NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:
We have an exciting opportunity to join our team as a Operations Manager.

In this role, the successful candidate Reporting to the Associate Director, Revenue Cycle Operations, the Manager, Offshore Revenue Cycle Operations is accountable for the performance, quality, and outcomes of offshore teams supporting hospital accounts receivable (A/R) functions. This role provides strategic and operational leadership for offshore hospital A/R work, ensuring alignment with NYU Langone Health revenue cycle goals, regulatory requirements, and service level agreements (SLAs). The Offshore Operations Manager owns offshore vendor performance, escalation management, and continuous improvement efforts, while partnering closely with onshore operational leaders, IT, compliance, and vendor leadership to drive sustainable A/R results.

Job Responsibilities:

Offshore Strategy & Performance Ownership

• Own overall performance of offshore teams supporting hospital A/R, including productivity, quality, accuracy, and timeliness
• Establish clear expectations, performance metrics, and accountability frameworks for offshore vendors and internal offshore staff
• Monitor A/R outcomes tied to offshore work and ensure alignment with organizational cash, aging, and resolution goals
• Identify risks, capacity gaps, or performance issues and implement corrective strategies

Vendor Management & Governance

• Serve as the primary relationship owner for offshore vendors supporting hospital A/R operations
• Oversee adherence to SLAs, productivity targets, and quality standards, address deficiencies through formal performance management
• Lead vendor governance forums, performance reviews, and operational touchpoints
• Partner with procurement, compliance, and legal teams as needed to support vendor oversight

Escalation & Risk Management

• Own escalation framework for offshore-related hospital A/R issues, including systemic defects, compliance risks, and high-impact failures
• Provide direction and decision-making support for complex escalations raised by Senior Offshore Operations Specialists
• Escalate material risks, trends, or compliance concerns to Revenue Cycle leadership with recommended mitigation plans
• Ensure issues are resolved sustainably and do not recur

Process Improvement & Optimization

• Identify and prioritize offshore-related process improvement opportunities that enhance hospital A/R performance
• Partner with onshore operational leaders, IT, and Epic teams to implement workflow or system changes impacting offshore work
• Ensure offshore readiness for Epic upgrades, payer changes, and regulatory updates
• Drive standardization and consistency across offshore hospital A/R workflows

Leadership & Team Development

• Provide leadership, direction, and coaching to Senior Offshore Operations Specialists and Offshore Operations Specialists
• Ensure roles, responsibilities, and escalation paths are clearly defined and consistently applied
• Promote a culture of accountability, quality, and continuous improvement across offshore operations

Reporting & Executive Communication

• Develop and deliver clear reporting on offshore performance, trends, risks, and improvement initiatives
• Translate complex offshore operational data into actionable insights for Revenue Cycle and executive leadership
• Support enterprise-level decision-making related to offshore utilization and expansion

Compliance & Controls

• Ensure offshore hospital A/R operations comply with federal, state, payer, and NYU Langone Health requirements
• Maintain oversight of data security, access controls, audit readiness, and regulatory adherence
• Partner with compliance and audit teams to address findings and implement corrective actions

Projects & Strategic Initiatives

• Lead or sponsor cross-functional initiatives related to offshore hospital A/R optimization
• Support strategic planning related to offshore staffing models, scalability, and long-term sustainability
• Perform other duties as assigned

Travel

• Requires periodic travel, including domestic sites and international offshore vendor locations

Minimum Qualifications:

Education:

• Bachelor’s degree required in Healthcare Administration, Business, Finance, or a related field
• Master’s degree preferred

Experience:

• 7–10+ years of progressive experience in hospital revenue cycle operations
• Demonstrated experience managing revenue cycle operations and vendor relationships
• Proven ownership of hospital A/R performance, escalations, and operational outcomes
• Strong knowledge of hospital billing workflows, payer requirements, and regulatory standards
• Epic hospital billing (Resolute) experience strongly preferred

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $85,000-$115,000 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.