Director of Revenue Cycle Management

🕒 Julho 24

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General Medicine

SiteLinkedInTodas as Vagas

51 - 200 funcionários

💼 Consultoria

📦 Logística

🏥 Saúde

💰 $32.000.000 Series A em 2025-06

Consulting • Logistics • Healthcare

A General Medicine é um provedor de saúde digital que oferece cuidados primários e especializados virtuais, gerenciamento de prescrições e agendamento de exames laboratoriais com preços transparentes e antecipados e aceitação de planos de saúde. A plataforma conecta pacientes a clínicos gerais e especialistas certificados para consultas virtuais e encaminhamentos, além de fornecer recomendações de saúde personalizadas com o suporte de recursos de IA, como o "Ask General AI."

Descrição

• Define and lead the overarching revenue cycle strategy, aligning with company growth objectives, market expansion, and evolving payer landscapes • Provide executive oversight of all revenue cycle functions including patient access, authorization, coding, billing, denials management, collections, and reporting • Partner with executive leadership to shape financial strategy, including revenue forecasting, pricing models, and payer contracting approaches • Identify and drive transformational initiatives to optimize revenue capture, improve margins, and enhance operational efficiency at scale • Establish enterprise-level KPIs, benchmarks, and performance frameworks to measure and improve revenue cycle effectiveness • Lead organizational design and workforce strategy for the revenue cycle team, including leadership development, succession planning, and vendor management • Oversee and optimize relationships with third-party billing vendors, clearinghouses, and payer partners • Champion the adoption of technology, automation, and data analytics to modernize revenue cycle infrastructure and support a high-growth, tech-enabled care model • Drive cross-functional alignment with clinical, product, engineering, finance, and operations teams to ensure seamless end-to-end revenue workflows • Lead payer strategy, including contract negotiation support, reimbursement optimization, and dispute resolution • Ensure enterprise-wide compliance with federal, state, and payer regulations including HIPAA, CMS, and commercial payer policies • Serve as the executive sponsor for audit readiness, risk management, and regulatory response initiatives • Provide strategic insights and reporting to the executive team and board, translating data into actionable business decisions • Foster a culture of accountability, innovation, and continuous improvement across the revenue cycle organization • Anticipate industry trends, regulatory changes, and reimbursement shifts to proactively adapt strategy

🎯 Requisitos

• Bachelor’s degree in healthcare administration, business, finance, or related field (Master’s degree preferred) • 12+ years of progressive experience in revenue cycle management, with at least 5+ years in a director or executive leadership role • Deep expertise in end-to-end revenue cycle operations, including multi-state and telehealth environments • Strong knowledge of medical coding standards (CPT, ICD-10), E/M guidelines, and complex payer structures • Demonstrated success leading large, distributed teams and scaling revenue operations in a high-growth environment • Experience with EMR and RCM systems, as well as implementing or optimizing revenue cycle technologies • Proven ability to influence executive stakeholders and drive cross-functional initiatives • Strong analytical and financial acumen with experience in forecasting, budgeting, and performance optimization • Excellent communication and leadership skills, with the ability to operate effectively in a virtual environment • High level of strategic thinking combined with executional rigor.

🏖️ Benefícios

• Competitive salary • Remote work options