Associate Director - Solutions - REF108323C_2026270472 - Healthcare RCM
Core
Techno-functional expert bridging business stakeholders and technology teams to develop an AI-powered Revenue Cycle Management (RCM) platform with automation and analytics capabilities.
Role type
Senior Techno-Functional Consultant (Healthcare RCM)
Builds
Next-generation RCM platform integrating claims automation, autonomous coding, collections, analytics, and denials management.
Domain
Healthcare Revenue Cycle Management (RCM)
Deliverable
production ML models | product features
Required skills
U.S. healthcare revenue cycle workflows, business analysis, requirements gathering, user story definition, data flow design, solution design, stakeholder management, AI/ML integration, UAT, documentation
Preferred skills
Claims automation (OCR, NLP), autonomous coding (ICD/CPT), denials prediction, process optimization
Technologies
AI/ML, OCR, NLP, workflow engines, data modeling
Responsibilities
Engage with RCM stakeholders to gather requirements across intake, coding, billing, claims, A/R, and denials; Define user stories, business rules, and data flows; Partner with product managers to prioritize features; Act as liaison between business users and development teams; Contribute to platform design for AI/automation features; Develop documentation including BRDs, FRDs, and process maps.