Note The job is a remote job and is open to candidates in USA. Grow Therapy is a technology-powered three-sided healthcare marketplace that supports therapists, insurance payors, and patients seeking accessible mental healthcare. The Director of Revenue Cycle Management Operations will lead end-to-end RCM performance, strengthen organizational structure, operationalize AI and automation, and maintain KPI reporting as the company scales. This role will manage transformation across claims, denials, authorizations, contracts, and payor operations. Responsibilities Own end-to-end RCM operational performance across eligibility, claim submission, follow-up, denials, contracts, and authorizations, translating department strategy into execution across your team Assess and evolve team structure as the org scales including span of control, role design, and team growth. You'll inherit a strong team and be expected to make it structurally stronger Operationalize AI and automation tools across RCM workflows — partnering with Grow's Operations AI Center of Excellence to ensure your teams adopt new capabilities effectively and that human and automated work is distributed intentionally as these tools mature Maintain and evolve rigorous KPI reporting and operational dashboards that give leadership clear visibility into RCM performance — including Uncollected %, denial rates, clean claim rates, and payor-level collection trends Skills 8+ years of progressive experience in revenue cycle management, including 3+ years managing managers in a multi-function RCM operations environment Owned end-to-end RCM performance metrics and operations (denial rates, clean claim rate, days in A/R) and can point to specific operational improvements you drove Worked in a high-growth or rapid-scaling environment (ideally in health tech) where processes, systems, and team structures were being built or redesigned in real time, not just maintained A builder, not just an operator. Stood up new processes, reporting frameworks, or team structures during a period of growth or transformation Managed RCM operations across diverse payor types where each payor introduces distinct billing rules, authorization requirements, and contractual structures Operated where RCM and adjacent functions meet (credentialing, enrollment, provider operations, or finance) and understand how upstream quality drives downstream collections performance Experience operationalizing automation or AI tools within operational workflows — you don't need to build the technology, but you know how to adopt it, measure its impact, and reshape team processes around it Benefits Health Benefits Comprehensive medical, dental, vision, life, and disability coverage. Grow for Grow No cost access to therapy through the Grow platform (available to US employees) Financial Wellness Retirement savings programs and equity opportunities to help you invest in your future. Flexible Time Off, Paid Holidays & Winter Break Flexible time off, company paid holidays (which vary by country), and a full company wide Winter Break to rest and recharge Parental Leave Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend. Mental Health Mornings/Afternoons Dedicated weekly flexible time for self care, whether that's therapy, exercise, journaling, time with family, or simply taking a break. Wellness & Development Stipend Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources. Commuter Benefits Pre tax commuter benefits to support teammates working from one of our hub locations. Home Office & Meals Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub based employees. Additional Perks A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance. This role can be hybrid (onsite from our NYC, San Francisco, or Seattle hub location three days per week Tuesday, Wednesday, Thursday) or fully remote. Company Overview Grow is the mental health platform built for personal and professional growth. It was founded in 2020, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is https//growtherapy.com. Company H1B Sponsorship Grow Therapy has a track record of offering H1B sponsorships, with 2 in 2026, 3 in 2025, 4 in 2024, 3 in 2023. Please note that this does not guarantee sponsorship for this specific role.