Director of Revenue Cycle

🔥 4 hours ago

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Diverge Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🌍 Social Impact

Healthcare • Healthcare Insurance • Social Impact

Diverge Health is a company dedicated to empowering primary care practices to deliver the highest quality care to underserved patients. The company provides infrastructure support to primary care providers, including highly trained community health teams, administrative aids, and technology solutions for local population health management. Diverge Health aims to enhance healthcare outcomes and assist practices in transitioning to value-based payment models. The company grew its foundation by acquiring the intellectual property of City Health Works, focusing on deploying trusted community health workers to assist patients in effectively managing care and reducing complications. Diverge Health plays a pivotal role in improving primary care delivery, patient health literacy, and providing better financial performance and provider satisfaction for payors.

📋 Description

• Design, launch, and scale a care management billing function and high-performing RCM platform. • Build the strategy, infrastructure, and team for future growth leveraging AI and automation. • Lead execution and optimization of the care management billing business line. • Build and lead vendor partnerships for RCM function to improve revenue performance. • Serve as a product-oriented leader by deeply understanding practice needs and translating insights into service strategy. • Leverage AI and automation to modernize revenue cycle operations. • Hire, develop, and mentor a high-performing team positioned for growth. • Design and implement scalable workflows, policies, and controls.

🎯 Requirements

• 5-7+ years of leadership experience working in billing / coding for internal medicine, family medicine, and/or Federally Qualified Health Centers (FQHCs). Direct experience with care management billing (e.g., CCM, RPM, TCM) and related reimbursement models, as well as primary care revenue cycle management with a CPC certification strongly preferred. • Deep knowledge of revenue integrity best practices and regulatory compliance. • Experience influencing non-employed practices in an MSO or private-equity backed healthcare context. Strong command over data, ability to deeply analyze trends, and leverage data to influence financial outcomes. • Experience operating as a strategic, product-minded leader who translates frontline user needs into scalable service and technology solutions.