Senior Director, Revenue Cycle Operations

The Senior Director of Revenue Cycle Management will oversee all aspects of the revenue cycle, including billing operations, payer integrations, collections, and denial management. This leadership role will focus on optimizing revenue processes, ensuring compliance with regulatory requirements, overseeing revenue cycle technology vendors and fostering relationships with payers to maximize reimbursements. The ideal candidate will bring strategic vision and operational expertise to drive efficiencies and achieve financial goals. Reporting to the Chief Operating Officer, this is a full-time role that is key to advancing our payer strategy and revenue cycle operational excellence.

This is a hybrid role based in New York City. Minimal travel required.

What you’ll be doing: 

Strategic Leadership

• Continue to develop and implement a comprehensive revenue cycle management (RCM) strategy aligned with organizational goals.
• Collaborate with senior leadership to identify opportunities for financial improvement and operational excellence.
• Establish and monitor KPIs for all RCM processes to assess performance and drive improvements.

Operational Oversight

• Lead and manage all billing operations, ensuring accurate and timely claims submissions.
• Oversee collections, payment posting, denial management, and appeals processes.
• Direct payer contract negotiations and integrations to optimize reimbursement structures.
• Ensure compliance with federal, state, and payer-specific regulations, including HIPAA and billing guidelines.

Team Management

• Build, mentor, and lead a high-performing RCM and payer operations team, fostering a culture of accountability and excellence.
• Provide training and development opportunities to enhance team skills and knowledge.

Technology & Process Improvement

• Evaluate and implement technology solutions to enhance revenue cycle operations, such as billing software and payer integration tools.
• Analyze workflows and recommend process improvements to increase efficiency and reduce errors.

Stakeholder Engagement

• Serve as the primary point of contact for payers, addressing escalations and fostering positive relationships.
• Partner with internal departments (e.g., finance, IT, clinical operations, sales) to ensure alignment and support organizational initiatives.

What success looks like in this role: 

• Improved Days Sales Outstanding (DSO) 
• Improved denial resolution rates
• Increased clean claims submission rates
• Enhanced payer contract performance
• A Thriving team

What we expect from you: 

• 10+ years of experience in revenue cycle management, in cross-functional high-growth startups and/or healthcare systems, with deep expertise in operations, healthcare, and strategy.
• Greater NYC area-based and open to hybrid schedule.
• Strong working knowledge of healthcare operations, claims processes, and payer-provider relationships.
• Strong project management skills with a track record of delivering complex, cross-functional initiatives on time.
• Collaborative leader who thrives in a culture of accountability, teamwork, and entrepreneurship.
• Proven experience managing billing, payer integrations, and denial management in a complex healthcare setting.
• Deep understanding of revenue cycle processes, including coding, billing, collections, and payer contracting.
• Strong knowledge of relevant regulatory and compliance requirements.
• Proficiency in revenue cycle management software and tools.
• Exceptional analytical, problem-solving, and decision-making skills with attention to detail.
• Excellent leadership and communication abilities, with experience managing cross-functional teams.

The target base salary range for this position is $187,400 - $243,700, and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using Radford Global Compensation Database at minimum to ensure competitive and fair pay. 

Benefits provided by Spring Health:

Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria.

• Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
• Employer sponsored 401(k) match of up to 2% for retirement planning
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
• We offer competitive paid time off policies including vacation, sick leave and company holidays.
• At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
• Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals. 
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
• Access to Wellhub,  which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
• Up to $1,000 Professional Development Reimbursement a year.
• $200 per year donation matching to support your favorite causes.