RCM Strategy Lead
About the job
- At least 4 years of experience, including at least 2 years in healthcare-focused consulting or advisory; experience in an operating role is ideally complementary.
- Working knowledge of the end-to-end revenue cycle.
- Demonstrated ownership of an analytics function.
- A track record of driving cross-functional initiatives to completion.
- Strong judgment to distinguish urgent matters from lower-priority issues.
- Own revenue cycle management analytics end to end.
- Lead root-cause analysis on denials, underpayments, and revenue leakage, and drive fixes to completion.
- Build expected-reimbursement and cash forecasting models for Finance and Operations.
- Own the revenue cycle management automation roadmap.
- Partner with Product and Engineering to define requirements and business cases for revenue cycle management tooling and automation.
- Lead revenue cycle strategy for new market launches.
- Own revenue cycle diligence on acquisition targets.
- Experience at a multi-state or rapidly expanding provider organization, or in tech-enabled care delivery.
- Experience in post-acute care, including home health, hospice, or personal care.
- Familiarity with clearinghouses, practice management or electronic health record billing modules (ideally HCHB), and revenue cycle management automation tools.
About the company
Fira Health is a healthcare technology company that runs as an AI-native home health platform. It automates back-office administration for home health using an AI-driven operating system and deploys a network of licensed clinicians (nurses, therapists) to deliver patient care. The platform handles tasks such as patient intake, revenue cycle management, and charting, with tools to flag eligibility issues before visits to minimize care and billing disruptions. Unlike traditional vendors that build software for agencies, Fira Health positions itself as the home health platform, combining automation with clinical delivery to achieve strong unit economics similar to software companies. The company aims to expand access to care by reducing administrative waste, drive value-based care, and consolidate fragmented regional markets through scalable, AI-powered operations.
Company Size
51-200
Company Stage
Series A
Total Funding
$60M
Headquarters
New York City, New York
Founded
2024
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Simplify's Take
What believers are saying
- June 2026 brought $50 million Series A from Felicis and Bain Capital Ventures.
- Adaptive entered all major Texas metros and plans rapid multi-state expansion in 2026.
- OpenAI angels, Optum Ventures, and every major Texas hospital system validate distribution and product traction.
What critics are saying
- Acquiring small home-health licenses across twelve states creates integration, compliance, and billing failure risk.
- Medicare Advantage and Medicare reimbursement changes can crush margins before the planned Series B.
- If Texas expansion stalls, Adaptive remains a single-market operator vulnerable to stronger incumbents.
What makes Adaptive Innovations unique
- Adaptive runs AI-native home health operations, not software sold to agencies, since 2025.
- It combines clinicians-in-home with automation across intake, documentation, referrals, and revenue cycle.
- By June 2026, Adaptive reported 100,000 visits and 500+ referring organizations across Texas.
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Benefits
- Health Insurance
- Dental Insurance
- Commuter Benefits
- 401(k) Retirement Plan
- Remote Work Options
- Paid Vacation
- Company Equity