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Salary: USD 175,000 - 0 / annual
Daybreak Health delivers teletherapy to young people and families through schools, funded by health plans. As Senior Director of Revenue Cycle Management, you will own the revenue cycle end-to-end, from enrollment through cash collection, for a payer mix focused on Medicaid and managed care organizations (MCOs) serving outpatient behavioral health via telehealth with clinicians licensed across multiple states.
This is a build role, not a maintain role. You will inherit real gaps and be expected to close them with process and automation rather than headcount. You will report directly to the President and Co-Founder and lead the RCM team, which currently includes an RCM Manager, a Lead Billing Specialist, and Billing Specialists. You will partner closely with Finance, Clinical Operations, Product, Engineering, and Credentialing, presenting directly to executives with clear visibility into cash movement.
Key responsibilities include: managing accounts receivable and denials by tracing root causes back to workflows, payer rules, or system gaps; running the function off metrics (net collection rate, days in AR, clean claim rate, denial rate, cost to collect); owning EHR, clearinghouse, and billing platform relationships and configuration; driving front-end revenue integrity through real-time eligibility and benefits verification at intake; identifying and implementing automation and AI solutions to eliminate repetitive billing, posting, follow-up, and reconciliation work; providing credible cash forecasting and accruals support to Finance; and building compliance discipline around adolescent behavioral health confidentiality risks, HIPAA, and payer audit exposure.
Success means leadership trusts NCR numbers and sees them improve; AR is understood by payer and root cause with aged balances moving positively; denial and clean claim rates improve through upstream workflow fixes; manual billing work is simplified or automated with RCM capacity scaling slower than claim volume; Finance receives timely forecasts and accruals with clear assumptions; Clinical Operations and RCM work from shared definitions; and confidentiality and audit-readiness practices are documented and followed.
The company is Series B-funded and fully remote across the US.
REQUIREMENTS:
- 10+ years in RCM, including 5+ years leading RCM teams
- Experience in one or two startups, with ability to build from square one and stay flexible as business changes
- Deep outpatient behavioral health and Medicaid/MCO billing expertise
- Practical, hands-on use of AI and automation to improve work, with good judgment about where human review still matters
- Track record of standing up reporting, automating manual work, and leading system migrations
- Comfort owning numbers publicly and being wrong out loud when forecasts miss
- Strong executive communication: ability to turn complicated billing findings into clear recommendations with tradeoffs spelled out
- Ability to influence stakeholders and drive change without direct authority, especially across Clinical Operations, Product, and Engineering
NICE TO HAVE:
- Experience with school-based, pediatric, or youth behavioral health programs
- Experience billing across multiple states with multi-state licensed clinician workforce
- Familiarity with BI tools
- Exposure to value-based or outcomes-linked payer contracts
