Adaptive Innovations
Director, Revenue Cycle Management
Remote. Posted a month ago
The role
The RCM Director will own the analytical and strategic plan for the revenue cycle. This person will identify high-impact opportunities and drive execution alongside Finance, Operations, Product, and Engineering.
What you will do
- Own RCM analytics end to end
- Lead root-cause analysis on denials, underpayments, and revenue leakage, and drive fixes to completion
- Build expected-reimbursement and cash forecasting models
- Own the RCM automation roadmap
- Partner with Product and Engineering to define requirements and business cases for RCM tooling and automation
- Lead revenue cycle strategy for new market launches
- Own revenue cycle diligence on acquisition targets
Required qualifications
- 6+ years of experience
- 2+ years in healthcare-focused consulting or advisory, ideally complemented by time in an operating role
- Working knowledge of the end-to-end revenue cycle
- Demonstrated ownership of an analytics function
- Track record of driving cross-functional initiatives to completion
- Strong judgment to distinguish what's urgent from what's merely loud
Nice to have
- Experience at a multi-state or rapidly expanding provider organization, or in tech-enabled care delivery
- Experience in post-acute care (home health, hospice, personal care)
- Familiarity with clearinghouses, PM/EHR billing modules (ideally HCHB), and RCM automation tools
Benefits
- Competitive compensation package
- Comprehensive health insurance, dental, and commuter benefits
- 401(k) retirement plan with employer contribution
- Flexible time off policy
About the company
adaptive-innovations is building an AI-native physical care platform starting with home health. The company aims to reshape the cost structure of the healthcare industry using AI.