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Senior Director, Revenue Cycle Management

Virta Health
UKRemotefull_timeVerifiedPosted 6 Aug 2025
💰 $189,000/yr($164,000/yr$189,000/yr)

About the role

Virta Health is on a mission to transform type 2 diabetes and weight-loss care. Current treatment approaches aren’t working—over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse diabetes and obesity in one billion people.

As we scale, optimizing our revenue operations is critical to long-term sustainability and impact. We’re hiring a Head of Revenue Cycle Management (RCM) to lead our end-to-end revenue processes, drive payer strategy, and unlock efficiencies through automation and innovation. Reporting directly to the Chief Financial Officer, this leader will be responsible for all aspects of Virta’s revenue cycle—from eligibility, coding, and claims to collections, payer contracting, and regulatory compliance.

You’ll bring deep RCM domain expertise, strong payer relationships, and a forward-thinking approach to building scalable, tech-enabled infrastructure. You’ll collaborate closely with Customer Success, Product, and Clinical teams, to ensure our RCM function supports both exceptional care and world-class operational performance.

This is an ideal opportunity for a seasoned RCM executive who thrives at the intersection of healthcare, operations, and technology—and who wants to help shape the future of metabolic care at scale.

Responsibilities

  • Strategic Leadership

    • Own Virta’s comprehensive RCM strategy across payer & employer clients

    • Design a future-forward RCM function that integrates automation, data analytics, and AI to optimize operations.

    • Serve as a strategic advisor to the CFO and leadership team on reimbursement strategy, cash flow, and payer performance

    • Lead a team of 7+ employees and 10+ contractors

    • Revenue Operations & Execution

    • Lead all RCM processes including eligibility, coding, claims submission, payment posting, denials management, and collections.

    • Manage vendor relationships and optimize tools, including clearinghouses, EHR systems, and AI-based automation platforms.

    • Ensure full regulatory compliance across federal, state, and payer-specific billing requirements.

    • Partner with Product and Engineering to enhance automation and improve workflow efficiency across the RCM lifecycle.

    • Train and educate team members on RCM best practices and industry benchmarks to improve revenue cycle metrics

    • Design and implement proactive denial prevention strategies and workflows to minimize rework and reduce AR aging.

  • Payer Strategy & Relationships

    • Support Sales and Customer Success in payer negotiations and contracting, with a focus on optimizing reimbursement and minimizing administrative burden.

    • Leverage existing payer relationships to accelerate strategic alignment and issue resolution.

    • Act as the escalation point for high-priority payer issues affecting cash flow or client performance.

    • Monitor payer trends, policy changes, and risk areas—and proactively manage operational impact.

  • Customer Success & Cross-Functional Enablement

    • Collaborate closely with the Customer Success and Sales team to ensure seamless client onboarding, billing integration, and issue escalation processes.

    • Align with Clinical, Legal, and Compliance teams on documentation and coding accuracy.

    • Work with Data and Finance teams to forecast revenue, analyze claim trends, and build RCM dashboards and KPIs.

  • Innovation & Technology Integration

    • Lead efforts to modernize the RCM function through advanced tooling, AI-based automation, and claims warehouse optimization.

    • Continuously evaluate opportunities to reduce cost-to-collect, improve denial rates, and streamline workflows.

    • Design and test pilots that introduce new tech, automation workflows, or care-aligned reimbursement models.

    • Partner cross-functionally with Product and Engineering to translate operational pain points into product roadmap priorities, driving automation even in resource-constrained environments.

Must-Haves

  • 10+ years of progressive experience in healthcare revenue cycle management, with 3+ years in a seni

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Company

Virta Health

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