We’re Hiring Fractional VP / Director – US Healthcare

Fractional VP / DirectorRCM Solutions, Automation & AnalyticsEngagement Type:Fractional / Part-Time (15–20 hours per week)Location:India (Gurugram preferred; remote within India considered)Reports To:CEODuration:Initial 6-month engagement, renewable based on outcomesCompensation:Competitive monthly retainer commensurate with experienceAbout the CompanyWe 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 OverviewThis role is responsible for translating the company’s 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 whyProduct/program management: Write requirements, drive sprints, manage vendor and build-vs-partner decisions, and own delivery timelinesTechnical bridge: Work hands-on with automation engineers, data engineers, and analytics teams to ensure solutions are built right and deployed into operationsYou are the person who connects “what the CFO needs” to “what the engineering team ships.”Key ResponsibilitiesRCM Capability Roadmap OwnershipOwn the 18–24 month RCM solutions roadmap spanning eligibility, prior authorization, claim scrubbing, denial prevention, AR automation, underpayment recovery, and credentialingConduct gap assessments against the capability matrix and prioritize build/buy/partner decisions for each capabilityDefine the RCM maturity framework and lead quarterly business reviews with clients anchored in measurable outcomesAutomation & Analytics DeliveryTranslate denial patterns, AR aging data, and operational bottlenecks into automation use cases and analytics dashboardsWrite 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 qualityDesign denial-feedback loops, predictive models (starting with rules + logistic regression), and operational playbooks that tie analytics to actionCross-Functional CoordinationServe as the connective tissue between RCM operations, automation engineering, analytics, and data engineering teamsEstablish and run a regular operating rhythm (sprint cadence, backlog grooming, demo sessions, retrospectives) across these teamsManage vendor evaluations and integrations for clearinghouse, eligibility, RPA, and contract analytics toolsThought Leadership & Client ValueHelp position the company’s RCM offering as “platform + playbooks + governance,” not just tools or FTEsDevelop segment-specific blueprints (rural hospital, regional system, multi-specialty group) with recommended stacks and ROI modelsBuild the narrative around “revenue infrastructure”—credentialing, access, documentation, and payer strategy as an integrated systemRequired Experience & Qualifications15+ years in US healthcare Revenue Cycle Management, with at least 8–10 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, credentialingProven 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 criteria—and sitting in sprint reviews to validate deliveryStrong business case skills: ROI modeling, capacity impact analysis, SLA design, cost-per-worked-account economicsAbility to present to US-based C-suite stakeholders (CFOs, CROs, VPs of Revenue Cycle) with credibility and clarityPrior experience at a healthcare BPO, KPO, or tech-enabled RCM firmStrongly PreferredHands-on familiarity with at least one of: Power BI / Tableau, UiPath / Automation Anywhere, Python/SQL for analyticsExperience with credentialing and provider enrollment workflows—particularly the revenue impact of credentialing lagsBackground 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 implementing RCM maturity frameworks or formal QBR programs for healthcare clientsFamiliarity with payer contracting, underpayment identification, and contract analyticsWhat Success Looks Like in the First 90 DaysGap Assessment Delivered: An honest, structured evaluation of the company’s current automation and analytics capabilities versus the roadmap requirements, with clear prioritization recommendations.Build/Buy/Partner Plan: Vendor and architecture recommendations for the top 3 Phase 1 capabilities, with cost estimates and timeline.Operating Rhythm Established: A working sprint cadence with automation, analytics, and data engineering teams—with backlog, velocity tracking, and demo schedule in place.Engagement StructureParameterDetailsTime Commitment10–20 hours per week, with flexibility on schedulingWork ModePrimarily remote; periodic in-person sessions at Gurugram office for team workshops and planning sprintsOverlap HoursMust be available for 2–3 hours of US Central overlap daily (typically 7:30–10:30 PM IST) for CEO syncs and client interactionsInitial Term6 months, with mutual option to extend or convert to full-time based on fit and company growthCompensationMonthly retainer; performance bonus tied to delivery milestones (e.g., first automation module live, first client QBR delivered, dashboard deployment)Why This RoleHelp build a differentiated RCM solutions capability—not just maintain an existing oneWork closely with senior leadership with real input into decisions and minimal bureaucracyWork across a global team (US, India, Philippines) solving problems for 270+ healthcare organizationsFlexible engagement structure designed for senior leaders who value impact over hours loggedClear path to expanded scope (and potential full-time conversion) as the capability scales