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FLAGLER HEALTH IS BUILDING THE CLINICAL OPERATING SYSTEM FOR MODERN MUSCULOSKELETAL CARE. We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle. We’ve recently raised our Series B and are entering our next phase of growth. This is a mission-critical leadership role focused on operational excellence, scalability, workforce performance, and financial outcomes. Success in this role means building a high-performing India operation that becomes a durable strategic advantage for the company across RCM execution, process optimization, quality, compliance, and service delivery. We are hiring a Chief Operating Officer, India – RCM to lead the strategic oversight and day-to-day management of Flagler Health’s India operations organization, including end-to-end revenue cycle execution, team scaling, operational controls, and cross-functional alignment with U.S. leadership. You will oversee all India-based RCM operations while helping architect the next generation of scalable operational infrastructure across billing, collections, coding, claims management, denials, payment posting, credentialing support, and operational analytics. KEY RESPONSIBILITIES: OPERATIONAL LEADERSHIP & SCALE - Lead and scale Flagler Health’s India-based RCM organization across all operational functions, including authorizations, claims processing, AR follow-up, denials management, payment posting, eligibility verification, coding support, and credentialing operations. - Build and operationalize scalable delivery infrastructure capable of supporting rapid customer growth and increasing claim volume while maintaining high quality and SLA performance. WORKFORCE MANAGEMENT - Recruit, develop, and lead a high-performing organization across managers, team leads, and frontline RCM staff; establish performance standards, coaching frameworks, training programs, and succession planning processes. - Drive employee engagement, retention, and operational rigor across a distributed and growing workforce. KPI-DRIVEN OPERATING CADENCE - Establish a data-driven operating rhythm across all RCM functions, including productivity tracking, QA metrics, denial trends, collections performance, turnaround times, and client-level reporting. - Develop dashboards and performance management systems that provide transparency into operational health and financial outcomes. PROCESS OPTIMIZATION & AUTOMATION - Continuously identify opportunities to improve operational efficiency, reduce manual work, optimize workflows, and increase collections performance. - Partner closely with Product, Engineering, and Automation teams to implement AI-enabled workflows, automation tools, and operational infrastructure improvements across the RCM lifecycle. CROSS-FUNCTIONAL COLLABORATION - Serve as the primary operational bridge between India-based operations and U.S.-based executive leadership, Customer Success, Product, Finance, and clinical operations teams. - Ensure alignment across teams on service delivery expectations, operational priorities, escalations, and strategic initiatives. FINANCIAL & CLIENT PERFORMANCE - Own operational performance tied to revenue realization, collections efficiency, denial reduction, and customer retention outcomes. - Partner with executive leadership to support client implementations, operational forecasting, margin improvement, and strategic account growth. COMPLIANCE & QUALITY OVERSIGHT - Ensure all operations comply with HIPAA, payer requirements, healthcare billing regulations, and internal quality standards. - Establish strong QA and audit processes to maintain operational consistency, documentation accur