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Associate Director

Guidehouse
15+ years
INR 40 LPA – 50 LPA
Chennai, India
1 June 19, 2026
Job Description
Job Type: Full Time Education: B.Sc/M.Sc/M.Pharma/B.Pharma/Life Sciences Skills: ICH guidelines, ICSR Case Processing, Labelling Assessment, MedDRA Coding, mRS and EQ-5D-5L, Triage of ICSRs, WHO DD Coding

Associate Director – Accounts Receivable Operations

Location: Chennai, India
Company: Guidehouse
Department: EBO Accounts Receivable (Healthcare Revenue Cycle)
Employment Type: Full-Time
Travel Requirement: Up to 10%

Role Summary

The Associate Director – Accounts Receivable Operations is responsible for providing strategic and operational leadership for large-scale healthcare revenue cycle operations, with a primary focus on Accounts Receivable (AR) management and denial resolution. This role oversees large teams, drives operational excellence, ensures client satisfaction, and delivers performance against key business metrics.

The position requires strong expertise in healthcare revenue cycle management, denial management, payer operations, client engagement, workforce leadership, process improvement, and automation initiatives. The Associate Director will play a critical role in driving operational efficiency, financial performance, and organizational growth.

Key Responsibilities

Operational Leadership & Service Delivery

  • Lead day-to-day operations for healthcare Accounts Receivable (AR) functions.

  • Oversee:

    • Operational Planning

    • Resource Allocation

    • Performance Monitoring

    • Workflow Management

  • Ensure adherence to:

    • Service Level Agreements (SLAs)

    • Quality Standards

    • Productivity Targets

    • Turnaround Time (TAT) Requirements

  • Monitor operational performance and implement corrective actions where necessary.

  • Develop contingency and recovery plans for operational disruptions.

Accounts Receivable & Denial Management

  • Provide leadership for:

    • AR Follow-Up Operations

    • Denial Management

    • Claims Resolution

    • Revenue Recovery Activities

  • Ensure timely resolution of denied and underpaid claims.

  • Drive strategies to improve:

    • Collection Performance

    • Cash Flow

    • First-Pass Resolution Rates

    • Denial Prevention

  • Support compliance with payer requirements and reimbursement regulations.

Work Allocation & Capacity Management

  • Develop effective workload distribution and staffing strategies.

  • Manage team capacity planning for:

    • Backlog Volumes

    • Surge Requirements

    • Business Growth

  • Optimize resource utilization while maintaining quality and productivity standards.

  • Ensure efficient workforce deployment across operational functions.

People Leadership & Workforce Management

  • Lead and manage a large operational team of approximately 250–300 associates.

  • Provide:

    • Coaching

    • Mentoring

    • Career Development Support

    • Performance Feedback

  • Foster a high-performance, collaborative, and employee-centric culture.

  • Drive employee engagement and retention initiatives.

  • Build leadership capabilities within management teams.

Performance Management

  • Monitor and manage key operational KPIs, including:

    • Productivity

    • Quality

    • Turnaround Time (TAT)

    • Client Satisfaction

    • Revenue Recovery Metrics

  • Conduct regular performance reviews and one-on-one discussions.

  • Lead:

    • KRA Goal Setting

    • Performance Evaluations

    • Performance Improvement Plans (PIPs)

  • Ensure achievement of operational and financial objectives.

Client & Stakeholder Management

  • Act as a key client-facing leader for assigned healthcare accounts.

  • Build and maintain strong relationships with:

    • US Healthcare Clients

    • Internal Leadership Teams

    • Cross-Functional Stakeholders

  • Manage escalations and ensure timely issue resolution.

  • Present operational performance reports and business updates.

  • Proactively communicate risks, challenges, and mitigation plans.

Domain Expertise & Revenue Cycle Oversight

  • Provide subject matter expertise in:

    • Accounts Receivable Operations

    • Denial Management

    • Revenue Cycle Management

  • Demonstrate strong understanding of:

    • Federal Payers

    • Commercial Payers

    • Healthcare Reimbursement Models

  • Support operational decision-making using deep domain knowledge.

Reporting, Analytics & Governance

  • Prepare and present:

    • Operational Dashboards

    • Client Performance Reports

    • Business Reviews

    • Governance Updates

  • Analyze operational trends and identify performance improvement opportunities.

  • Conduct quality review meetings and operational governance forums.

  • Support strategic planning through data-driven insights and recommendations.

Process Improvement & Automation

  • Identify opportunities for:

    • Process Optimization

    • Workflow Enhancement

    • Operational Automation

  • Collaborate with technology and IT teams to implement automation solutions.

  • Drive continuous improvement initiatives to enhance operational efficiency and scalability.

  • Promote innovation within AR and denial management processes.

Project Transition & Business Growth Support

  • Participate in:

    • New Project Launches

    • Process Transitions

    • Client Implementations

  • Monitor transition progress and ensure smooth operational handoffs.

  • Support business expansion and strategic growth initiatives.

  • Contribute to operational readiness and client onboarding activities.

Required Qualifications

Education

  • Bachelor’s Degree in:

    • Healthcare Administration

    • Life Sciences

    • Business Administration

    • Finance

    • Commerce

    • Related Discipline

OR

  • Master’s Degree in:

    • Healthcare Management

    • Business Administration (MBA)

    • Related Field

Experience

  • Minimum 15+ years of experience in:

    • Healthcare Revenue Cycle Management

    • Accounts Receivable Operations

    • Denial Management

    • Healthcare BPO Operations

  • Minimum 3+ years of experience managing large teams (250+ associates).

  • Experience working with US healthcare clients and payer systems.

  • Proven leadership experience in large-scale operational environments.