Senior Associate, Revenue Operations

Sword

4d•$108,500 - $170,500

About The Position

At Sword, we’re building AI to heal billions and unlock humanity’s full potential. In doing so, we’re pioneering AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and real-time treatment, not generic technology applied after the fact. As both a clinical-centric frontier AI lab and an applied AI platform, Sword is reimagining how care is delivered at scale, removing traditional barriers like appointments, waiting rooms, and stigma so more people can access the care they need—and ultimately get back to lives lived in full. Since 2020, Sword has expanded across physical therapy, women’s health, cardiometabolic, and mental health, and is now moving beyond the session to a fully AI-native, 24/7 care program that brings physical activity, therapeutic exercise, psychotherapy, nutrition, and behavior change into one connected experience. More than 700,000 members across three continents have completed over 10 million AI sessions, helping 1,000+ enterprise clients avoid more than $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies, 44+ patents, and more than $500 million raised from leading investors including Khosla Ventures, General Catalyst, and Founders Fund, Sword is defining a new standard for healthcare. AI Proficiency at Sword AI fluency is a core expectation at Sword. Every candidate is assessed against our three-level framework — be ready to share real examples of how AI is already part of how you work. Explorer (Level 1) — Uses AI daily to boost personal productivity Builder (Level 2) — Creates workflows and tools that elevate the whole team Integrator (Level 3) — Embeds AI into products and processes at scale Every hire must demonstrate at least Level 1. The expected level will vary depending on the seniority of the role. We are looking for a seasoned revenue cycle operator who brings deep, hands-on mental and behavioral health billing expertise and is ready to own the revenue cycle end-to-end. This is not a role for someone who needs a well-scoped ticket queue. You will take the lead on moderately complex, loosely-defined problems, put durable processes in place where none exist today, and carry projects from inception through execution largely on your own. Behavioral health reimbursement is its own discipline — EAP arrangements, session-based benefit limits, authorization requirements, and payer behavior that rarely resembles medical claims. We are looking for someone who has lived in that world and can act as our subject matter expert from day one. As the function grows, there may be a path for this person to take on oversight of a small team, and we are looking for someone who is interested in potentially growing into people leadership — you do not need management experience today, but you should be open to it tomorrow. We are seeking an individual who thrives working cross-functionally and is passionate about digging into Product, Commercial and Operational processes that tie directly to product monetization. You will be instrumental in organization-wide initiatives related to profitability operations, and in replacing manual, error-prone processes with ones that scale. We want someone who thinks creatively about how to leverage AI to improve how the team works, and who is resourceful about the operational improvements that accelerate cash collections. In summary, we are looking for a self-starter who craves a challenge, moves fast, and questions the status quo — someone who can see the big picture but is equally willing to roll up their sleeves and get their hands dirty. Startup experience is preferred but not a must. The ideal candidate will have experience in health tech, behavioral health, or a provider organization with meaningful behavioral health volume. This role sits within the Finance organization and reports into the Senior Director of Revenue Operations (RevOps). The RevOps team is a small but mighty group with a strong growth mindset, who love working cross-functionally and are passionate about helping our members. This team is critical to the path to profitability and takes pride in working on high-visibility, high-stakes projects within the Finance organization. As a Senior Associate you will be one of the most independent operators on the team, trusted to own your scope outright and to raise the bar for those around you.

Requirements

Startup or high-growth company experience
Direct, hands-on experience billing mental and behavioral health services. You should be fluent in behavioral health claims, EAP billing and reauthorization, session-based benefit and clinical package tracking, prior authorizations, and the payer rules and authorization requirements specific to mental health services
At least 3.5 years of hands-on Revenue Cycle Management experience
Strong command of the medical claims lifecycle front to back, payer rules, and A/R management best practices
Demonstrated track record of independently owning projects from initiation through execution
An interest in growing into people leadership. Prior management experience is not required, but you should want to manage and potentially develop a small team over time.
Experience using data and reporting to drive operational decisions and performance improvements
Advanced Excel/Gsheet skills
Comfort with ambiguity and loosely-scoped problems
Excellent attention to detail
Experience working cross-functionally with different teams, and the ability to influence stakeholders outside your reporting line
Efficient written and verbal communication skills
Excitement to wear multiple "hats" and problem solve effectively
Ability to operate effectively in a fast-paced, evolving environment
Undergraduate college degree

Nice To Haves

Experience in behavioral health, telehealth, or digital health environments at scale
Experience implementing process automation, RPA, or technology-enabled workflow improvements within RCM
Experience leading or supporting a billing system migration or implementation
Exposure to Medicare/CMS products, delegated credentialing, or payer contracting
Prior experience mentoring, training or informally leading teammates
Self-motivated, resourceful and proactive about driving projects to success.
Highly attentive to detail, has a learn-it-all attitude, and isn't afraid to ask questions, take on a new challenge and grow with Sword

Responsibilities

Independently own pre-submission, submission and post-submission workflows across the revenue cycle — billing, claim scrubbing, rejections, denials, underpayments, recoupments, reconciliation and A/R follow-up — driving timely resolution and cash acceleration
Take the lead on directing and delivering timely solutions to moderately complex, loosely-scoped problems aligned to team and company goals, across all billing matters
Independently put processes, SOPs and SLA standards in place that improve the efficiency, consistency and quality of revenue cycle operations
Identify systemic trends and root causes in denials and payer behavior, and partner cross-functionally to drive durable fixes rather than recurring rework
Own leadership-facing reporting on RCM performance — collection rate, A/R days, denial and write-off rates, yield — and clearly communicate trends, root causes, and the changes, support or resourcing needed to improve outcomes
Identify and implement opportunities to leverage AI and automation to reduce manual operations and accelerate external cash collections
Work cross-functionally with Accounting and FP&A on month-end close activities
Enable Analysts on the team to be successful through mentoring, training and onboarding support, with the opportunity to oversee a small team as the function scales
Partner with our Intelligence, Data and Product teams to build quarterly roadmaps that align with company-wide goals
Develop self-serve dashboards that better support Commercial teams and eliminate the need for manual data manipulation
Work regularly with the Product team on scaling our home-grown billing tooling, and support billing system migrations and implementations end-to-end — requirements, configuration, testing and cutover
Work closely with Customer Success and Partner Success on all items related to customer and partner pricing, billing and payment; support the project management of setting up new payment structures as we expand into additional solutions
Own the front-end of the billing lifecycle, including participating in external calls with clients, payers and health plans, representing the company as the reimbursement SME
Support internal and external audits related to revenue cycle operations — ensuring readiness and compliance, and translating findings into durable process improvements
Enable Analysts and Associates on the team to be successful through mentoring, training and onboarding support
Ensure all billing processes and workflows adhere to HIPAA and applicable regulatory and industry standards