Operations, RCM, and automation leadership for post-acute healthcare and PE-backed growth.

We help post-acute providers and private equity–backed platforms build scalable operating models, modernize revenue cycle, and deploy pragmatic AI and digital automation to improve margin, cash, and service delivery.

Schedule a consult Capability statement
View engagement examples →
$0M
Cost savings via shared services across 11 acquired entities in ~6 months
$0M
Operational savings in under 1 year through digital automation for home infusion
$0M
Earnings contribution through measurement integrity, QA, and process controls
Who we serve

Built for the complexity of post-acute healthcare

We operate at the intersection of operations, technology, and revenue cycle — serving organizations where precision, speed, and accountability determine outcomes.

Post-acute providers
Home Infusion · Behavioral Health · Mobile Imaging

Multi-site provider platforms modernizing operations, RCM, and technology while controlling cost and risk. We deliver the operating rigor and systems capability needed to scale with confidence.

PE-backed healthcare platforms
Rapid Growth · Multi-Acquisition · Shared Services

Rapid growth environments requiring scalable technology, shared services, and delivery leadership. We bring blended onshore/offshore teams to accelerate execution and protect margins post-acquisition.

Healthcare & RCM organizations
Vendors · Service Providers · RCM Platforms

Vendors and RCM platforms seeking operational and technology execution support. We help embed AI, automation, and disciplined delivery models into your service offering.

Core capabilities

Five pillars of operational leadership

Our capabilities span the full operating model — from shared services design to AI-enabled automation — all grounded in healthcare-specific domain expertise.

Post-acute operating model & shared services

We design and build the operating infrastructure that allows post-acute providers to scale — from centralized intake to continuous improvement culture.

Centralized intake/patient services design — standard work, staffing model, SLAs, and dashboards.
Shared services build and stabilization across both customer-facing and back-office workflows.
Lean operating system: operating rhythms, KPI trees, leader standard work, and a continuous improvement culture.
Workflow enablement on modern platforms (e.g., Salesforce-based operational/RCM system rollouts).
PE-backed value creation & integration

We help private equity-backed platforms capture value through disciplined integration, standardization, and interim leadership during critical transitions.

Rapid national expansion enablement: scalable processes, governance, performance management, and controls.
Acquisition diligence support and integration planning — Day 1 to Day 100+ — including standardization across entities.
Operating protocol redesign to reduce variation, improve service delivery, and protect margin.
Interim executive leadership to de-risk transitions (e.g., interim CIO/operations leadership).
Revenue cycle management performance

End-to-end RCM modernization that improves yield, reduces leakage, and builds sustainable controls across the full revenue cycle.

RCM protocol modernization across front-, mid-, and back-end: intake, auth, billing, posting, denials, and collections.
Revenue integrity, data quality assurance, and controls — including SOX-aligned process control design where applicable.
Contract modeling, claims testing, and QA to reduce leakage and improve yield.
Shared services and offshore/captive center strategy to improve productivity and cost differentials.
AI-enabled automation & digital operations

Pragmatic AI deployment that targets high-volume workflows, reduces rework, and puts measurable productivity gains in the hands of your team.

Automation opportunity assessment and roadmap targeting high-volume workflows, handoffs, and rework loops.
Digitization of work management: workflow systems, queue design, exception handling, and metrics-based management.
AI-assisted use cases: document intake/classification, eligibility/auth support, claim edit triage, denial worklist prioritization, and knowledge-base enablement for agents.
Controls and adoption: human-in-the-loop design, audit trails, performance monitoring, and change management.
Technology services, delivery leadership & AI automation

End-to-end technology support combining U.S.-based leadership with cost-efficient offshore execution — built on deep healthcare and RCM domain expertise.

Solution & enterprise architects: platform design, systems integration, data flows, security, and scalability for healthcare operations.
Application & platform development: custom development, configuration, and enhancement across operational, RCM, and analytics platforms.
Program & delivery management: large-scale transformation, M&A integration, and multi-workstream coordination with disciplined governance.
RCM technology & analytics specialists: front, mid, and back-end RCM workflows, automation, analytics, and performance optimization.
Selected outcomes

Results that speak for themselves

Quantified impact delivered across post-acute, PE-backed, and RCM environments.

$30M

Cost savings and reduced business leakage after building shared services capability (100+ FTE) and standardizing processes across 11 acquired entities in approximately 6 months.

$2.5M

Operational cost savings in under one year for a home infusion organization through digital automation and IT process streamlining.

$200M

Earnings contribution supporting 70+ client entities by leading revenue cycle analytics and process excellence functions, including measurement integrity, QA, and controls.

Top-4

Post-acute healthcare organization served: built and rolled out an operational delivery and RCM enhancement system on Salesforce, stabilizing shared services and supporting 3 acquisitions.

3

Acquisitions integrated into a Salesforce-based shared services and RCM platform, with minimal disruption to service delivery or billing continuity.

India / PH

Offshore analytics and operations capability created and scaled across India and the Philippines, increasing leverage and improving productivity across business and RCM processes.

Engagement models

Flexible delivery, measurable outcomes

We structure engagements around your specific challenges — from rapid assessment and roadmap to embedded delivery teams with end-to-end accountability.

