Director of Revenue Cycle Management

• Own the Revenue Cycle Management function end to end across Medicaid and Medicare, covering eligibility, authorization, claims submission, denials, appeals, and collections.
• Develop and execute the RCM strategy, including team building, hiring and management, KPI development, performance reporting, and continuous process improvement.
• Analyze claims and revenue data hands-on to identify collection gaps, uncover root causes, and drive remediation initiatives that improve collection rates and reduce days sales outstanding.
• Manage patient billing, coinsurance collection, denial management, and appeals processes while reducing rejection and denial rates.
• Centralize eligibility verification, authorization processes, and payer reporting within the RCM function.
• Build strong working relationships with payers and provider groups to resolve claims issues and manage reporting requirements.
• Partner closely with Finance on revenue reconciliation, cash application, collections reporting, and financial visibility.
• Ensure billing and revenue cycle activities remain compliant with applicable Medicaid and Medicare requirements.
• Evaluate, select, implement, and optimize RCM platforms and technology solutions to support multi-program billing and organizational growth.
• Collaborate with Operations, Product, and Engineering to develop tools, workflows, and systems that improve RCM efficiency and scalability.
• Build automated, standardized, and scalable processes that can support a rapidly growing healthcare organization.
• Establish a high-performing RCM culture centered on accountability, integrity, continuous improvement, and strong patient and customer outcomes.

Requirements

• 8+ years of progressive Revenue Cycle Management experience, with demonstrated end-to-end ownership across eligibility and enrollment, charge capture, coding, claims submission, denial management, and collections.
• Deep, hands-on knowledge of Medicaid and Medicare billing and revenue cycle operations, ideally including fee-for-service, risk-based arrangements, and other healthcare reimbursement structures.
• Proven experience building, hiring, and leading RCM teams in a high-growth or early-stage environment.
• Strong analytical capabilities, with the ability to independently query and investigate claims data, identify trends and revenue leakage, generate actionable insights, and translate findings into measurable improvements.
• Experience implementing and optimizing RCM technology and solutions such as Candid, Waystar, or comparable platforms.
• Strong understanding of healthcare billing compliance, payer requirements, claims processes, authorizations, denials, and collections.
• Excellent communication and collaboration skills, with the ability to work effectively across Finance, Accounting, Operations, Product, and Engineering.
• A strong ownership mindset, with the ability to take initiative, solve complex problems, and drive measurable outcomes with limited oversight.
• Comfortable operating in a fast-paced, entrepreneurial, and low-bureaucracy environment where priorities can evolve quickly.
• Resilient, practical, and highly execution-oriented, with the ability to balance strategic planning and hands-on problem solving.
• Strong commitment to improving healthcare access and outcomes for individuals with complex needs and underserved populations.
• Demonstrated alignment with values centered on integrity, accountability, collaboration, resilience, empathy, continuous improvement, and putting patient care first.

Benefits

• Competitive annual salary of $185,000–$215,000.
• Equity compensation package.
• Medical, dental, and vision insurance.
• HSA/FSA options with a company HSA contribution.
• Remote-first work environment with company-provided equipment.
• $100 monthly home office stipend.
• Flexible paid time off.
• 12 paid holidays.
• 100% company-paid life insurance, disability insurance, and AD&D coverage.
• Backup childcare and caregiver concierge services.
• Access to financial guidance and support resources.