Lead / Director of Revenue Cycle Management (RCM)

Sailor Health•New York, NY

1d•Onsite

About The Position

Sailor Health is seeking its first Revenue Cycle Management (RCM) Lead/Director to own and scale revenue cycle operations for the company. This role is based in New York City and requires a 5-day in-office presence. The successful candidate will be the business owner and quarterback for RCM, collaborating with product, engineering, and operations teams. The company has a strong foundation with over half of patients paying $0 out-of-pocket and RCM Key Performance Indicators (KPIs) already in the top 5% of digital health companies. Sailor Health has invested in an AI-native RCM stack and seeks a leader to leverage this advantage. The role involves a combination of operational rigor, in-house RCM products, external vendors, and a focus on patient experience. Reporting directly to the co-founders, the Director will work closely with Payer Growth, Patient Growth, Engineering, and Product teams. This is a unique opportunity to combine the scale of a fast-growing digital health company, the high standards of a top-tier billing operation, advanced AI tooling, and the autonomy of a first hire.

Requirements

4+ years of relevant experience, with experience leading an RCM team at a digital health company or in an operator role at a tech-enabled RCM company.
Customer-obsessed with an understanding of how RCM impacts patient experience and a commitment to delivering a 5-star patient experience.
Data-driven operator skilled in analyzing operational performance, identifying edge cases, and improving performance using spreadsheets; SQL experience preferred.
Excited by using AI to drive results and increase output; experience with AI tools like Claude or Codex is a plus.
Takes work personally, takes pride in their work, and cares deeply about the impact of their contributions.
A+ player with a hunger to win and a proven track record of top performance in high-intensity environments.

Nice To Haves

Medicare / Medicare Advantage experience is a strong plus.
Strong product, consulting, or banking candidates are also a fit.
SQL experience is preferred but not required.

Responsibilities

Own RCM end-to-end, including KPIs and the health of the function, sustaining top 5% outcomes, and growing the RCM team.
Serve as the product manager for the AI-native RCM, partnering with engineers to develop RCM products and co-authoring the roadmap.
Design and scale AI-native workflows for claims management, denial resolution, QA, reconciliation, payment posting, and payer operations.
Build real-time RCM reporting, including dashboards, reporting infrastructure, and operational visibility for the team.
Identify and address reimbursement leakage, process bottlenecks, and opportunities for automation or optimization.
Drive revenue operations, including credentialing, enrollment, fee schedule integrity, and managing payer relationships in partnership with Payer Growth.
Ensure a best-in-class patient billing and payment experience, extending the company's 5-star patient experience.