Role Description
Clarity Pediatrics is transforming pediatric specialty care by partnering with pediatricians to deliver expert, evidence-based care for children with chronic conditions. Behind every seamless family and provider experience is a RCM engine that keeps contracting, billing, denials, and collections running cleanly β protecting both our patients and our business. We're looking for a Sr. Manager/Director of RCM to own and scale that engine.
Reporting to the Head of Finance, you'll own the strategy, systems, and execution across payer contracting, billing, denials, collections, and reconciliation β and lead the RevOps team that runs it day to day. You'll work side-by-side with Credentialing, Contracting, Patient Support, Clinical Operations, and Finance to diagnose and resolve the root causes behind denials and payer issues, not just process them.
This is a builder role. You'll set the strategy while staying close enough to the details to catch a credentialing gap or a mis-loaded contract term before it becomes a pattern. We're looking for someone who is energized by precision and root-cause thinking, obsessed with the accuracy and integrity of every dollar that moves through Clarity, and eager to build the foundation of a RCM function that scales alongside the company.
Qualifications
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5-7+ years of total revenue cycle experience, including 2-3+ years managing a team in a billing/RCM or similar operations function.
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Root-cause obsessed: You don't just fix the claim in front of you β you trace it back to credentialing, contracting, or eligibility and fix the process that produced it.
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Cross-functional operator: Comfortable owning outcomes that depend on other teams, with the ability to build relationships and mechanisms that align contracting, credentialing, and patient access.
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Analytical rigor: Comfortable building and maintaining trackers and reports to monitor collection rates, denial trends, and A/R aging, using data to drive fixes.
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Trusted partner: Colleagues rely on your judgment and follow-through, able to explain discrepancies clearly to team members and the Head of Finance.
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You love startup life: Curious, scrappy, and energized by building, comfortable with ambiguity and evolving processes.
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Payer breadth: Experience working across commercial, Medicaid, and self-pay payer types, with an understanding of how billing, denial, and collections practices differ across each.
Requirements
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Lead and grow the RevOps team: Manage and develop the RevOps Lead and Associates, setting priorities, coaching on complex cases, and building a scalable team structure.
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Own payer contracting strategy: Negotiate rates and terms, manage the contract lifecycle, and ensure contract terms are accurately loaded and enforced across billing systems.
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Set the standard for billing accuracy: Own the billing function's strategy and quality bar, ensuring claims submission accuracy, coding integrity, and clean-claim rates that meet or exceed industry benchmarks.
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Own denials, end to end: Establish and negotiate payer contracts, track denial trends, lead structured root-cause analysis, and improve the process across functions.
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Drive cross-functional resolution: Build and run mechanisms with Patient Support, Provider Operations, Growth, and Product teams to resolve systemic denial drivers.
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Own reconciliation and collections: Lead end-to-end reconciliation of payer remittances and oversee collections and A/R management.
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Partner with Finance: Support the Head of Finance during month-end close, owning reconciliation deliverables and analysis of collections risk.
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Be the go-to expert: Act as the subject-matter expert on revenue cycle performance for stakeholders, translating billing and denial detail into actionable recommendations.
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Build for scale: Identify and implement process, tooling, and documentation improvements to make billing, denials, and reconciliation more accurate and scalable.
Benefits
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Salary range: $150Kβ$185K, depending on experience.
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Competitive equity package in an early-stage, well-funded company.
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Medical, dental, vision, and ancillary benefits, including 12 therapy appointments per year at no cost to the employee.
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Free One Medical membership and 20% off Kindbody fertility services.
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401(k).
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Flexible PTO, including a full week off for the December holidays.
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Remote-friendly work culture.