Healthcare Technology & Revenue Cycle Executive

Joshua
L. Berman

Chief Operating Officer · PE-Backed Growth · Global Operations & AI-Enabled Transformation

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Joshua L. Berman
25+ Years in Healthcare
1,700+ Global Team Led
384% EBITDA Growth · PE-Backed
$1B+ Monthly Claims Operated

About

Driving Results at the Intersection of Healthcare & Technology

I am a healthcare technology and revenue cycle executive with 25+ years leading large-scale operational transformation across provider, payer, and healthcare technology organizations.

My career has focused on scaling PE-backed businesses through AI adoption, automation, analytics, offshore delivery, and operational discipline. As Chief Operating Officer at Millennia, I drove 135% revenue growth and 384% EBITDA expansion while building global teams across the U.S. and India. Earlier P&L and operational leadership roles span MedData, McKesson / RelayHealth / Change Healthcare, and Cleveland Clinic.

Today, as Head of RCM and Strategic Advisor at Barti, I'm leading development of next-generation, AI-enabled revenue cycle infrastructure inside a Series A healthcare technology platform — embedding RCM workflows directly into clinical systems and helping evolve the platform into an integrated RCM and practice-management ecosystem.

Location Columbus, OH
Focus COO · PE-Backed Growth · AI & Automation
Website JoshuaLBerman.com
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Career

Professional Experience

2026 — Present

Healthcare Technology · Series A

Head of RCM & Strategic Advisor

Barti

Leading development of next-generation, AI-enabled revenue cycle infrastructure within a Series A healthcare technology platform.

  • Designing scalable worklist, analytics, automation, and operational workflow capabilities to modernize accounts receivable and denial management
  • Partnering with engineering, product, and operations teams to embed revenue cycle workflows directly into clinical systems
  • Driving long-term strategy to evolve platform capabilities into an integrated RCM and practice-management ecosystem

2019 — 2025

PE-Backed Healthcare Payments & RCM

Chief Operating Officer

Millennia

Led enterprise operations for a PE-backed healthcare payments and revenue cycle organization, with responsibility for ~85% of company workforce and operational execution.

  • Drove 135% revenue growth and 384% EBITDA expansion through operational discipline, technology enablement, and workforce transformation
  • Built and operationalized offshore service delivery capabilities to support scalable enterprise growth
  • Established analytics, robotic process automation, and digital engagement capabilities — converting a labor-intensive organization into a technology-enabled platform
  • Led enterprise implementation, client delivery, call center operations, KPI governance, and service-level performance

2017 — 2018

Healthcare Revenue Cycle Services

Vice President, Operations

MedData

Held full P&L and operational responsibility for a $40M+ healthcare revenue cycle business line, leading a global organization of 1,700+ employees across onshore and offshore delivery.

  • Directed enterprise coding, billing, accounts receivable, and patient financial operations supporting more than $4B in billed claims
  • Reduced Days in A/R by 8 days and grew monthly cash collections 11% within the first year
  • Eliminated high-level client escalations within nine months through operational governance and service-delivery improvements

2015 — 2017

Healthcare Technology · Product P&L

Assistant Vice President, Revenue Cycle Solutions

McKesson / RelayHealth / Change Healthcare

Held full P&L responsibility for a $50M+ healthcare technology and revenue cycle product line — leading product strategy, implementation, customer success, technology operations, and enterprise service delivery.

  • Directed cross-functional teams including 50+ developers across claims, eligibility, remittance, analytics, and transaction products
  • Improved KLAS scores from 83.5 to 90 through operational and client-experience initiatives
  • Aligned product, engineering, and operations to deliver enterprise-grade RCM technology to health systems and physician groups

2010 — 2015

Healthcare Technology · Analytics

Director, Regulatory Affairs & Director, Business Analytics

McKesson / RelayHealth

Led enterprise regulatory and analytics programs across one of the nation's largest healthcare technology companies.

  • Led the enterprise ICD-10 operational transition across 2,000+ healthcare clients with zero attrition or revenue disruption
  • Built and commercialized analytics platforms and denial-management technologies supporting enterprise healthcare operations
  • Led development and commercialization of an analytics product generating $3.2M in first-year revenue

1997 — 2010

Provider · Academic Medical Center

Revenue Cycle & Denial Management Leadership

Cleveland Clinic

Held progressive operational leadership roles across enterprise billing, denial management, Medicare operations, and electronic claims management at one of the world's premier health systems.

  • Built an enterprise denial analytics platform supporting more than $80M in monthly denials
  • Directed enterprise claims processing and denial operations supporting over $1B in monthly claims activity
  • Led operational teams across hospital and physician revenue cycle functions throughout the Cleveland Clinic health system

Core Competencies

Areas of Expertise

🌐

Global Operations Leadership

Led organizations exceeding 1,700 employees across U.S. and India delivery models — spanning operations, client delivery, call centers, implementation, and shared services.

📈

PE-Backed Growth & EBITDA Optimization

Scaled PE-backed healthcare operations to 135% revenue growth and 384% EBITDA expansion through operational discipline, technology enablement, and workforce transformation.

⚙️

Revenue Cycle Management

End-to-end RCM leadership spanning patient access, charge capture, coding, billing, A/R, denial management, and patient financial operations — across provider, payer, and health-tech environments.

🤖

AI, Automation & Analytics

Built AI, RPA, and analytics capabilities to improve operational efficiency, reduce manual processes, and convert labor-intensive operations into technology-enabled platforms.

🏥

Healthcare Technology & Product P&L

Owned multi-million-dollar P&Ls across healthcare technology and RCM product lines — leading product strategy, customer success, technology operations, and enterprise service delivery.

🤝

Enterprise Transformation & KPI Governance

C-suite operator leading enterprise transformation, KPI governance, operational reporting, service-delivery optimization, and client retention across PE-backed and provider environments.

Education & Board Service

Academic Background

Bachelor of Science, Health Administration

Ohio University

Minor in Business

Board of Directors

Adoption Network Cleveland

Board Service

Get In Touch

Open to the Right Opportunity

Actively exploring COO, President, and SVP-level roles at the intersection of healthcare operations, technology, and PE-backed growth.

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