Director of Revenue Cycle

🕒 May 22

🐻 Alaska, Hawaii – Remote

🐻 Alaska – Remote 🌺 Hawaii – Remote

💵 $155k - $165k / year

⏰ Full Time

🔴 Lead

👔 Director

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Diverge Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🌍 Social Impact

🏢 Enterprise

Healthcare Insurance • Social Impact • Enterprise

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 that strengthens revenue integrity for small, independent practices. • Lead execution and optimization of the care management billing business line, ensuring accurate documentation & coding, practice transmission, and reimbursement. • Build and lead vendor partnerships to deliver a strong RCM function to Diverge’s primary care practice customers that improves revenue performance. • Serve as a product-oriented leader by understanding practice needs, user workflows, and personas to inform service design and the technology roadmap. • Leverage AI and automation to modernize revenue cycle operations and create efficient, scalable, future-focused capabilities. • Hire, develop, and mentor a high-performing team of billing, coding, and collections specialists positioned for growth. • Design and implement scalable workflows, policies, and controls that drive compliance and consistent revenue integrity. • Partner closely with Central Support Teams to ensure tight integration and shared accountability for results.

🎯 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.