Director of Revenue Cycle Management

Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work, 2024 Fortune Best Workplaces in the Bay Area, and 2024 Inc.’s Best in Business 

Diversity, equity, and inclusion are the principles guiding how we build our business and teams. We encourage interested candidates from diverse backgrounds to apply even if they don't think they meet every expectation of the role.

About the roleWe are seeking a strategic, results-driven Director of Revenue Cycle Management (RCM) to lead, optimize, and scale our end-to-end revenue cycle operations. This role will be critical in improving billing, collections, and reimbursement processes, ensuring strong financial performance and operational excellence.

You will be responsible for analyzing and improving revenue cycle procedures, implementing automation and technology-driven solutions, and developing key performance metrics to maximize efficiency, accuracy, and cash flow. As we continue to scale, you will also build and mentor a high-performing RCM team to support our growth.

To be successful in this role, you should have a deep understanding of healthcare revenue cycle operations, strong analytical skills, and a proven ability to lead, mentor, empower and coach an engaged team to drive measurable improvements in reimbursement and cash flow.

In addition to driving operational improvements, you will play a key leadership role in developing and supporting a small but critical RCM team. This includes mentoring, training, and fostering a collaborative environment where team members feel empowered to take ownership. You will coach and develop talent, ensure role clarity, and promote a culture of continuous learning and growth.

Core Areas of Responsibility

1. Build & Optimize RCM Infrastructure

• Develop and implement scalable best-in-class revenue cycle processes to support the company’s growth and improve operational efficiency.
• Optimize claims processing, coding accuracy, charge capture, and collections workflows to reduce denials and accelerate reimbursements.
• Evaluate and upgrade RCM technology and automation tools, ensuring streamlined workflows and enhanced accuracy.
• Establish standardized policies, procedures, and best practices across the revenue cycle, from patient intake to final collections.

2. Improve Key Metrics & Drive Measurable Performance Gains

• Develop and track key performance metrics, including denial rates, net collection rate, AR days, and cash flow trends, ensuring proactive issue resolution and continuous process improvements.
• Implement a structured denials management program, focusing on root cause identification, appeals success, and process refinements to minimize preventable denials.
• Drive collection rate improvements by enhancing payer communications, optimizing patient billing processes, and improving financial transparency.
• Ensure timely and accurate claim submissions, reducing A/R aging and bad debt exposure while improving reimbursement timelines.

3. Strengthen Reporting & Data-Driven Decision-Making

• Build and maintain real-time dashboards and automated reporting tools to monitor RCM performance, revenue trends, and operational efficiencies.
• Establish a structured reporting cadence, providing leadership with clear visibility into RCM performance, financial risks, and opportunities for improvement.
• Analyze payer performance, reimbursement trends, and claim adjudication patterns to optimize revenue recovery strategies.

4. Leadership & Cross-Functional Collaboration

• Build and lead a high-performing RCM team, and develop a scalable structure to support long-term growth.
• Serve as the primary point of contact for RCM, providing clear direction and insights across finance, product, operations, and clinical teams.
• Partner with finance and accounting to align on forecasting, revenue recognition, and cash flow optimization.
• Work closely with product and engineering to identify and implement tech-enabled solutions that enhance RCM efficiency.
• Collaborate with operations to ensure seamless patient billing, eligibility verification, and provider credentialing.

5. Proactive Issue Resolution & Continuous Improvement

• Identify and resolve systemic issues affecting claims processing, payer reimbursements, and cash flow.
• Develop a continuous improvement framework to enhance billing accuracy, streamline workflows, and drive financial performance.
• Establish a feedback loop with payers, operations, and finance to continuously refine RCM processes.
• Ensure compliance with regulatory requirements, payer policies, and industry best practices.

