Director of Payer Ops and RCM

Alpaca Health • New York, NY

9d • Remote

About The Position

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We are growing quickly and expanding into new states this year. The problems we are solving are operationally complex, high-stakes, and deeply meaningful for families.
We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving hundreds of patients, while growing 30% MoM.

Requirements

• 7-10+ years experience in operations with at least 5 years working in commercial payor contracting and revenue cycle operations
• Experience applying to and executing payor contracts, ideally with experience successfully negotiating higher reimbursement rates with quick contract turnaround times
• Experience running Revenue Cycle Management and building systems with industry leading claims acceptance rates
• Previous experience evaluating, onboarding, and managing external vendors/tools
• Excellent cross-team collaboration, management skills, and attention to detail
• Strong business acumen with the ability to analyze complex revenue, business, and operational data
• Experience in the healthcare industry, particularly in pediatric care or related fields

Responsibilities

• Own the revenue engine and company-level outcomes
• Build and lead a high-performing RCM organization
• Shift RCM from reactive operations to a proactive growth system
• Own payer performance and rate strategy
• Act as the executive partner to Product & Engineering
• Design the operating system for scale
• Lead with data and continuous improvement

Benefits

• Competitive salary
• Meaningful equity
• Health benefits
• Flexible PTO
• Dinner when working late

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed