Director of Revenue Cycle Management

Role Description

We are hiring a Director of Revenue Cycle Management to build and own the financial engine that makes high-quality sleep care sustainable at scale. At Dreem Health, RCM isn't a back-office function; it's a strategic lever. Every denial dollar recovered, every contract rate improved, and every billing workflow tightened translates directly into the margin that funds our next phase of growth. This role sits at the intersection of finance, operations, and clinical care — and reports directly to the CFO.

You will work closely with our contracting team to ensure that what gets negotiated in a payor contract is accurately and systematically captured in billing workflows. That relationship is collaborative by design — you're not managing contracting, but you are the person who turns contract terms into cash.

What You’ll Do

• Revenue Cycle Ownership:
  • Own the full revenue cycle end-to-end: charge capture, claim submission, denial management, payment posting, and patient collections across both professional and DME billing lines.
  • Drive RCM internalization — evaluate current vendor relationships, build the business case for what to bring in-house, and execute the transition without disrupting cash flow.
  • Maintain and improve clean claim rates, net collection rates, and days in AR across all payors and service lines.
• Payor Operations and Contracting Collaboration:
  • Partner with the contracting team to translate newly negotiated payor terms into billing workflows — ensuring rate changes, service authorizations, and code requirements are operationalized correctly from Day 1.
  • Provide denial data and reimbursement gap analysis to the contracting team to inform renegotiation priorities.
  • Manage all payor-facing billing operations including claims compliance, appeals, and audit responses.
  • In coordination with the contracting team, track Medicare Advantage and commercial reimbursement policy changes and proactively adjust billing protocols.
• Team Leadership & Operations:
  • Define org structure, hire top talent, and drive performance with clear KPIs and accountability frameworks.
  • Build and maintain a real-time RCM reporting dashboard, surfacing net collection rate, denial rate by payor, days in AR, and contribution margin impact.
  • Work cross-functionally with clinical operations to eliminate billing errors at the source — not just correct them downstream.
• Strategic & Financial Planning:
  • Own RCM P&L — forecast revenue collections, flag risk, with variance analysis and action plans.
  • Ensure billing readiness for new product and care pathway launches so coding and billing logic is correct before the first claim goes out.

Qualifications

• 7+ years in healthcare RCM, with at least 3 in a director-level or equivalent role with direct P&L accountability.
• Proven experience in multi-state operations — you understand that 50-state billing is not just one state times 50.
• Deep working knowledge of DME billing and/or professional services billing — ideally both.
• Strong understanding of CMS reimbursement policy, and payor workflows.
• Experience working alongside (not managing) a payor contracting function — you know how to translate contract terms into billing operations.
• Analytically self-sufficient — you can pull your own data, build your own reports, and identify root causes without waiting for an analyst.
• Excellent communicator: you can present to a C-level member and train a billing coordinator in the same day.

Requirements

• You've led or co-led an RCM internalization — evaluated vendors, built the business case, and managed the transition.
• Experience in telehealth, sleep health, or another multi-specialty digital health environment.
• Familiarity with AI-assisted coding, claims automation, or RCM-focused tech platforms.
• Track record of measurably improving net collection rate or denial rates — with numbers to back it up.
• Has worked in a high-growth startup (Series B or earlier) where ambiguity was the norm and pace was non-negotiable.
• Certified Professional Coding is a plus.

Benefits

• Meaningful work that directly improves peoples’ lives.
• Be part of an international team across the US, France, Belgium.
• Annual team offsite.
• Comprehensive health benefits (medical, dental, vision).
• FREE One Medical membership.
• 401(k) with company match.
• 20 days PTO + 10 paid holidays + 80 hours paid sick leave.
• Monthly phone and internet stipend.

Compensation

$110,000 - $130,000 depending on experience.

Our Core Values

At Sunrise Group, we keep things clear and simple ✨, value trust and collaboration , and lead with optimism and compassion . These values guide everything we do.