Financial Systems Director

At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you. In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 90% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study . We are seeking a highly technical and strategic Financial Systems Director to lead the architecture, implementation, and optimization of our healthcare billing and financial infrastructure. In this critical leadership role, you will spearhead the development of a world-class, HIPAA-compliant billing ecosystem. By leveraging your deep expertise in revenue cycle management (RCM) and cutting-edge AI/ML technologies, you will automate complex workflows, drive seamless integrations across our tech stack, and align cross-functional teams to support our rapid growth. The salary range for this role is $200,000 -$250,000 depending on geography and level of experience, plus equity and an annual bonus. You’re excited about this opportunity because you will own... System Architecture & Implementation Build the Foundation: Stand up a robust, HIPAA-compliant billing system that enables seamless claims-based billing and includes a fully integrated clearinghouse for claims payments. Future-Proof Financial Tech: Facilitate and architect future upgrades to our Financial Planning & Analysis (FP&A) and Enterprise Resource Planning (ERP) tools to ensure long-term scalability. Automation & Engineering Build RCM Tools: Design, build, and deploy automated tools to support claims ingestion and submission to health plans, eligibility verification, patient responsibility, claims adjudication and ACH processing to support and enhance end-to-end revenue cycle management. Streamline Verification: Automate patient, payer, and benefit verification processes to reduce manual overhead and improve accuracy. Automate Reporting: Develop automated solutions for client and provider billing, ensuring accurate and timely compliance reports. Integration & Optimization Unify the Tech Stack: Lead the seamless integration of the new billing system with Salesforce, Carrum's Care Platform, Clearing Houses(s) and NetSuite. Optimize Workflows: Continuously optimize revenue cycle management by streamlining system integrations, identifying bottlenecks, and automating manual workflows. Cross-Functional Leadership Collaborate to Win: Work cross-functionally between the Finance, Platform, Provider, Client Success, Commercial, Legal, and Compliance teams to establish, maintain, and scale a world-class billing tool. We’re excited about you because… Industry Experience: 10+ years of hands-on experience working in and architecting HIPAA-compliant healthcare billing systems. Domain Expertise: Deep technical understanding of revenue cycle management (RCM), invoicing, claims-based billing, working with a Third Party Billing Administrator, Clearing House(s), ERPs, and other modern financial platforms. Educational Background: A 4-year technical degree (e.g., Engineering, Computer Science, Data Science, or a highly related technical field). Advanced Technology Skills: Proven, practical experience leveraging AI/ML tools and methodologies to automate complex workflows and financial processes. Why you’ll love working with us... We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum. We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future. We are working with some of the most recognized and esteemed names in the country. Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform. Employers who use our benefit include US Foods, United Airlines, and large public sector organizations like the self-insured schools of California, and the State of Maine. We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback. You can bring your authentic self to work every day and are encouraged to help others do the same. We carve out time to let go of work to celebrate our successes and have fun. We’re a remote-first company with employees all over the United States and two office locations in San Francisco and Chicago. We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in-person. We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs). Our ERGS help employees build stronger connections through social, educational, and community activities. You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways. Other benefits: Stock option plan Flexible schedules and remote work Chicago and San Francisco offices available Self-managed vacation days, within reason Paid parental leave Health, vision, and dental insurance 401K retirement plan About Carrum We’re a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation. We’ve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we’re only scratching the surface of our opportunity and we’re looking for incredible people like you to help us realize our full impact. Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.