Manager, Revenue Cycle Management

Summary

Join Maven Clinic as the Manager, Revenue Cycle Management, and lead the RCM function, reporting to the Director, Payment Operations. Oversee end-to-end revenue processes, including billing, eligibility, and vendor management. Drive revenue integrity, optimize workflows, and implement automation to reduce denials and maximize revenue capture. Partner with cross-functional teams to align revenue cycle strategy with business goals. Own the financial health of the revenue cycle, identifying trends, improving payer relationships, and building scalable, high-performing operations. This role requires telehealth and fertility care RCM experience and thrives in ambiguous, growth-oriented environments. The ideal candidate will build and execute a proactive RCM strategy, lead and mentor a team, proactively assess risks, define and track KPIs, communicate with leadership, and stay ahead of industry shifts. They will also collaborate cross-functionally, serve as an RCM SME, optimize the full revenue cycle, and implement process improvements.

Requirements

• 5-7 years of progressive RCM experience, including at least 2 years in a leadership role managing multi-functional teams
• Deep understanding of health care billing (preferred: fertility care)
• Experience building relationships with payer partners
• Experience in startups or high-growth environments
• Strong knowledge of CPT coding, payer requirements, and the full claims lifecycle
• Intermediate to advanced Excel (pivot tables, trends, reconciliation)
• Comfortable serving as the RCM SME in cross-functional system conversations
• Experience leading change and guiding teams through transition
• Maintaining low denial rates and increase in first-pass claim acceptance
• Decreased days in A/R and improved cash flow performance
• Improved billing accuracy and compliance with payer requirements
• Effective collaboration with internal teams, data analysts, and product managers to optimize reimbursement, streamline workflows, and enhance automation
• Communicate and report to manager and senior leadership on the health of the RCM function

Responsibilities

• Build and execute a proactive RCM strategy that optimizes revenue capture, prevents denials before they happen, and positions Maven Clinic for scalable growth
• Lead, develop, and mentor a team of ~6 across billing and eligibility—creating clarity, structure, and momentum through change
• Proactively assess risks and gaps in the revenue cycle, and surface areas for automation, standardization, or redesign
• Define, track, and act on core KPIs (e.g., A/R aging, denial rates, collection efficiency, clean claim rate) to stay ahead of revenue and operational challenges
• Review, analyze and interpret data related to the financial health of the business
• Communicate and report to manager and senior leadership on the health of the RCM function
• Stay ahead of industry shifts—applying payer trends and policy changes to adjust strategy before issues arise
• Partner proactively across Finance, Operations, Product, and Data to align RCM with broader business priorities
• Serve as the go-to subject matter expert for fertility care billing and reimbursement—bringing a forward-looking lens to system design and policy discussions
• Collaborate with Product and Engineering to identify future needs and shape internal tooling to support a more agile and efficient RCM infrastructure
• Own and optimize the full revenue cycle—including billing, coding, and collections
• Lead a proactive claims management strategy: ensure timely, accurate submissions and anticipate potential issues before they impact cash flow
• Monitor and apply regulatory and payer policy updates in real time
• Partner with Compliance to maintain documentation readiness and a proactive audit posture
• Identify process bottlenecks early and implement forward-thinking, scalable solutions to drive speed, accuracy, and transparency
• Work closely with the Data team to uncover trends, detect shifts in revenue behavior, and support strategic forecasting
• Act as a proactive partner to technical teams—translating future RCM needs into product and system requirements

Preferred Qualifications

• Experience using Availity, Stedi, Echo, and/or Zelis
• Experience with other integration models with payers

Benefits

• Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics
• Whole-self care through wellness partnerships
• Hybrid work, in office meals, and work together days
• 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+)
• Annual professional development stipend and access to a personal career coach through Maven for Mavens
• 401K matching for US-based employees, with immediate vesting