances with Operations to optimize success.

• Run an outcome-based quality program and as an offering for profit function.

• Drives the most complex revenue cycle improvement opportunities. This may include opportunities that span multiple clients, multiple service lines, or have complex change management or learning impacts and influences enterprise alignment of people, process, and technology.

• Identify opportunities for improving Revenue Cycle performance and metrics associated with insurance collections, Days in Accounts Receivable, Aging of Accounts Receivable, Clean Claim Rate, Denial Percentage, and avoidable write-offs.

• Maintain working knowledge of billing guidelines, CMS updates, and other industry dynamics.

• Work with Training in creating a process for transforming quality findings into continuous knowledge improvement of the associates.

• Introduce and inculcate Lean Six Signa approach for problem solving.

• Ensures organization delivers quality services in accordance with applicable policies, procedures, and professional standards.

• Focus on employee training and development, prepare, and implement developmental plans for auditors.

• Optimize resource utilization; QA: FTE, Manage hiring / staffing requirements.

Experience:

• Minimum 15 Years of Experience in BPO/ITES managing Quality Assurance, Process Improvement, with 10 years experience in RCM/US healthcare is preferred.

Minimum Qualification:

• Graduation

• Certification in Lean Six Sigma (Black Belt) is preferred

Key Competencies:

• Analytical Skills - Mathematical / Analytical aptitude, ability to translate concepts into measurable results.

• Problem Solving - This role will require getting deep into details and personally driving results in complex and challenging environments.

• Strong communications and leadership skills, while acting as a role model and coaching team members in R1s core values.

• Interpersonal Skills - The ability to establish oneself as a peer and trusted partner for operations leaders and onshore counterparts.

• Proficiency with Microsoft Office Suite, Visio and analytical tools like Minitab, Tableau.

• Strong domain understanding of US healthcare (Payer/Provider); Provider experience preferred; Payer experience is acceptable as well

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:Visit us on

R1 RCM