Director, Revenue Cycle Management

About the role

You will own the complete billing and collections lifecycle for Foodsmart's digital nutrition care platform, setting the standard for execution across all revenue cycle activities. You will drive accountability and resolution across the full revenue cycle, from patient eligibility and claim submission to payment posting and denial resolution. This role requires you to independently diagnose gaps, design scalable process improvements, and lead the team to close gaps with urgency and precision. You will negotiate strategically with payers, resolve complex coverage and reimbursement issues, and ensure cash collection is optimized across diverse payer contracts. You will set a high bar for performance, instilling a culture of persistence, accuracy, and ownership within the revenue cycle team. You will partner closely with commercial, clinical, and technology leaders to align processes, tools, and data so that care delivered is efficiently converted to cash. You will use data to forecast, identify trends, and implement proactive controls that reduce risk and improve cash flow predictability. If you thrive in ambiguous, fast-paced environments and are motivated by measurable financial impact, this role gives you the autonomy to build and lead a world-class revenue cycle function.

Key facts

What you'll do

Drive the end-to-end revenue cycle operations for Foodsmart, owning eligibility verification, claim filing, payment posting, and cash application with a focus on speed and accuracy.

Lead proactive accounts receivable management, designing workflows to age receivables, prioritize follow-up, and resolve bottlenecks that delay cash conversion.

Partner with payer teams to resolve denials, appeal claims, and negotiate coverage decisions, leveraging clinical and operational data to strengthen payer communications.

Implement and refine policies for copay collection, prior authorization tracking, and timely claim submission to reduce rejections and accelerate payments.

Develop and monitor key performance indicators across the revenue cycle, including clean claim rate, denial rate, days sales outstanding, and cash application accuracy.

Collaborate with technology partners to optimize billing systems, automate manual steps, and ensure integrations support efficient revenue cycle workflows.

Lead root cause analysis for complex denial patterns, defining corrective action plans that prevent recurrence and improve first-pass resolution rates.

Coordinate with dietitians and care teams to ensure documentation supports billing integrity, capturing medical necessity and service details required by payers.

Manage relationships with external vendors and payers, serving as the primary escalation resource for high-value disputes and regulatory inquiries.

Establish playbooks for common revenue cycle scenarios, enabling consistent, compliant, and efficient handling of member, payer, and regulatory requirements.

Support special projects related to payer contracting, compliance, and process transformation, bringing a strategic lens to long-term revenue cycle improvements.

Champion data-driven decision-making, using analytics to identify trends, forecast revenue, and guide operational priorities across the revenue cycle function.

Coach and develop team members on revenue cycle best practices, fostering a culture of accountability, continuous improvement, and high-performance execution.

Act as the operational voice of the revenue cycle, translating complex billing and regulatory requirements into clear guidance for cross-functional stakeholders.

Requirements

Demonstrated experience managing revenue cycle operations in a healthcare or digital health environment, with a strong track record of improving collections and reducing denials.

Proven ability to lead and develop a team of billing and collections professionals, with experience in performance management, coaching, and process improvement.

Strong understanding of payer contracts, reimbursement models, and eligibility verification processes across commercial, Medicaid, and Medicare Advantage products.

Experience with claim lifecycle management, including denial coding, appeal submission, payment posting, and cash application in a high-volume environment.

Solid knowledge of healthcare billing regulations, compliance requirements, and documentation standards that impact revenue cycle performance.

Exceptional analytical skills, with the ability to interpret complex billing data, identify trends, and recommend actionable improvements to optimize collections.

Highly developed communication and negotiation skills, with experience influencing and resolving issues with external payers and internal stakeholders.

Self-directed mindset with the ability to own complex problems, design solutions, and execute independently in a fast-paced, ambiguous environment.

Strong attention to detail and accuracy, with a commitment to ensuring billing integrity, compliance, and timely resolution of receivables.

Bachelor's degree in Healthcare Administration, Finance, Business Administration, or a related field; advanced degree or relevant certification preferred.

Nice to have

Prior experience working with nutrition benefits, SNAP/EBT programs, or dietary care platforms is highly valued.

Experience managing revenue cycle operations at scale within employer-sponsored plans, Medicare Advantage, or Medicaid managed care environments.

Familiarity with dietary documentation, medical necessity requirements, and clinical coding related to nutrition services.

Knowledge of food retail integrations, benefit adjudication, and marketplace eligibility within digital health platforms.

Experience leveraging automation and workflow tools to streamline prior authorization, eligibility, and claim status checks.

Background in coaching clinical or non-clinical teams on billing best practices and documentation standards.

Practical notes

This role is full-time and remote within the United States.

No specific working hours are mandated, but the role requires availability for cross-functional collaboration and timely response to operational priorities.

Candidates must be able to work independently and as part of a distributed team, navigating ambiguity while maintaining rigorous execution standards.