Clinical Revenue Cycle Lead - RN

Diverge Health; United States; On-site; USD 110,000 - 120,000; Full time

Job summary

Diverge Health in the United States seeks a Manager, Clinical Revenue Cycle to serve as the hands-on expert across care planning, medication reconciliation, documentation and billing. You will support health centers evaluating partnerships, guide onboarding and act as the go-to resource for the delivery team as programs scale.

This role emphasizes frontline clinical billing knowledge, with RN licensure and 5–10 years in fee-for-service chronic care management.

Qualifications

• RN license in good standing or equivalent clinical licensure.
• 5 to 10 years of fee for service chronic care management experience across full workflow.
• Experience with Federally Qualified Health Centers (FQHCs) or similar settings.
• Ability to trace billing issues to documentation or process steps.
• Comfort fielding state-specific and payer-specific questions from health centers.

Responsibilities

• Support Practice Liaisons during health center pitches by answering detailed clinical and billing questions.
• Own onboarding of newly signed health centers in partnership with Practice Liaisons, translating the model into practical steps for staff.
• Serve as the tactical subject matter expert for the team delivering fee for service care management daily.
• Be the point of contact when billing issues arise, tracing root cause in documentation or workflow.
• Build and maintain FAQs and training materials for broader team and health center staff.
• Scale expertise across the portfolio by training the trainers.

Skills

RN license

Billing knowledge

FQHC experience

Attention to detail

Education

RN license

CCM certification (preferred)

Job description

Diverge Health in the United States seeks a Manager, Clinical Revenue Cycle to serve as the hands-on expert across care planning, medication reconciliation, documentation and billing. You will support health centers evaluating partnerships, guide onboarding and act as the go-to resource for the delivery team as programs scale.

This role emphasizes frontline clinical billing knowledge, with RN licensure and 5–10 years in fee-for-service chronic care management.