Strategy & Operations Director / Lead - 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 role inherits a small team and a strong foundation, with over half of patients paying $0 out-of-pocket and RCM 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 position involves a combination of operational rigor, in-house RCM products, external vendors, and a focus on patient experience. The RCM Lead will report directly to the co-founders and 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, a top-tier billing operation, advanced AI tooling, and the autonomy of a first hire.

Requirements

3+ years of relevant experience. You've led or been a part the RCM team at a digital health company, or come from an operator role at a tech-enabled RCM company.
You are customer-obsessed. You understand how RCM directly shapes the patient experience and you obsess over delivering a 5-star experience to patients.
You're a data-driven operator. You enjoy going several layers deep into data to understand operational performance, uncover edge cases, and improve performance. You’re excellent with spreadsheets.
You take work personally. You take pride in what you build and care deeply about the impact of your work.
You're an A+ player. You have a hunger to win and a proven track record of being a top performer in high-intensity environments.

Nice To Haves

Medicare / Medicare Advantage experience is a strong plus.
SQL experience is preferred but not required.
Strong product, consulting, or banking candidates are also a fit.
You're an AI operator. You are excited by using AI to drive better results and 10x your output. On evenings or weekends, you're on Claude or Codex shipping products, gadgets, or just experimenting.

Responsibilities

Own RCM end-to-end: Be the business owner responsible for the KPIs and health of the function. You'll sustain our top 5% outcomes, and will be responsible for growing the RCM team. Key metrics include: net collection rate, touchless claim rates, denial rates, days in AR, and cost to collect.
Serve as the product manager behind our AI-native RCM: Partner with our engineers to continue shipping RCM products. You're not waiting for a roadmap – you're co-authoring it.
Design and scale AI-native workflows: Across claims management, denial resolution, QA, reconciliation, payment posting, and payer operations.
Build real-time RCM reporting: Build and ship dashboards, reporting infrastructure, and operational visibility across the revenue cycle for the rest of our team.
Identify and break bottlenecks: Identify reimbursement leakage, process bottlenecks, and opportunities for automation or optimization.
Drive revenue operations: Own credentialing, enrollment, fee schedule integrity, and the operational side of payer relationships in tight partnership with Payer Growth.
Provide best-in-class patient billing experience: You ensure that our 5-star patient experience extends across billing and payments.