Manager, Revenue Cycle Management at Daymark Health
United States
$120k - $135k
<div class="content-intro"><p>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. </p> <p>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.</p> <p><em>Be cautious of recruitment fraud, and always confirm that communications are coming from an official Daymark Health email.</em></p> <p> </p></div><p><strong>ABOUT THE ROLE</strong></p> <p>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.</p> <p>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.</p> <p><strong>WHAT YOU’LL DO</strong></p> <p><strong>Own Daymark's Revenue Cycle Operations</strong></p> <ul> <li>Lead end-to-end RCM across all payer types, with primary focus on Original Medicare and value-based contract populations</li> <li>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 </li> <li>Manage the third-party billing vendor relationship, including performance monitoring, issue escalation, contract compliance, and ongoing optimization</li> <li>Own the claims and clearinghouse platform, including submission workflows, rejection and denial management, and resubmission processes</li> <li>Establish and track RCM KPIs: clean claim rate, denial rate, days in AR, net collection rate, and others</li> <li>Partner with Finance on revenue recognition, cash flow forecasting, and month-end close support</li> </ul> <p><strong>Risk Adjustment</strong></p> <ul> <li>Support accurate risk adjustment operations aligned with our care model and payer contracts</li> <li>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</li> </ul> <p><strong>Credentialing</strong></p> <ul> <li>Support end-to-end enrollment workflows for new providers, including NPI registration, CAQH profile maintenance, and payer-specific credentialing applications</li> <li>Track credentialing status and expiration timelines across the provider panel to ensure no gaps in billing eligibility</li> <li>Partner with Clinical Operations and People to build onboarding workflows that sequence credentialing milestones with provider start dates</li> <li>Identify and manage credentialing vendors or delegated credentialing arrangements where applicable</li> </ul> <p><strong>AI and Technology in RCM</strong></p> <ul> <li>Identify and evaluate AI-enabled tools across the RCM workflow, including automated coding assistance, denial prediction, and other capabilities</li> <li>Partner with Product and Data to pilot and implement capabilities that improve throughput and accuracy </li> </ul> <p><strong>Operational Infrastructure</strong></p> <ul> <li>Translate billing and compliance requirements into scalable operational workflows</li> <li>Establish audit and QA processes to ensure coding accuracy and billing integrity</li> <li>Identify execution gaps and drive resolution across cross-functional teams</li> </ul> <p><strong>WHAT WE ARE LOOKING FOR</strong></p> <p><strong>Experience</strong></p> <ul> <li>Direct experience managing a third-party billing vendor and a claims/clearinghouse platform</li> <li>Experience with HCC coding, risk adjustment suspecting, and chart review workflows</li> <li>Familiarity with AI applications in RCM and a genuine interest in applying them</li> <li>Experience at a startup or high-growth healthcare company is a plus</li> </ul> <p><strong>Qualities</strong></p> <ul> <li>You are both strategic and highly execution-oriented; you can design the system and work within it</li> <li>You bring strong analytical instincts and are comfortable working with billing data directly</li> <li>You can partner effectively across clinical, operational, finance, and technical teams</li> <li>You are energized by building from scratch</li> <li>You have high standards for compliance and billing integrity</li> </ul> <p><strong>ADDITIONAL INFORMATION</strong></p> <p>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.</p> <p><strong>Compensation: </strong>$120,000 - $135,000 annually, depending on location & experience.</p>
Apply Now
