Manager, Revenue Cycle Management

About this role

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new standard in cancer care.

Daymark’s groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation’s foremost leaders in oncology and value-based care. Daymark Health is backed by Maverick Ventures, Yosemite, Oncology Ventures, Healthier Capital, Blue Venture Fund, and Healthcare Foundry.

Be cautious of recruitment fraud, and always confirm that communications are coming from an official Daymark Health email.

ABOUT THE ROLE
We are seeking a highly capable operator to build and lead Revenue Cycle Management at Daymark. You will own the end-to-end revenue cycle function, including professional billing, third-party billing vendor management, claims operations, and risk adjustment, while partnering closely with Clinical Operations, Finance, Product, and Data.
The right candidate brings deep technical fluency in billing and claims processing end to end, hands-on experience managing billing vendors and clearinghouse platforms, and a forward-thinking orientation toward AI-enabled RCM. This role is ideal for someone who wants to build a function from the ground up and grow with it.
WHAT YOU’LL DO
Own Daymark's Revenue Cycle Operations

Lead end-to-end RCM 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 sensitive to the patient experience 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 and denial management, and resubmission processes

Establish and track RCM KPIs: clean claim rate, denial rate, days in AR, net collection rate, and others

Partner with Finance on revenue recognition, cash flow forecasting, and month-end close support

Risk Adjustment

Support accurate risk adjustment operations aligned with our care model and payer contracts

Partner with Clinical Operations, Product and Data to ensure risk adjustment workflows are reflected in tooling and supported from pre-chart prep to documentation and through billing and claim submission

Credentialing

Support end-to-end enrollment workflows for new providers, including NPI registration, CAQH profile maintenance, and payer-specific credentialing applications

Track credentialing status and expiration timelines across the provider panel to ensure no gaps in billing eligibility

Partner with Clinical Operations and People to build onboarding workflows that sequence credentialing milestones with provider start dates

Identify and manage credentialing vendors or delegated credentialing arrangements where applicable

AI and Technology in RCM

Identify and evaluate AI-enabled tools across the RCM workflow, including automated coding assistance, denial prediction, and other capabilities

Partner with Product and Data to pilot and implement capabilities that improve throughput and accuracy

Operational Infrastructure

Translate billing and compliance requirements into scalable operational workflows

Establish audit and QA processes to ensure coding accuracy and billing integrity

Identify execution gaps and drive resolution across cross-functional teams

WHAT WE ARE LOOKING FOR
Experience

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

Qualities

You are both strategic and highly execution-oriented; you can design the system and work within it

You bring strong analytical instincts and are comfortable working with billing data directly

You can partner effectively across clinical, operational, finance, and technical teams

You are energized by building from scratch

You have high standards for compliance and billing integrity

ADDITIONAL INFORMATION
This role is fully remote, but will be expected to work on either Eastern or Central time zone hours. We are unable to sponsor work visas for this role.
Compensation: $120,000 - $135,000 annually, depending on location & experience.
Originally posted on Himalayas