Impact and Success Indicators 

Where you’ll make an impact in the first 90 days:

• Gain a deep understanding of key RCM performance metrics (e.g., denial rates, net collection rate, AR days, clean claim percentage) and establish a baseline for tracking progress.
• Complete a full assessment of RCM processes, workflows, and technology, identifying high-impact areas for improvement and efficiency gains.
• Develop a structured reporting framework, ensuring leadership has real-time visibility into cash flow, revenue cycle trends, and payer performance.
• Implement a systematic approach to denials management, conducting root cause analysis and recommending process changes to reduce preventable denials.
• Optimize the claims submission and reimbursement process to increase clean claims, reduce A/R aging, and improve payer response rates.
• Partner with finance to refine cash forecasting methodologies, ensuring greater accuracy and predictability in revenue collections.
• Lead, mentor, and develop the RCM team by establishing clear roles and expectations and fostering a collaborative and high-performance culture.
• Develop an initial roadmap for optimizing RCM operations, focusing on high-priority process improvements and automation opportunities.

 Where you’ll make an impact in the first year:

• Optimize or implement a scalable RCM set of software, tools, and systems, leveraging automation and process improvements to enhance efficiency, accuracy, and reimbursement timelines.
• Achieve measurable improvements in key revenue cycle KPIs, targeting a reduction in AR days, improved net collection rate, and a decrease in denials.
• Establish a structured, data-driven RCM reporting cadence, providing leadership with real-time financial insights and performance tracking.
• Lead initiatives to increase collections and reduce claim rejections, ensuring revenue cycle optimization aligns with company-wide financial goals.
• Build a long-term strategy for RCM, including team growth, technology investments, and process automation to support scalability.
• Ensure full compliance with revenue recognition policies and payer guidelines, proactively identifying and resolving potential audit risks.
• Partner closely with finance and operations, driving continuous improvements in billing, collections, and reimbursement efficiency to support long-term growth.

We’re looking for someone with:

• Director-level leadership in Revenue Cycle Management, with proven success in multi-state, multi-payer healthcare/ behavioral health settings. Experienced in leading teams and driving results, with a strong understanding of what success looks like.
• Proven ability to drive measurable improvements in cash collections, reduce claim rejections, and optimize reimbursement workflows to improve collection rates.
• Strong analytical and problem-solving skills, with a proven ability to identify inefficiencies, improve cash flow, and optimize financial performance.
• Expert with commercial insurance reimbursement models, as well as Medicare, Medicaid, and value-based payment structures.
• Ability to leverage real-time analytics and reporting tools to monitor denial rates, AR aging, collection efficiency, and payer performance.
• Strong leadership and team-building skills, with experience recruiting, developing, and mentoring high-performing RCM teams.
• Ability to effectively collaborate with finance, operations, clinical teams, and product leaders to align revenue cycle priorities with business goals.
• Exceptional communication skills, with the ability to translate complex RCM data into clear insights and recommendations.
• Thrives in fast-paced, high-growth environments, with the ability to navigate ambiguity and drive solutions proactively.
• Strong project management skills, with the ability to prioritize tasks, manage multiple initiatives, and meet deadlines effectively.
• A growth mindset and intellectual curiosity, constantly looking for ways to improve processes, leverage technology, and optimize revenue cycle performance.

Compensation & Benefits

The salary range for this full-time, exempt role is $150,000 - $240,000. The final offer is dependent on qualifications and experience. New hires can reasonably expect an offer between $150,000 and $195,000.

Additional perks and benefits:

• Equity in a high-growth start-up
• Paid time off, including nine paid holidays and an additional Winter Office Closure from Christmas Day (Observed) through New Year's Day
• Comprehensive medical, dental, and vision coverage
• 401(k) Retirement savings options
• One-time $200 Work from Home reimbursement
• Annual $1,000 Productivity & Wellness Stipend to support your personal and professional goals
• Annual $500 subsidized company contribution to your healthcare FSA or HSA
• Paid parental leave

Outreach Notice to Applicants

We are thrilled that you’re interested in joining our team! To ensure a consistent and equitable hiring process for all candidates, we kindly ask that you refrain from reaching out to current employees regarding the role, your application, or the interview process. Our talent acquisition team is committed to carefully reviewing all applications and will reach out directly if they decide to move forward.

All applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.