Padmi

Neolytix - Fractional VP / Director - US Healthcare ( 0-0 yrs )

Delhi NCRPosted 2 months ago
Product And Program ManagementStaff+Full Time; Regular
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Job Description Fractional VP / Director RCM Solutions, Automation & Analytics Engagement Type: Fractional / Part-Time (1520 hours per week) Location: India (Gurugram preferred; remote within India considered) Reports To: CEO Duration: Initial 6-month engagement, renewable based on outcomes Compensation: Competitive monthly retainer commensurate with experience About The Company We are a US-headquartered healthcare services and technology company serving 270+ provider organizations across the United States. Our team of 220+ professionals spans the US, India, and the Philippines, delivering Revenue Cycle Management, credentialing, medical coding, virtual medical assistants, and AI-powered solutions to mid-market healthcare providers and health systems. We are building a next-generation RCM capability stack that combines domain expertise, automation, analytics, and offshore delivery to create measurable financial outcomes for our clients. This role is central to that vision. Role Overview This Role Is Responsible For Translating The Companys RCM Capability Roadmap Into Production-ready Solutions. You Will Work At The Intersection Of Three Functions: Domain leadership: Bring deep knowledge across the charge-to-cash lifecycle to define what we build and why Product/program management: Write requirements, drive sprints, manage vendor and build-vs-partner decisions, and own delivery timelines Technical bridge: Work hands-on with automation engineers, data engineers, and analytics teams to ensure solutions are built right and deployed into operations You are the person who connects what the CFO needs to what the engineering team ships. Key Responsibilities RCM Capability Roadmap Ownership Own the 1824 month RCM solutions roadmap spanning eligibility, prior authorization, claim scrubbing, denial prevention, AR automation, underpayment recovery, and credentialing Conduct gap assessments against the capability matrix and prioritize build/buy/partner decisions for each capability Define the RCM maturity framework and lead quarterly business reviews with clients anchored in measurable outcomes Automation & Analytics Delivery Translate denial patterns, AR aging data, and operational bottlenecks into automation use cases and analytics dashboards Write detailed requirements, user stories, and acceptance criteria for automation modules (RPA bots, workflow engines, rules engines) Drive sprint-based delivery with the automation and data engineering teams; participate in reviews and hold the bar on quality Design denial-feedback loops, predictive models (starting with rules + logistic regression), and operational playbooks that tie analytics to action Cross-Functional Coordination Serve as the connective tissue between RCM operations, automation engineering, analytics, and data engineering teams Establish and run a regular operating rhythm (sprint cadence, backlog grooming, demo sessions, retrospectives) across these teams Manage vendor evaluations and integrations for clearinghouse, eligibility, RPA, and contract analytics tools Thought Leadership & Client Value Help position the companys RCM offering as platform + playbooks + governance, not just tools or FTEs Develop segment-specific blueprints (rural hospital, regional system, multi-specialty group) with recommended stacks and ROI models Build the narrative around revenue infrastructurecredentialing, access, documentation, and payer strategy as an integrated system Required Experience & Qualifications 15+ years in US healthcare Revenue Cycle Management, with at least 810 years in progressively senior roles (AVP, VP, Senior Director, or equivalent) Deep operational experience across 4+ RCM sub-functions: AR management, denial management, eligibility/patient access, coding/CDI, claim scrubbing, payer contracting, credentialing Proven track record of personally driving 3+ automation or analytics initiatives from concept to production (RPA deployments, analytics dashboards, predictive models, workflow automation) Experience writing requirements documents, user stories, and acceptance criteriaand sitting in sprint reviews to validate delivery Strong business case skills: ROI modeling, capacity impact analysis, SLA design, cost-per-worked-account economics Ability to present to US-based C-suite stakeholders (CFOs, CROs, VPs of Revenue Cycle) with credibility and clarity Prior experience at a healthcare BPO, KPO, or tech-enabled RCM firm Strongly Preferred Hands-on familiarity with at least one of: Power BI / Tableau, UiPath / Automation Anywhere, Python/SQL for analytics Experience with credentialing and provider enrollment workflowsparticularly the revenue impact of credentialing lags Background in building or scaling solutions in a mid-size company (not just optimizing inside a 10,000+ person operation) Product management training or certification (Pragmatic Institute, CSPO, SAFe PM, etc.) Experience designing or implemen

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