Director, Revenue Cycle Management
- Compensation
- Not disclosed
- Location
- Virtual
- Work setup
- Remote
- Seniority
- Not specified
- Employment
- Contract
- Experience
- 3+ years
- Category
- Not specified
- Posted
Skills
Must have
- 7+ years in healthcare revenue cycle, with 3+ years leading a team or function
- Deep professional (physician/practitioner) billing experience — not solely facility/hospital
- Hands-on ownership of a modern billing or claims platform (Candid Health strongly preferred; Waystar, Availity, Office Ally, Change/Optum, or similar considered)
- Demonstrated experience through an EHR implementation or migration, on the revenue cycle side
- Fluency with CPT, HCPCS, ICD-10, modifiers, and payer-specific billing requirements
- Track record of reducing denials and days in AR, with evidence you can walk us through
- Comfort working with messy data — able to reconcile, validate, and build structure where none exists
- Direct experience managing commercial payer escalations, underpayments, and performance issues
Nice to have
- Telehealth, virtual care, or digital health billing experience
- Familiarity with preventive services and ACA-mandated coverage, including lactation and maternal health benefits
- Healthie experience
- Comfort with SQL, BI tools, or spreadsheet modeling at depth
- Startup or small-company experience — you are willing to do the work yourself, not just direct it
Full description
Director, Revenue Cycle ManagementLocation: Remote (U.S.)
Employment type: Full-time
Reports to: Chief Operating Officer
Compensation: $140k
About the role
SimpliFed is looking for a Director of Revenue Cycle Management (RCM) to own the full revenue cycle end-to-end — and to build it properly, not just run it.
This is a hands-on leadership role at a company in the middle of meaningful change. We are migrating to a new EHR (Healthie), rebuilding our configuration in Candid Health, and establishing a clean, trustworthy data foundation underneath both. The person in this seat will lead that work, then own the operating rhythm that comes after it.
We are looking for a true RCM expert — someone who has personally configured payer rules, worked denials, defended a cash forecast, and can tell us what we are doing wrong. You will be the company’s authority on revenue cycle, and you will be given the mandate to act like it.
What you’ll own
- End-to-end revenue cycle. Eligibility and benefits verification, charge capture, coding, claim submission, denial management, appeals, AR follow-up, patient billing, and cash posting.
- The Candid Health build. Own configuration, payer rules, fee schedules, and claim edits. Establish a monitoring cadence and modify rules based on what the data actually shows — not what was assumed at setup.
- EHR transition. Serve as the revenue cycle lead on the Healthie implementation. Ensure clinical documentation, encounter data, and charge flow map cleanly into billing, and manage the cleanup and resolution of legacy claims from the prior system.
- Data integrity. Establish and maintain a single source of truth for payer, plan, provider, and contract data. Clean data is a precondition for everything else here, and it is a core part of this job.
- Forecasting and reporting. Build revenue cycle reporting leadership can rely on: cash forecast, AR aging, denial trends by payer and reason code, and yield by service line. Own the numbers and the explanation behind them.
- Payer relationships. Manage escalations, underpayments, and payer performance. Partner closely with the team that owns credentialing and payer enrollment to keep the provider roster current and billable, and flag downstream billing impacts early.
- Lead, support, and develop a small RCM team, including an existing RCM Manager. Set priorities, remove blockers, and build the capacity to scale without adding headcount linearly.