Senior Director, RCM

Daybreak Health

. Own the revenue cycle end to end, from enrollment through cash, for Medicaid and managed care organizations, outpatient behavioral health, telehealth, and multi-state licensed clinicians .

Posted 10/15/2026full-timeRemote • United StatesSenior💰 $175,000 per yearWebsite

About the role

Key responsibilities & impact

Own the revenue cycle end to end, from enrollment through cash, for Medicaid and managed care organizations, outpatient behavioral health, telehealth, and multi-state licensed clinicians
Lead the RCM team and report to the President and Co-Founder
Partner with Finance, Clinical Operations, Product, Engineering, and Credentialing
Manage accounts receivable and denials by identifying root causes in workflows, payer rules, and systems
Run reporting on net collection rate, days in AR, clean claim rate, denial rate, and cost to collect
Own EHR, clearinghouse, and billing platform relationships and configuration
Improve eligibility and benefits verification, patient responsibility, estimates, and upstream revenue workflows
Identify and implement automation and AI for billing, posting, follow-up, and reconciliation with appropriate controls
Partner with Finance on close, accruals, reserves, AR allowance, cash forecasting, and variance explanations
Build compliance practices for confidentiality, EOBs, statements, minor-consent handling, HIPAA, and payer audits
Improve AR, denial and clean claim rates, reporting, automation, forecasting, cross-functional workflows, and audit readiness

Requirements

What you’ll need

10+ years in RCM, including 5+ years leading RCM teams
Experience in one or two startups
Deep outpatient behavioral health and Medicaid/MCO billing expertise
Practical, hands-on use of AI and automation to improve how work gets done, with good judgment about where human review still matters
Track record of standing up reporting, automating manual work, and leading system migrations
Comfort owning numbers publicly and being wrong out loud when the forecast misses
Strong executive communication and ability to turn complicated billing findings into clear recommendations with tradeoffs
Ability to influence stakeholders and drive change without direct authority, especially across Clinical Operations, Product, and Engineering

Benefits

Comp & perks

Generous equity package
Medical, dental, and vision coverage, with Daybreak covering a significant share of premiums for employees and dependents
Flexible unlimited time off, company holidays, and quarterly mental health days
Fully remote work from anywhere in the United States