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Diverge Health logo

Director of Revenue Cycle

Diverge Health
Posted 5 days ago
🇺🇸United States🏠Remote💰$155.0K–$165.0K📁Healthcare/Clinical
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At Diverge Health we are passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, offering independent practices with specialized resources and clinical programs to close gaps in care. Our teams work to address medical, social and behavioral patient needs, lowering healthcare costs and improving patient lives. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives. We are looking for a Director of Revenue Cycle to join our team! In this role, you will build and scale our care management billing and Revenue Cycle Management (RCM) functions serving independent primary care practices engaged in value-based care. This is an opportunity to shape and grow a strategic, tech-enabled service offering, with expanded leadership scope as the business lines scale. What You’ll Do As the Director of Revenue Cycle , you will design, launch, and scale a care management billing function and high-performing RCM platform that strengthens revenue integrity for small, independent practices. You will operate as a product-oriented leaders, deeply understanding user needs and practice personas, and translate those insights into a clear service strategy and technology roadmap. You will build the strategy, infrastructure, and team of the future, not the past, thoughtfully leveraging AI and automation, while ensuring seamless collaboration across Diverge’s clinical, operational, and technology teams. Success in this role means helping practices improve financial performance and stability, delivering strong execution in care management billing, and building sustainable, profitable service lines for Diverge. Key areas you’ll add value: Lead execution and optimization of the care management billing business line, ensuring accurate documentation & coding, practice transmission, and reimbursement. Build and lead vendor partnerships to deliver a strong RCM function to Diverge’s primary care practice customers that improves revenue performance starting with comprehensive documentation. Serve as a product-oriented leader by deeply understanding practice needs, user workflows, and personas to inform service design and the technology roadmap. Leverage AI and automation to modernize revenue cycle operations and create efficient, scalable, future-focused capabilities. Hire, develop, and mentor a high-performing team of billing, coding, and collections specialists positioned for growth. Design and implement scalable workflows, policies, and controls that drive compliance and consistent revenue integrity. Partner closely with Central Support Teams to ensure tight integration and shared accountability for results. Leverage AI and technology to create an efficient, scalable, and effective tech-enabled service model. Establish, monitor, and lead continuous improvement efforts for RCM and care management billing KPIs. What You Bring 5-7+ years of leadership experience working in billing / coding for internal medicine, family medicine, and/or Federally Qualified Health Centers (FQHCs). Direct experience with care management billing (e.g., CCM, RPM, TCM) and related reimbursement models, as well as primary care revenue cycle management with a CPC certification strongly preferred. 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 command over data, ability to deeply analyze trends, and leverage data to influence financial outcomes. Experience operating as a strategic, product-minded leader who translates frontline user needs into scalable service and technology solutions. Personal Characteristics An empathetic, humble, and highly conscientious teammate who inspires and motivates others. Strength in authentically connecting with independent practice leaders and teams, meeting them where they are. A collaborative systems thinker who values integration, partnership, and shared success. Curious and committed to continuous learning and growth. Clear, thoughtful communicator with strong attention to detail. A strong representative of Diverge Health’s mission, vision, and values. This is a full-time, exempt, salaried position. Commensurate on candidate experience, the expected base salary range for this role is $155,000-$165,000. At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones . Our Investors Diverge Health is funded by GV and incubated by Triple Aim Partners , which since 2019 has partnered with entrepreneurs to co-found and launch eight companies focused on improving the quality, experience and total cost of healthcare. At Diverge Health we believe that a diverse set of backgrounds and experiences enrich our teams and enable us to realize our mission. If you do not have experience in all areas detailed above, we encourage you to share your unique background with us and how it might be additive to our team. Special Considerations Diverge Health is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, reproductive health decisions, family responsibilities or any other characteristic protected by the federal, state or local laws. Our decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance and business needs. At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones . Candidates must be authorized to work in the United States without the need for employer sponsorship, now or at any time in the future .

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