Senior Director, Revenue Cycle Management

Blackbird Health; Nashville (TN); On-site; USD 140,000 - 160,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

401k with company match

Employer-paid life insurance

Generous paid time off

Career growth opportunities

Diverse leadership team and supportive

Job summary

Blackbird Health is seeking a Senior Director, Revenue Cycle Management to lead end-to-end revenue operations during rapid multi-state expansion. You will drive billing, collections, A/R, denial management, credentialing, and payer enrollment, partnering with Finance and Clinical leadership to optimize cash flow.

You will shape scalable operating models, implement best practices, and build a high-performing RCM team across states, ensuring HIPAA compliance and strong payer relations.

Qualifications

• 8+ years of progressive healthcare revenue cycle management experience with significant leadership scope.
• Hands-on leadership in delegated credentialing and multi-state payer enrollment execution.
• Proven ability to reduce denial rates and improve cash collections.
• Deep understanding of payer workflow and HIPAA compliance.

Responsibilities

• Own the RCM strategy, operating model, and KPIs to maximize collections and clean claim performance.
• Lead end-to-end transformation across billing, denial reduction, A/R management, and insurance authorizations.
• Oversee transition to delegated credentialing, payer enrollment, and senior payer relationships.
• Partner with Finance and executives on payer contracting and revenue forecasting.
• Optimize EHR/PM technology and vendor SLAs to ensure accountability.
• Build and scale a high-performing RCM organization with clear ownership.

Skills

RCM leadership

Multi-state enrollment

Credentialing

Denial management

Executive presence

HIPAA / compliance

Tools

AthenaHealth

Epic

eClinicalWorks

Job description

About Blackbird Health

Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, New Jersey & Maryland—and we’re growing into new markets in 2027.

About Blackbird Health

Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, New Jersey & Maryland—and we’re growing into new markets in 2027.

At Blackbird, we take a whole-child approach, looking at how the brain, body, and behavior interact to address the root causes of challenges, not just the symptoms. Every role matters here, and you’ll join a collaborative, supportive, and innovative team that’s shaping the future of pediatric mental health care. If you’re passionate about helping children and families while growing your career, Blackbird is the place to make an impact.

Join us and help change mental health care for children for the better!

Position Summary

Blackbird Health is looking to hire a Senior Director, Revenue Cycle Management (RCM) to lead and transform our revenue cycle operations during a period of rapid multi-state expansion. Reporting into executive leadership, this role owns end-to-end revenue operations—including billing, collections, A/R, denial management, delegated credentialing, and payer enrollment. The Senior Director will serve as a strategic thought partner across Finance, Operations, and Clinical leadership to optimize cash flow, eliminate revenue leakage, build scalable systems, and strengthen payer relationships across all markets.

What makes you, you:

• Strategic RCM leader who connects billing performance (DAR, A/R aging, clean claim rates) to broader business growth with an eye on the latest technology and trends


• Proven expert in multi-state provider enrollment, credentialing, and delegated credentialing operations.


• Analytical problem solver skilled at diagnosing root causes in claims, denials, and payer workflow bottlenecks.


• Strong executive presence with a track record of driving cross-functional alignment across competing business priorities.


• Adaptable change leader comfortable building scalable operating models and controls in fast-growing healthcare environments.


• Deep understanding of healthcare compliance, HIPAA, and multi-site revenue integrity.

How you’ll make an impact:

• Own the RCM strategy, operating model, and KPIs to maximize collections and drive clean claim performance.


• Lead end-to-end transformation across billing, denial reduction, A/R management, and insurance authorizations.


• Oversee the transition to delegated credentialing, payer enrollment, and senior-level payer escalation and relationship management.


• Partner with Finance and executive leaders on payer contracting, reimbursement strategy, and revenue forecasting.


• Optimize EHR/PM technology (e.g., Athena), automation, and outsourced RCM vendor SLAs to ensure strict accountability.


• Build, mentor, and scale a high-performing RCM organization with clear ownership and operating rhythms.

The basics you’ll need:

• 8+ years of progressive healthcare revenue cycle management experience with significant leadership scope.


• Hands-on leadership in delegated credentialing and multi-state payer enrollment execution.


• Demonstrated success improving cash collections, lowering denial rates, and reducing A/R aging.


• Deep functional expertise with major PM/EHR platforms such as AthenaHealth, Epic, or eClinicalWorks.


• Experience supporting multi-site, multi-state healthcare organizations undergoing rapid scaling or operational change.


• Proven ability to manage, evaluate, and optimize external RCM vendor and technology partner relationships.

Nice to have:

• Behavioral health, mental health, or pediatric healthcare experience.


• Background in management consulting, interim leadership, or organizational turnarounds.

Benefits

• Medical, Dental & Vision coverage


• 401k (with a company match)


• Employer-paid life insurance coverage


• Generous paid time off


• Opportunities for career growth
  
• Diverse and experienced leadership team, supportive work culture

Salary Range: $140,000 USD - $160,000 USD

Join us!

To raise the standard of pediatric mental health care through accurate understanding and precise treatment that reflect how each child’s brain, body, and behavior work together.

“It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.”

Fostering an inclusive environment:

Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type. If you need a reasonable accommodation during the application or interview process, please contact us at [e-mail] so we can support you.

Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.