Director of Revenue Cycle

Responsibilities

• Design, launch, and scale a care management billing function and high-performing RCM platform
• Lead execution and optimization of the care management billing business line
• Build and lead vendor partnerships to deliver strong RCM functions
• Serve as a product-oriented leader to inform service design and technology roadmaps
• Leverage AI and automation to modernize revenue cycle operations
• Hire, develop, and mentor a team of billing, coding, and collections specialists
• Design and implement scalable workflows, policies, and controls for compliance
• Establish and monitor RCM and care management billing KPIs

Requirements

• 5-7+ years of leadership experience in billing/coding for internal medicine, family medicine, or FQHCs
• Direct experience with care management billing (CCM, RPM, TCM) and reimbursement models
• 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 data analysis skills to influence financial outcomes
• Experience as a strategic, product-minded leader

Preferred Qualifications

• CPC certification

About the Company

Diverge Health partners with primary care providers to improve the engagement and management of Medicaid patients, offering specialized resources and clinical programs to close gaps in care.