Sr. Director, RCM

The role

You will own the revenue cycle end to end, from enrollment through cash. You will lead the RCM team and use process and automation to close operational gaps.

What you will do

• Manage AR and denials by fixing root causes.
• Run the function using metrics like net collection rate, days in AR, clean claim rate, denial rate, and cost to collect.
• Own EHR, clearinghouse, and billing platform relationships and configuration.
• Manage front-end revenue integrity including eligibility and benefits verification.
• Identify and implement automation and AI to eliminate repetitive work.
• Provide cash forecasting to Finance.
• Build operating discipline for compliance regarding confidentiality, minor-consent, and HIPAA.

Required qualifications

• 10+ years in RCM
• 5+ years leading RCM teams
• Experience in one or two startups
• Deep outpatient behavioral health and Medicaid/MCO billing expertise
• Practical, hands-on use of AI and automation
• Track record of standing up reporting, automating manual work, and leading system migrations
• Strong executive communication
• Ability to influence stakeholders and drive change without direct authority

Nice to have

• Experience with school-based, pediatric, or youth behavioral health programs
• Experience billing across multiple states with a multi-state licensed clinician workforce
• Familiarity with BI tools
• Exposure to value-based or outcomes-linked payer contracts

Benefits

• Generous equity package
• Medical, dental, and vision coverage
• Daybreak covers a significant share of premiums for employees and dependents
• Flexible unlimited time off
• Company holidays
• Quarterly mental health days

About the company

Daybreak Health delivers teletherapy to young people and families through schools, funded by health plans.