Head of RCM Strategy

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🕒 Setembro 25

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Adaptive Innovations

Adaptive Innovations

51 - 200 funcionários

🏥 Saúde

🤖 Inteligência Artificial

Healthcare • Artificial Intelligence

A Adaptive Innovations é um provedor de saúde nativo em IA, focado em reconstruir a forma como o cuidado é entregue nos Estados Unidos, começando com a saúde domiciliar. Ela combina um sistema operacional de IA para coordenar clínicos físicos em casa com a entrega de cuidado humano para reduzir a carga administrativa, melhorar o acesso e diminuir a re-hospitalização. A empresa se posiciona tanto como um grande provedor de saúde domiciliar (com presença notável no Texas) quanto como uma operadora baseada em tecnologia que utiliza IA para otimizar a documentação e os encaminhamentos dos clínicos.

Descrição

• 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 for Finance and Operations • 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 • Analyze data, decode payer behavior, identify high-impact opportunities, and drive execution with Finance, Operations, Product, and Engineering • Stress-test new opportunities and integrate new businesses as the company scales

🎯 Requisitos

• 4–9 years of experience, including 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 • 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 • Legally authorized to work in the United States • No educational credential explicitly required

🏖️ Benefícios

• Flexible time off policy—we expect most employees to take at least 3 weeks of vacation per year • In-office lunches, dinners, and snacks to fuel your focus and well-being • Comprehensive health insurance, dental, and commuter benefits • 401(k) retirement plan with employer contribution • Collaborative team valuing innovation and problem-solving

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