Director of Revenue Operations

Accountabilities: The Director of Revenue Operations will lead revenue cycle strategy and execution, overseeing billing operations, financial workflows, compliance processes, and team performance. This role requires strong healthcare revenue expertise, analytical thinking, and the ability to build scalable systems in a rapidly evolving environment.

Own the design and execution of end-to-end revenue cycle operations, including charge capture, claims submission, denial management, payer follow-up, patient billing, and accounts receivable collections.

Monitor and improve key revenue cycle performance indicators, including clean claim rate, AR days, denial rates, write-offs, and overall reimbursement performance.

Develop, document, and maintain billing and coding protocols in partnership with clinical and operational teams.

Ensure consistent application of billing processes across multiple payer types and healthcare programs.

Lead denial prevention and appeals strategies by identifying root causes, analyzing trends, and implementing corrective actions.

Maintain billing operational readiness for new insurance plans, payer relationships, and geographic expansion initiatives.

Partner with Product and Engineering teams to evaluate revenue cycle technologies, automation opportunities, reporting tools, and system integrations.

Optimize EHR and billing system configurations to improve accuracy, efficiency, and scalability.

Identify operational gaps and develop processes that reduce manual work while improving revenue capture.

Support expansion into new markets by implementing billing workflows for additional payer programs, including Medicaid initiatives.

Manage and mentor a team of billing specialists, providing guidance, performance support, and professional development.

Provide leadership updates and insights by translating revenue data into actionable recommendations.

Requirements:

The ideal candidate is an experienced healthcare revenue operations leader with a strong understanding of billing processes, reimbursement workflows, and operational optimization. They should be comfortable managing complex healthcare environments, leading teams, and using data to drive improvements.

7+ years of experience in healthcare revenue cycle management, billing operations, or related healthcare financial operations roles.

At least 2 years of experience in a management or team leadership position.

Strong experience with healthcare billing workflows, claims processing, denial management, payer follow-up, and revenue optimization.

Experience with Medi-Cal, Medicaid billing, or multi-state Medicaid programs is strongly preferred.

Background in telehealth, reproductive health, women’s health, or digital healthcare environments is highly preferred.

Strong knowledge of clearinghouse workflows, ERA/EOB reconciliation, and CPT/ICD-10 coding practices for virtual and reproductive care.

Hands-on experience configuring and managing billing systems, EHR platforms, and related operational tools.

Ability to analyze revenue data, identify trends, track KPIs, and implement measurable process improvements.

Strong cross-functional collaboration skills with the ability to work effectively with Clinical, Finance, Product, Business Development, and Operations teams.

Excellent written and verbal communication skills with the ability to explain complex billing concepts clearly to different audiences.

Adaptable, resourceful, and comfortable operating in a fast-paced environment with evolving priorities.

Strong problem-solving skills with a proactive and ownership-driven mindset.

Passion for improving healthcare access and supporting mission-driven healthcare initiatives.

Benefits:

The position offers a competitive compensation package and flexible remote work environment designed to support professional growth, employee well-being, and meaningful impact.

Competitive salary range of $145,000–$180,000 per year, plus equity opportunities.

Remote work opportunity from approved U.S. states, including CA, CO, CT, DC, DE, HI, IL, MA, MD, NJ, NM, NY, OR, VT, and WA.

Preference for candidates located near New York City.

Unlimited paid time off.

Health, dental, and vision insurance coverage.

Flexible Spending Account (FSA) options.

Opportunity to lead revenue operations for a growing digital healthcare organization.

Ability to directly impact access to essential healthcare services through operational excellence.

Collaborative environment focused on innovation, inclusion, and improving healthcare experiences.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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