Director, Revenue Cycle Operations

Midi Health; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

A rapidly growing telehealth organization is seeking a seasoned Revenue Cycle leader to oversee operations across multiple states. You will be responsible for driving automation and AI adoption while managing a team to ensure compliance and operational excellence. The ideal candidate has over 8 years of experience in Revenue Cycle Management and a proven track record in telehealth settings. This role offers a chance to shape RCM processes within a fast-paced environment.

Qualifications

• 8+ years in Revenue Cycle Management with progressive leadership experience.
• Experience overseeing $100M+ net service revenue in multi-state healthcare settings.
• Strong analytical abilities with proven success in implementing RCM improvements.

Responsibilities

• Oversee RCM operations and manage a growing team.
• Identify automation opportunities to streamline processes.
• Partner with various teams to enhance billing and operational efficiency.

Skills

Leadership in Revenue Cycle Management

Automation and AI implementation

Telehealth expertise

Vendor management

Analytical skills with RCM KPIs

Change management

Education

Bachelor's degree

Advanced degree

Tools

Athenahealth

Job description

Midi Health is scaling rapidly, and we’re looking for a seasoned Revenue Cycle leader to partner with our Head of RCM to drive strategy and execution across a fast-growing, multi-state telehealth organization. You’ll oversee patient support, eligibility, and A/R teams, ensuring operational excellence, compliance, and cost efficiency while building scalable systems that keep pace with our growth.

This is a chance to take ownership of end-to-end RCM operations in a high-growth, mission-driven environment—where automation, AI, and smart process design aren’t just nice-to-haves, but critical levers to reduce cost-to-collect and improve performance.

• Lead RCM for one of the fastest-growing women’s health companies in the U.S.
• Drive automation, AI adoption, and process design to build a scalable, cost-efficient revenue cycle.
• Partner with leaders across Clinical Ops, Product, and Engineering to shape the future of telehealth billing at scale.

The Difference You’ll Make:

• Serve as the primary RCM operator, setting priorities and managing a growing team alongside the Head of Revenue Cycle.
• Maintain expert knowledge of commercial and government payor policies, ensuring workflows adapt quickly to changes and audits are proactively managed.
• Identify and implement automation/AI opportunities to reduce cost-per-visit, minimize manual touchpoints, and streamline workflows in Athenahealth and related systems.
• Support contracting, onboarding, and relationship management with commercial and government payors—navigating complexities like BlueCard routing.
• Drive measurable improvements in cost-to-collect, vendor ROI, and denial prevention by aligning scheduling, documentation, and clinical workflows with RCM best practices.
• Partner with Product, Clinical Ops, and Engineering on billing improvements, market expansions, new service launches, and partner integrations.
• Oversee managers and supervisors, setting clear performance expectations and building scalable systems to manage growth without sacrificing quality.
• Translate operational needs into clear policies, training materials, and procedures to ensure compliance and continuous improvement.

What You’ll Bring:

• 8+ years in Revenue Cycle Management with progressive leadership; experience overseeing managers/supervisors.
• Track record overseeing $100M+ net service revenue, ideally in multi-state or large healthcare settings.
• Telehealth experience required; Athenahealth expertise highly preferred.
• Skilled in vendor management, scaling high-performing teams, and driving ROI on process/product enhancements.
• Strong analytical chops with RCM KPIs; proven success implementing automation and AI solutions.
• Change management expertise and ability to lead through rapid growth.
• Bachelor’s degree required; advanced degree a plus.

Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, or protected veteran status.