Director of Revenue Cycle Management

Director Of Revenue Cycle Management

This is a senior leadership opportunity to build and scale an end-to-end Revenue Cycle Management function within a fast-growing, mission-driven healthcare organization. You will own the full revenue cycle across Medicaid, Medicare, and multiple service lines, from eligibility and authorization through claims, denials, and collections. The role combines strategic leadership with hands-on analytical work, requiring you to investigate claims data and identify opportunities to improve financial performance. You will build teams, establish scalable processes, define KPIs, and implement technology that supports sustainable growth. Working closely with Finance, Operations, Product, Engineering, payers, and provider groups, you will help create a highly efficient RCM infrastructure. Your work will directly support the delivery of accessible, high-quality care to underserved communities while strengthening operational and financial outcomes. This is an ideal role for an experienced RCM leader who thrives in an entrepreneurial, complex, and low-red-tape environment.

Accountabilities

• 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.