Chief Revenue Cycle Architect (Remote, AI-Enabled)

Daymark Health; Boston (MA); On-site; USD 120,000 - 135,000; Full time

Job summary

Daymark Health is seeking a highly capable operator to build and lead Revenue Cycle Management. You will own the end-to-end RCM function, including billing, vendor management, claims operations, and risk adjustment, while partnering with Finance, Product, and Data.

The role emphasizes AI-enabled RCM, scaling from the ground up and delivering efficient, compliant processes in a fully remote setting, with Eastern or Central time hours.

Qualifications

• Direct experience managing a third‑party billing vendor and a claims/clearinghouse platform.
• Experience with HCC coding, risk adjustment suspecting, and chart review workflows.
• Familiarity with AI applications in RCM and a genuine interest in applying them.
• Experience at a startup or high‑growth healthcare company is a plus.

Responsibilities

• Own end-to-end Revenue Cycle Operations across all payer types, with primary focus on Original Medicare and value‑based contract populations
• Establish patient billing workflows including statement generation, cost-sharing communication, and collections processes; ensure workflows are patient‑friendly while maintaining collection integrity
• Manage the third‑party billing vendor relationship, including performance monitoring, issue escalation, contract compliance, and ongoing optimization
• Own the claims and clearinghouse platform, including submission workflows, rejection/denial management, and resubmission processes
• Establish and track RCM KPIs: clean claim rate, denial rate, days in AR, net collection rate
• Partner with Finance on revenue recognition, cash flow forecasting, and month‑end close support
• Support end‑to‑end enrollment workflows for new providers, including NPI registration, CAQH profile maintenance, and payer‑specific credentialing applications

Skills

Strategic thinking

Execution oriented

Analytical

Cross-functional collaboration

Job description

Daymark Health is seeking a highly capable operator to build and lead Revenue Cycle Management. You will own the end-to-end RCM function, including billing, vendor management, claims operations, and risk adjustment, while partnering with Finance, Product, and Data.

The role emphasizes AI-enabled RCM, scaling from the ground up and delivering efficient, compliant processes in a fully remote setting, with Eastern or Central time hours.