Director of Revenue Cycle Management

Nema Health

16h • Remote

About The Position

We’re seeking a Director of Revenue Cycle Management to lead our team in delivering exceptional patient care and financial outcomes. You will own Nema’s revenue and claims strategy end-to-end, aligning our RCM workflows with financial performance and regulatory compliance, and building strong relationships with payers to resolve systemic billing barriers. This is a hands-on, player-coach role spanning both execution and systems design—ideal for someone who thrives in the details while building the infrastructure needed to scale.

Requirements

• 8+ years of revenue cycle management experience, including 3+ years in a leadership role
• Deep, hands-on expertise across claims, denials, and payer operations
• Experience with complex reimbursement models (e.g., bundled case rates, non–fee-for-service)
• Strong clinical-to-claims fluency, ensuring alignment between provider documentation, coding, and compliant billing
• Experience in telehealth, digital health, or multi-state healthcare environments
• Exceptional attention to detail with strong analytical and problem-solving skills
• Proven ownership mindset with the ability to operate independently in a fast-paced startup environment
• Proficiency with EHRs, practice management systems, and RCM tools
• Familiarity with credentialing and licensing workflows

Responsibilities

• Own and optimize Nema’s end-to-end revenue cycle, ensuring strong financial performance, regulatory compliance, and scalability
• Step into day-to-day billing operations as needed (claims, denials, payer follow-up) while leading the function at a strategic level
• Lead and develop a high-performing team, fostering psychological safety, clear accountability, and strong execution
• Design and scale RCM systems, workflows, and infrastructure to support multi-state growth and increasing complexity
• Establish and monitor key RCM KPIs, using data to drive decisions across denials, underpayments, and overall cash flow health
• Identify and address root causes of denials to improve reimbursement outcomes
• Drive alignment between clinical documentation, coding, and billing to ensure accurate and compliant reimbursement
• Lead RCM technology and vendor relationships, ensuring systems are integrated, high-performing, and scalable
• Build and manage strategic payer relationships, including escalation and negotiation to resolve systemic billing barriers
• Partner cross-functionally to lead data-driven initiatives, driving effective change management and continuous process improvement to enhance revenue cycle performance, efficiency, and scalability
• Deliver a transparent, patient-centered billing experience, incorporating trauma-informed principles into financial workflows
• Stay current on payer requirements, regulatory changes, and industry best practices to strengthen RCM operations

Benefits

• Comprehensive benefits including healthcare, 401(k) with matching, and stipends for work-from-home productivity and continued education
• Generous PTO and flexible work hours
• Remote-first culture with supportive team norms
• Inclusive, trauma-informed leadership
• Opportunity to grow with a fast-moving, mission-driven company

What This Job Offers

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