Director, Revenue Cycle Management

Dreem Health

2d•$110,000 - $130,000

About The Position

Dreem Health is America’s leading digital sleep clinic. Powered by Sunrise’s technology, Dreem Health makes sleep care simple — replacing long waits and in-lab sleep studies with home-based testing, expert telehealth visits, and personalized treatment plans that are easy for patients to follow. We’re fixing the broken sleep care journey and helping more people get the care they need — from home, on their schedule. About Sunrise Group Sleep is one of healthcare’s biggest blind spots. Access is slow, confusing and uneven, and millions of people who need help never get it. Sunrise exists to change that. Born from pioneering research on mandibular jaw movement, we built a chin-based sleep test that reinvented how sleep disorders can be diagnosed from home. That breakthrough has evolved into a full sleep-health platform: advanced diagnostic and treatment technology paired with clinical care delivered directly to patients’ homes through Dreem Health in all 50 U.S. states. Across the U.S. and Europe, our 100+ clinicians, engineers and operators share one mission: make high-quality sleep care accessible to everyone. Backed by more than $50M, we’re taking on one of healthcare’s biggest challenges: the 1+ billion people worldwide who still can’t get the sleep care they need. Ideally, the candidate chosen for this opportunity will reside on the East Coast of the US. Your Opportunity We went from $0 to $10M ARR in less than 3 years. The clinical infrastructure scaled. The payor mix grew. The device portfolio expanded. The billing infrastructure and processes haven't kept pace — and that's exactly why this role exists. We are hiring a Director of Revenue Cycle Management to build and own the financial engine that makes high-quality sleep care sustainable at scale. At Dreem Health, RCM isn't a back-office function. It's a strategic lever. Every denial dollar recovered, every contract rate improved, every billing workflow tightened translates directly into the margin that funds our next phase of growth. This role sits at the intersection of finance, operations, and clinical care — and reports directly to the CFO. You will work closely with our contracting team to ensure that what gets negotiated in a payor contract is accurately and systematically captured in billing workflows. That relationship is collaborative by design — you're not managing contracting, but you are the person who turns contract terms into cash. How you'll work with the contracting team: The contracting team owns payor relationship management and rate negotiations. You own billing execution, denial management, and the operational translation of those contracts into clean claims and collected revenue. You'll partner closely — sharing denial data that informs renegotiation priorities, flagging compliance gaps, and aligning on new contract terms before go-live. Your decisions will directly impact: Net collection rate and days in AR — the two numbers that tell us how healthy our revenue engine is Contribution margin — the path to profitability runs directly through RCM performance Payor compliance — in a 50-state operation, getting this wrong has consequences Cash flow — because growth is only sustainable when the money actually comes in At Sunrise Group, we work on a problem that affects millions: poor sleep and untreated sleep disorders. Our mission is to make diagnosis and care easier to access, and we’re proud of the experience we provide to patients. We feel responsible for making it better every day. If you’re looking for the autonomy to take ownership of your work, make an impact, and be part of a team where ideas move fast and everyone has a voice - this role is for you!

Requirements

7+ years in healthcare RCM, with at least 3 in a director-level or equivalent role with direct P&L accountability
Proven experience in multi-state operations — you understand that 50-state billing is not just one state times 50
Deep working knowledge of DME billing and/or professional services billing — ideally both
Strong understanding of CMS reimbursement policy, and payor workflows
Experience working alongside (not managing) a payor contracting function — you know how to translate contract terms into billing operations
Analytically self-sufficient — you can pull your own data, build your own reports, and identify root causes without waiting for an analyst
Excellent communicator: you can present to a C-level member and train a billing coordinator in the same day

Nice To Haves

You've led or co-led an RCM internalization — evaluated vendors, built the business case, and managed the transition
Experience in telehealth, sleep health, or another multi-specialty digital health environment
Familiarity with AI-assisted coding, claims automation, or RCM-focused tech platforms
Track record of measurably improving net collection rate or denial rates — with numbers to back it up
Has worked in a high-growth startup (Series B or earlier) where ambiguity was the norm and pace was non-negotiable
Certified Professional Coding is a plus

Responsibilities

Own the full revenue cycle end-to-end: charge capture, claim submission, denial management, payment posting, and patient collections across both professional and DME billing lines
Drive RCM internalization — evaluate current vendor relationships, build the business case for what to bring in-house, and execute the transition without disrupting cash flow
Maintain and improve clean claim rates, net collection rates, and days in AR across all payors and service lines
Partner with the contracting team to translate newly negotiated payor terms into billing workflows — ensuring rate changes, service authorizations, and code requirements are operationalized correctly from Day 1
Provide denial data and reimbursement gap analysis to the contracting team to inform renegotiation priorities
Manage all payor-facing billing operations including claims compliance, appeals, and audit responses
In coordination with the contracting team, track Medicare Advantage, and commercial reimbursement policy changes and proactively adjust billing protocols
Define org structure, hire top talent, and drive performance with clear KPIs and accountability frameworks
Build and maintain a real-time RCM reporting dashboard, surfacing net collection rate, denial rate by payor, days in AR, and contribution margin impact
Work cross-functionally with clinical operations to eliminate billing errors at the source — not just correct them downstream
Own RCM P&L — forecast revenue collections, flag risk, with variance analysis and action plans
Ensure billing readiness for new product and care pathway launches so coding and billing logic is correct before the first claim goes out