Director, Revenue Cycle Management Operations
$158,000–$231,000 year
Remote
Job Summary
Own end-to-end RCM operational performance across eligibility, claim submission, follow-up, denials, contracts, and authorizations, translating department strategy into execution. Assess and evolve team structure as the org scales, including span of control and role design. Operationalize AI and automation tools across RCM workflows by partnering with the Operations AI Center of Excellence to ensure effective adoption and intentional distribution of human and automated work. Maintain and evolve rigorous KPI reporting and operational dashboards that provide leadership visibility into performance metrics such as uncollected percentages, denial rates, clean claim rates, and payor-level collection trends. This role builds the operational foundation for scaling maturity and integrating AI-driven automation within a three-sided marketplace empowering therapists, payors, and patients.
Required Qualifications
- 8+ years of progressive experience in revenue cycle management
- 3+ years managing managers in a multi-function RCM operations environment
- Experience owning end-to-end RCM performance metrics and operations (denial rates, clean claim rate, days in A/R)
- Experience in a high-growth or rapid-scaling environment (ideally in health tech) where processes, systems, and team structures were being built or redesigned in real time
- Experience managing RCM operations across diverse payor types where each payor introduces distinct billing rules, authorization requirements, and contractual structures
- Experience operating where RCM and adjacent functions meet (credentialing, enrollment, provider operations, or finance)
- Experience operationalizing automation or AI tools within operational workflows
- Ability to stand up new processes, reporting frameworks, or team structures during a period of growth or transformation
- Hybrid commitment (onsite from NYC, San Francisco, or Seattle hub location three days per week: Tuesday, Wednesday, Thursday) or fully remote
- Availability for travel 2–3 times per year (e.g., company and department offsites)
Desired Qualifications
- Experience in a high-growth or rapid-scaling environment (ideally in health tech) where processes, systems, and team structures were being built or redesigned in real time, not just maintained
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