Domain expert – healthcare sme (provider side)

Domain Expert – Healthcare SME (Provider Side)
Experience: 15+ Years Location: PAN India / Global Delivery Environment Role Type: Senior Leadership / Domain Consulting / Transformation

Role Purpose
We are seeking a seasoned Healthcare Provider Domain Expert with deep expertise in Healthcare Revenue Cycle Management (RCM), Provider Accounting, Operations Transformation, and Consulting-led Solutioning. The role will serve as a strategic advisor to clients and internal stakeholders, driving healthcare transformation initiatives, shaping RFP/RFI responses, building differentiated solutions, and leading large-scale operational and digital transformation programs across the healthcare provider ecosystem.
The ideal candidate will bring extensive experience in healthcare provider operations, finance, revenue cycle management, global delivery, and enterprise transformation while partnering with executive stakeholders to drive measurable business outcomes. This JD structure aligns with leadership and transformation-focused roles identified in internal role descriptions. (Transformation Lead | Word), (Partner Al...ole JD New | Word)

Key Responsibilities
Healthcare Domain Leadership

Act as the Healthcare Provider SME for client engagements, solutioning initiatives, and strategic transformation programs. Provide deep domain expertise across provider accounting, revenue cycle management, reimbursement, claims lifecycle, and healthcare operations. Develop industry point-of-views, transformation roadmaps, and best practice frameworks for healthcare provider organizations. Support sales, pre-sales, and consulting teams with domain insights and healthcare market intelligence.

Revenue Cycle Transformation
• Lead end-to-end RCM transformation initiatives spanning:
o Patient Access & Registration
o Charge Capture
o Medical Coding
o Billing & Claims Management
o Denials Management
o Accounts Receivable
o Revenue Integrity
o Financial Reporting & Governance

Drive process optimization, automation, analytics, and KPI improvements across the revenue cycle. Design scalable operating models that improve cash flow, revenue realization, compliance, and patient financial experience.

Consulting & Solutioning

Architect enterprise-grade healthcare transformation solutions for large pursuits and strategic accounts. Lead solution design workshops, due diligence assessments, and current-to-future state transformation planning. Develop compelling value propositions, business cases, and transformation narratives for RFP/RFI responses. Collaborate with technology, consulting, operations, and delivery teams to create differentiated healthcare offerings.

Transition & Delivery Excellence

Lead large-scale operational transitions and transformation programs across global delivery centers. Ensure business continuity, risk mitigation, governance effectiveness, and successful adoption of new operating models. Establish transformation KPIs, value realization frameworks, and executive reporting mechanisms. Drive operational excellence through process standardization, automation, and continuous improvement initiatives.

Executive Stakeholder Management
• Engage with senior client stakeholders including:
o CFOs
o Revenue Cycle Leaders
o Provider Finance Executives
o CIOs / IT Leaders
o Compliance & Audit Leaders
o Operations Leadership

Act as a trusted advisor to executive teams on revenue cycle modernization, operational efficiency, and digital transformation. Facilitate stakeholder alignment and change management across complex transformation programs.

Required Experience

15+ years of experience in Healthcare Provider Services. Strong expertise in Healthcare Provider Accounting and Revenue Cycle Management. Proven experience leading large-scale healthcare transformation initiatives. Experience supporting consulting, technology services, healthcare BPO, or managed services organizations. Demonstrated success in solutioning and pursuit support for large healthcare transformation deals. Experience managing global delivery and multi-geography operating models. Strong understanding of healthcare regulations, reimbursement models, payer-provider interactions, and performance metrics.

Preferred Skills

Healthcare Revenue Cycle Optimization Operating Model Transformation Digital Transformation & Automation Shared Services / Global Business Services AI & Analytics-led Healthcare Operations Change Management & Stakeholder Engagement Process Re-engineering Financial Performance Management Program Governance Client Consulting & Executive Advisory