Financial Systems Director

About the role

We are seeking a highly technical and strategic Financial Systems Director to lead the architecture, implementation, and optimization of our healthcare billing and financial infrastructure.

Responsibilities

• Stand up a robust, HIPAA-compliant billing system that enables seamless claims-based billing and includes a fully integrated clearinghouse for claims payments.
• Facilitate and architect future upgrades to our Financial Planning & Analysis (FP&A) and Enterprise Resource Planning (ERP) tools to ensure long-term scalability.
• Design, build, and deploy automated tools to support claims ingestion and submission to health plans, eligibility verification, patient responsibility, claims adjudication and ACH processing to support and enhance end-to-end revenue cycle management.
• Automate patient, payer, and benefit verification processes to reduce manual overhead and improve accuracy.
• Develop automated solutions for client and provider billing, ensuring accurate and timely compliance reports.
• Lead the seamless integration of the new billing system with Salesforce, Carrum's Care Platform, Clearing Houses(s) and NetSuite.
• Identify and optimize revenue cycle management by streamlining system integrations and automating manual workflows.
• Work cross-functionally between the Finance, Platform, Provider, Client Success, Commercial, Legal, and Compliance teams to establish, maintain, and scale a world-class billing tool.

Requirements

• 10+ years of hands-on experience working in and architecting HIPAA-compliant healthcare billing systems.
• Deep technical understanding of revenue cycle management (RCM), invoicing, claims-based billing, working with a Third Party Billing Administrator, Clearing House(s), ERPs, and other modern financial platforms.
• A 4-year technical degree (e.g., Engineering, Computer Science, Data Science, or a highly related technical field).
• Proven, practical experience leveraging AI/ML tools and methodologies to automate complex workflows and financial processes.

Qualifications

While not specified, candidates should demonstrate strong leadership skills, excellent communication abilities, and a passion for improving healthcare delivery and affordability.

Skills

• Strong knowledge of healthcare billing systems and processes.
• Experience with AI/ML tools and methodologies.
• Excellent project management and problem-solving skills.
• Ability to work effectively in a fast-paced, dynamic environment.

Benefits

The salary range for this role is $200,000 - $250,000 depending on geography and level of experience, plus equity and an annual bonus.

Pay

$200,000 - $250,000

Schedule

Remote work is available.