Senior Director, Revenue Cycle Management

Summary

Join Virta Health, a company transforming type 2 diabetes and weight-loss care, as their new Head of Revenue Cycle Management (RCM). Reporting to the CFO, you will lead and optimize all aspects of Virta’s revenue cycle, from eligibility and claims to collections and payer contracting. This role demands deep RCM expertise, strong payer relationships, and a forward-thinking approach to building scalable, tech-enabled infrastructure. You will collaborate with various teams to ensure exceptional care and operational performance. This is a great opportunity for a seasoned RCM executive to shape the future of metabolic care. The position offers a competitive salary and benefits package, and is remote-first.

Requirements

• 10+ years of progressive experience in healthcare revenue cycle management, with 3+ years in a senior leadership role
• Deep domain expertise in RCM across payer types and billing models
• Exposure to complex payer environments, including Medicaid, Medicare Advantage, and commercial ASO groups
• Demonstrated success maintaining strong, productive payer relationships
• Track record of improving payer turnaround times through escalation management, relationship building, and process refinement
• Experience working closely with customer success or client-facing teams to resolve billing and operational challenges
• Proven ability to lead scalable RCM operations, including coding, billing, AR, collections, and compliance
• Proven ability to set and drive accountability for key RCM performance metrics (e.g., denial rates, charge lag, days to payment, write-off trends), and to build the infrastructure needed for accurate tracking, reporting, and continuous improvement
• Strategic mindset with experience designing revenue models and influencing business and margin outcomes
• Strong technical fluency with modern RCM platforms and a passion for leveraging AI and automation to drive performance
• Hands-on experience working directly with claims warehouses and associated analytics workflows
• Track record of building and leading high-performing teams in fast-paced, high-growth environments

Responsibilities

• Own Virta’s comprehensive RCM strategy across payer & employer clients
• Design a future-forward RCM function that integrates automation, data analytics, and AI to optimize operations
• Serve as a strategic advisor to the CFO and leadership team on reimbursement strategy, cash flow, and payer performance
• Lead a team of 7+ employees and 10+ contractors
• Lead all RCM processes including eligibility, coding, claims submission, payment posting, denials management, and collections
• Manage vendor relationships and optimize tools, including clearinghouses, EHR systems, and AI-based automation platforms
• Ensure full regulatory compliance across federal, state, and payer-specific billing requirements
• Partner with Product and Engineering to enhance automation and improve workflow efficiency across the RCM lifecycle
• Train and educate team members on RCM best practices and industry benchmarks to improve revenue cycle metrics
• Design and implement proactive denial prevention strategies and workflows to minimize rework and reduce AR aging
• Support Sales and Customer Success in payer negotiations and contracting, with a focus on optimizing reimbursement and minimizing administrative burden
• Leverage existing payer relationships to accelerate strategic alignment and issue resolution
• Act as the escalation point for high-priority payer issues affecting cash flow or client performance
• Monitor payer trends, policy changes, and risk areas—and proactively manage operational impact
• Collaborate closely with the Customer Success and Sales team to ensure seamless client onboarding, billing integration, and issue escalation processes
• Align with Clinical, Legal, and Compliance teams on documentation and coding accuracy
• Work with Data and Finance teams to forecast revenue, analyze claim trends, and build RCM dashboards and KPIs
• Lead efforts to modernize the RCM function through advanced tooling, AI-based automation, and claims warehouse optimization
• Continuously evaluate opportunities to reduce cost-to-collect, improve denial rates, and streamline workflows
• Design and test pilots that introduce new tech, automation workflows, or care-aligned reimbursement models
• Partner cross-functionally with Product and Engineering to translate operational pain points into product roadmap priorities, driving automation even in resource-constrained environments

Preferred Qualifications

• Experience with digital health or virtual care delivery models
• Familiarity with value-based care contracts or shared savings arrangements
• Comfort working Looker or other analytics platforms to monitor operational health

Benefits

• Virta has a location based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $164,373 - $189,029
• Information about Virta’s benefits is on our Careers page at: https://www.virtahealth.com/careers
• As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco