Director of Revenue Cycle
About the role
We are seeking a Director of Revenue Cycle to join our team at Diverge Health. The ideal candidate will have 5-7+ years of leadership experience in billing/coding for internal medicine, family medicine, and/or Federally Qualified Health Centers (FQHCs), with direct experience in care management billing and primary care revenue cycle management. The successful candidate will also have a CPC certification and deep knowledge of revenue integrity best practices and regulatory compliance.
Responsibilities
- Lead execution and optimization of the care management billing business line, ensuring accurate documentation & coding, practice transmission, and reimbursement.
- Build and lead vendor partnerships to deliver a strong RCM function to Diverge’s primary care practice customers that improves revenue performance starting with comprehensive documentation.
- Serve as a product-oriented leader by deeply understanding practice needs, user workflows, and personas to inform service design and the technology roadmap.
- Leverage AI and automation to modernize revenue cycle operations and create efficient, scalable, future-focused capabilities.
- Hire, develop, and mentor a high-performing team of billing, coding, and collections specialists positioned for growth.
- Design and implement scalable workflows, policies, and controls that drive compliance and consistent revenue integrity.
- Partner closely with Central Support Teams to ensure tight integration and shared accountability for results.
- Leverage AI and technology to create an efficient, scalable, and effective tech-enabled service model.
- Establish, monitor, and lead continuous improvement efforts for RCM and care management billing KPIs.
Requirements
Direct experience with care management billing (e.g., CCM, RPM, TCM) and related reimbursement models, as well as primary care revenue cycle management with a CPC certification strongly preferred. Deep knowledge of revenue integrity best practices and regulatory compliance. Experience influencing non-employed practices in an MSO or private-equity backed healthcare context. Strong command over data, ability to deeply analyze trends, and leverage data to influence financial outcomes. Experience operating as a strategic, product-minded leader who translates frontline user needs into scalable service and technology solutions. Personal Characteristics: empathetic, humble, and highly conscientious teammate who inspires and motivates others. Strength in authentically connecting with independent practice leaders and teams, meeting them where they are. A collaborative systems thinker who values integration, partnership, and shared success. Curious and committed to continuous learning and growth. Clear, thoughtful communicator with strong attention to detail. A strong representative of Diverge Health’s mission, vision, and values.
Qualifications
Commensurate on candidate experience, the expected base salary range for this role is $155,000-$165,000. At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones.
Benefits
Diverge Health is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, reproductive health decisions, family responsibilities or any other characteristic protected by the federal, state or local laws.
Pay
This is a full-time, exempt, salaried position.
Schedule
Full-time, exempt, salaried position.