Director of Revenue Cycle Management

Role Description

We’re seeking a Director of Revenue Cycle Management to lead our team in delivering exceptional patient care and financial outcomes. You will own Nema’s revenue and claims strategy end-to-end, aligning our RCM workflows with financial performance and regulatory compliance, and building strong relationships with payers to resolve systemic billing barriers. This is a hands-on, player-coach role spanning both execution and systems design—ideal for someone who thrives in the details while building the infrastructure needed to scale.

Responsibilities

• Own and optimize Nema’s end-to-end revenue cycle, ensuring strong financial performance, regulatory compliance, and scalability.
• Step into day-to-day billing operations as needed (claims, denials, payer follow-up) while leading the function at a strategic level.
• Lead and develop a high-performing team, fostering psychological safety, clear accountability, and strong execution.
• Design and scale RCM systems, workflows, and infrastructure to support multi-state growth and increasing complexity.
• Establish and monitor key RCM KPIs, using data to drive decisions across denials, underpayments, and overall cash flow health.
• Identify and address root causes of denials to improve reimbursement outcomes.
• Drive alignment between clinical documentation, coding, and billing to ensure accurate and compliant reimbursement.
• Lead RCM technology and vendor relationships, ensuring systems are integrated, high-performing, and scalable.
• Build and manage strategic payer relationships, including escalation and negotiation to resolve systemic billing barriers.
• Partner cross-functionally to lead data-driven initiatives, driving effective change management and continuous process improvement to enhance revenue cycle performance, efficiency, and scalability.
• Deliver a transparent, patient-centered billing experience, incorporating trauma-informed principles into financial workflows.
• Stay current on payer requirements, regulatory changes, and industry best practices to strengthen RCM operations.

Qualifications

• 8+ years of revenue cycle management experience, including 3+ years in a leadership role.
• Deep, hands-on expertise across claims, denials, and payer operations.
• Experience with complex reimbursement models (e.g., bundled case rates, non–fee-for-service).
• Strong clinical-to-claims fluency, ensuring alignment between provider documentation, coding, and compliant billing.
• Experience in telehealth, digital health, or multi-state healthcare environments.
• Exceptional attention to detail with strong analytical and problem-solving skills.
• Proven ownership mindset with the ability to operate independently in a fast-paced startup environment.
• Proficiency with EHRs, practice management systems, and RCM tools.
• Familiarity with credentialing and licensing workflows.

Benefits

• This role offers a base salary of $150,000-160,000, which will be determined based on individual experience, qualifications, and market considerations.
• This role is also eligible for competitive equity, reflecting the impact and scope of the position at an early-stage, mission-driven company.
• Comprehensive benefits including healthcare, 401(k) with matching, and stipends for work-from-home productivity and continued education.
• Generous PTO and flexible work hours.
• Remote-first culture with supportive team norms.
• Inclusive, trauma-informed leadership.
• Opportunity to grow with a fast-moving, mission-driven company.