Senior RCM Manager

About the role

We're looking for a Senior RCM Manager to build and scale the operational infrastructure behind our AI-powered revenue cycle platform. You'll lead domestic and offshore billing teams, own performance reporting, and act as a trusted advisor to clients — all while working closely with Product and Engineering to push the boundaries of what our AI can do. This is a hands-on role for someone who builds structure, moves fast, and leads by example.

What You'll Do

• Build and scale internal and offshore RCM teams, ensuring KPIs and SLAs are consistently met
• Serve as a trusted advisor to clients, translating operational performance into clear insights and forward-looking recommendations
• Own reporting across leading and lagging indicators — denial rate, first-pass resolution, A/R aging, cost-to-collect, net collection rate — and act on the data
• Monitor AI agent performance across calling, payer portals, and denial workflows; investigate issues and surface trends
• Partner with Product and Engineering to expand AI capabilities, share payer-specific insights, and shape platform features
• Work alongside engineers to interpret workflow data and identify opportunities to layer in automation

What We're Looking For

• 7+ years in healthcare RCM, with at least 3 years leading high-functioning teams of 15 or more
• Experience building RCM operations from the ground up — not just running a mature org
• Proven track record managing offshore billing or AR teams
• Strong analytical skills and comfort working directly with data and engineering teams
• Bias for action, high ownership, and ability to thrive in an early-stage environment