Manager / Senior Manager - US Healthcare Presales (RCM )

Job Title

Manager / Senior Manager - US Healthcare Presales (RCM & AR Calling Specialist)

Location

Primera Medical Technologies, Hyderabad

Job Summary

Primera Medical Technologies is seeking an experienced US Healthcare Presales & Solutioning professional with deep expertise in Revenue Cycle Management (RCM), Accounts Receivable (AR) Calling, Provider Operations, and Healthcare Business Processes. The ideal candidate will act as a domain leader supporting sales, solutioning, consulting, and client engagements while driving healthcare transformation initiatives for provider organizations.

This role requires strong functional knowledge of the US healthcare ecosystem, provider workflows, RCM operations, AR follow-up processes, denial management, and healthcare technologies. The candidate will collaborate with sales, solution architects, delivery teams, and client stakeholders to design business-driven solutions and support strategic growth initiatives.

Key Responsibilities

Domain-Led Pre Sales

• Serve as the primary US Healthcare and RCM domain expert across presales opportunities.
• Lead discovery workshops and requirement-gathering sessions with healthcare provider clients.
• Analyze client business challenges and design tailored solutions aligned with operational and financial goals.

Revenue Cycle Management (RCM) & AR Calling Expertise

• Demonstrate deep expertise in the end-to-end Revenue Cycle Management lifecycle.
• Lead solution design around:
• AR Follow-up & Collections
• Insurance Calling
• Denial Analysis & Appeals
• Underpayment Identification
• Prior Authorization Follow-up
• Claims Status Verification
• Payment Variance Resolution
• Aging Analysis
• Credit Balance Resolution
• Patient Collections
• Provide consulting and best-practice recommendations to improve:
• Days in AR
• Collection Effectiveness
• First Pass Resolution Rate
• Clean Claim Rate
• Denial Prevention
• Net Collection Ratio
• Support automation, analytics, and AI-driven optimization initiatives within RCM operations.

Proposal, RFP & Solution Response Support

• Lead and contribute to RFI, RFP, RFQ, and proposal responses.
• Develop healthcare-specific solution content, workflows, business rules, and operational models.
• Create solution assumptions, scope definitions, and effort estimation inputs.
• Define KPIs, SLAs, operational governance, and performance metrics.
• Ensure solution compliance with industry regulations and client-specific requirements.

Collaboration & Internal Enablement

• Work closely with sales, business development, solution architects, and delivery teams.
• Support creation of:
• Solution accelerators
• Reusable assets
• Case studies
• Capability presentations
• Go-to-Market (GTM) collateral
• Mentor internal teams on healthcare processes, RCM operations, and AR calling best practices.
• Participate in organizational capability-building initiatives.

Thought Leadership

• Stay current with emerging healthcare trends, technologies, and regulatory updates.
• Develop point-of-views, whitepapers, capability frameworks, and industry insights.
• Contribute thought leadership in areas such as:
• Revenue Cycle Transformation
• AI in Healthcare Operations
• Intelligent Claims Management
• Digital Patient Financial Experience
• Value-Based Care
• Healthcare Analytics
• Interoperability (FHIR & HL7)

Required Qualifications & Experience

Domain Expertise

• 12 to 15 years of experience in the US Healthcare industry.
• Minimum 8+ years of hands-on exposure to Revenue Cycle Management (RCM).
• Strong expertise in Accounts Receivable (AR) Calling and Insurance Follow-up.
• Extensive experience across:
• Medical Billing
• Claim Management
• Denial Management
• Payment Posting
• Eligibility & Benefits Verification
• Patient Collections
• Provider Operations
• Revenue Integrity
• Care Management
• Strong understanding of Provider business operations.

Presales & Consulting Experience

• Proven experience supporting presales, consulting, solutioning, or healthcare transformation engagements.
• Ability to convert business requirements into scalable solution frameworks.
• Experience in proposal development, client presentations, workshops, and solution demonstrations.
• Strong analytical and problem-solving capabilities.

Healthcare Platforms & Technology Exposure

• Exposure to healthcare platforms and EHR systems including:
• EPIC
• Cerner
• Athenahealth
• eClinicalWorks
• Other Provider Workflow Systems
• Understanding of healthcare digital transformation initiatives including cloud, analytics, AI, and automation solutions.

Preferred Qualifications

• Experience working with healthcare BPO, RCM service providers, consulting firms, or healthcare technology organizations.
• Experience supporting US-based healthcare provider clients.
• Exposure to AI, RPA, Analytics, Digital Transformation, and Automation initiatives within healthcare operations.
• Certifications related to Healthcare, RCM, Revenue Integrity, or Healthcare Information Systems are highly preferred.

Why Join Primera Medical Technologies

At Primera Medical Technologies, you will have the opportunity to work with leading healthcare organizations, drive transformative RCM initiatives, shape innovative healthcare solutions, and contribute to industry-leading healthcare technology and operational excellence programs.

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