Director, Revenue Cycle Management

The role

The Director of Revenue Cycle Management will own the end-to-end revenue cycle and lead the migration to a new EHR and billing configuration. This role involves managing data integrity, forecasting, and leading a small RCM team.

What you will do

• Own end-to-end revenue cycle including eligibility, charge capture, coding, and denial management.
• Own Candid Health configuration, payer rules, fee schedules, and claim edits.
• Serve as the revenue cycle lead on the Healthie EHR implementation.
• Establish and maintain a single source of truth for payer, plan, provider, and contract data.
• Build revenue cycle reporting for cash forecast, AR aging, and denial trends.
• Manage payer relationships, escalations, and underpayments.
• Lead, support, and develop a small RCM team.

Required qualifications

• 7+ years in healthcare revenue cycle
• 3+ years leading a team or function
• Deep professional (physician/practitioner) billing experience
• Hands-on ownership of a modern billing or claims platform
• Demonstrated experience through an EHR implementation or migration
• Fluency with CPT, HCPCS, ICD-10, modifiers, and payer-specific billing requirements
• Track record of reducing denials and days in AR
• Comfort working with messy data
• Direct experience managing commercial payer escalations, underpayments, and performance issues
• Valid Drivers License and REAL ID
• Currently authorized to work in the United States on a full-time basis

Nice to have

• Candid Health experience
• Telehealth, virtual care, or digital health billing experience
• Familiarity with preventive services and ACA-mandated coverage, including lactation and maternal health benefits
• Comfort with SQL, BI tools, or spreadsheet modeling at depth
• Startup or small-company experience

Benefits

• Remote-first, with the flexibility that comes with it
• Unlimited PTO plus company holidays
• 401(k) eligibility

About the company

SimpliFed gives parents the tools they need to navigate baby feeding questions, concerns, and obstacles. It is a Series A company providing a platform that connects families to licensed lactation and maternal health providers.