Technology & Delivery
Technology & delivery acceleration
  • Architecture design and roadmap development
  • Program and portfolio management for large-scale initiatives
  • Onshore/offshore team setup, stabilization, and transition
AI & Automation
AI & automation enablement
  • Workflow and automation opportunity assessment
  • AI tool selection, governance, and implementation
  • Integration of AI into day-to-day operations with measurable productivity and quality gains
Embedded Teams
Managed delivery & embedded teams
  • Dedicated pods: Architect + Dev + PM + RCM SME
  • Blended cost models with U.S. leadership and offshore execution
  • Clear SLAs, KPIs, and performance transparency
Engagement examples

How we work: problem → approach → outcomes

Anonymized examples drawn from actual client engagements across post-acute, RCM, and PE-backed environments.

PE-Backed Post-Acute Platform
Multi-acquisition shared services build
Situation
Rapid acquisition pace across 11 entities created inconsistent processes, redundant headcount, and uncontrolled business leakage.
Approach
Built centralized shared services (100+ FTE), standardized intake-to-billing workflows, and stood up a Lean operating system with KPI accountability.
$30M reported cost savings · ~6 months to full stabilization
Home Infusion Provider
Digital automation & IT process streamlining
Situation
High-volume, manual operational workflows driving cost, error rates, and staff burnout — with limited technology leverage across intake and billing.
Approach
Conducted automation opportunity assessment, deployed workflow digitization tools, and restructured IT processes to eliminate redundancy and reduce cycle time.
$2.5M operational cost savings · Delivered in under 1 year
Top-4 Post-Acute Organization
Salesforce RCM & shared services platform
Situation
Complex acquisition integration needs across 3 entities with fragmented RCM systems and no unified operational delivery model.
Approach
Led build and rollout of Salesforce-based operational and RCM enhancement system; stabilized shared services and governed acquisition onboarding.
3 acquisitions integrated · Unified operating model established
RCM Services Provider (70+ Clients)
Revenue cycle analytics & process excellence
Situation
Revenue cycle measurement gaps and inconsistent QA across a large client portfolio were obscuring true performance and creating earnings risk.
Approach
Led revenue cycle analytics and process excellence functions; built measurement integrity, QA controls, and offshore analytics capability (India/Philippines).
$200M earnings contribution · Offshore capability scaled across two geographies
About

Leadership with operating credibility

Leadership at work
“We bring the operational precision of large-system leadership with the agility and accountability of a focused advisory practice.”

AAAR Group LLC was founded to serve the gap between strategy and execution in post-acute healthcare. Our principal brings a rare combination of large-system operating leadership, PE-backed integration experience, and hands-on technology delivery — having served in VP and interim CIO roles across some of healthcare's most demanding environments.

We operate with a bias toward measurable outcomes, disciplined governance, and pragmatic delivery — working alongside your team, not above it.

Credibility markers
Former VP Shared Services (Optum Infusion / Optum Rx) — acquisition integration and offshore leverage leadership at scale.
Interim CIO experience during large-scale integration and transformation — delivering continuity under pressure.
VP Process Excellence / Measurement at Accretive Health / R1 RCM — revenue cycle analytics leadership supporting 70+ client entities.
Six Sigma Master Black Belt and CAP (Change Acceleration Process) certified trainer/coach — rigor in process design and adoption.
Our team

The team behind measurable outcomes

A focused leadership team pairing large-system operating experience with the agility and accountability of a hands-on advisory practice.

Portrait of the CEO
Anirvan Mukerjee
Founder & Chief Executive Officer

Anirvan Mukerjee is a senior operations and transformation executive with deep experience leading global process optimization, acquisition integration, analytics, and shared services strategy across healthcare, financial services, and manufacturing. He has served as a Managing Consultant to private equity–backed organizations, driving business reorganization, nationwide scale initiatives, RCM operating model redesign, and operational productivity gains. Previously, Anirvan held executive leadership roles at Optum/UnitedHealthcare, where he led shared services integration and served as interim CIO during a major acquisition and enterprise integration. Earlier, he was Vice President at Accretive Health (R1 RCM), directing gainshare measurement, process excellence, and SOX-aligned controls across large, multi-site teams and offshore analytics centers. A Six Sigma Master Black Belt and CAP-certified trainer for GE Global, Anirvan is recognized for turning complex operations into measurable performance improvements.

Portrait of partner one
Ramesh Gurajapu
Implementation Partner

Ramesh Gurajapu is a Chief Delivery Officer and a Partner at Aviana Global Technologies. Responsible for all technology operations, consulting delivery, pre-sales, and solution/technology roadmaps and architecture. Lead the strategic evolution of service offerings from application development through data warehousing, BI, advanced analytics, and into AI-embedded product solutions. Architect of a successful multi-client offshore development center model. Maintained long-tenured client relationships spanning 10+ years. Currently spearheading development of industry-focused products through Aviana's expanding product portfolio.

Portrait of partner two
Rakesh K Bhatt
Implementation Partner

Rakesh Krishna Bhatt is a technology architect, entrepreneur, and innovator with more than 20 years of experience turning complex operational and technical challenges into scalable, practical solutions. His work spans software engineering, enterprise IT strategy, infrastructure modernization, and decision-support systems across demanding business environments, including healthcare — with a consistent focus on aligning technology decisions to long-term business value. He has led the design and delivery of software platforms, enterprise systems, and data-driven solutions, building global teams and strengthening compliance, security, and delivery practices along the way. Founder of Modx Technology Consultants and co-founder of IMCSTech and Health Innovas, Rakesh brings technical depth and disciplined execution to every engagement.

Contact

Let's talk about your operating challenges

Whether you're navigating an acquisition, modernizing revenue cycle, or exploring automation opportunities — we'd like to understand where you are and where you need to go.

Schedule a 30-minute consult to explore fit and scope
Request our capability statement for more detail on services and deliverables
info@aaargroup.net