Lead / Director of Revenue Cycle Management (RCM)

Sailor Health Inc.

Job Overview

Location

New York City (Soho)

Job Type

Full-time

Full Job Description

📋 Description

• Own end-to-end revenue cycle management (RCM) for Sailor Health, responsible for sustaining top 5% industry KPIs including net collection rate, touchless claim rates, denial rates, days in AR, and cost to collect.
• Serve as the business owner and product manager for Sailor’s AI-native RCM stack, co-authoring product roadmaps with engineering and shipping RCM-focused tools and workflows.
• Design and scale AI-driven workflows across claims management, denial resolution, QA, reconciliation, payment posting, and payer operations to increase automation and reduce manual effort.
• Build and deploy real-time RCM reporting dashboards and operational visibility tools to empower cross-functional teams with data-driven insights.
• Identify and eliminate reimbursement leakage, process bottlenecks, and inefficiencies across the revenue cycle through deep data analysis and operational experimentation.
• Lead credentialing, enrollment, fee schedule integrity, and payer relationship operations in close partnership with the Payer Growth team.
• Ensure the patient billing experience aligns with Sailor’s 5-star standard, making billing transparent, respectful, and seamless for older adults and their families.
• Recruit, manage, and scale the first RCM team at Sailor Health, building a high-performing function from the ground up.
• Collaborate shoulder-to-shoulder with co-founders, Engineering, Product, Payer Growth, and Patient Growth teams to align RCM strategy with company-wide goals.
• Roll up your sleeves to write SQL queries, build internal tools, and execute hands-on operational tasks — no task is too small or too large.
• Drive continuous improvement by leveraging AI tools (e.g., Claude, Codex) to automate tasks, enhance decision-making, and 10x output across RCM workflows.
• Maintain operational rigor while preserving a patient-first mindset, ensuring billing processes reflect dignity and honor for older adults.
• Balance speed and precision: operate with urgency while maintaining accuracy in high-stakes financial and regulatory environments.
• Act as the primary point of contact for all RCM-related decisions, owning outcomes from claim submission through final payment and patient communication.
• Partner with external vendors and internal systems to optimize the RCM ecosystem while maintaining in-house control over core AI-native capabilities.
• Champion a culture of ownership, excellence, and fun — embodying Sailor’s values of making grandparents proud, letting best ideas win, and treating happiness as a performance metric.

🎯 Requirements

• 4+ years of relevant experience leading RCM at a digital health company or in an operator role at a tech-enabled RCM company
• Medicare / Medicare Advantage experience is a strong plus
• Proven track record as a top performer in high-intensity, fast-paced environments
• Strong data-driven mindset with proficiency in spreadsheets and preferred SQL experience
• Customer-obsessed approach with deep understanding of how RCM impacts patient experience
• Excitement for using AI tools to automate workflows and drive operational 10x gains

🏖️ Benefits

• Competitive salary and founding member-level equity
• Comprehensive medical, dental, and vision insurance
• Flexible PTO and sick days
• Lunch and dinner covered in the Soho office
• One Medical Membership, HSA, Talkspace, HealthAdvocate, and Teledoc Health
• Team building events

Skills & Technologies

Spring

REST

Senior

Onsite

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Sailor Health Inc.

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About Sailor Health Inc.

Sailor Health provides digital behavioral-health solutions for maritime fleets, combining 24/7 teletherapy access, self-guided programs, and data analytics to improve seafarer mental health. The platform integrates wearable and shipboard data to detect distress early, offers multilingual counseling, and delivers aggregated insights to ship operators to reduce turnover, accidents, and insurance claims.

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