Director, Revenue Cycle Management Operations

About Us: Grow was born to tackle a critical challenge: making mental health care more effective and accessible for everyone. Since launching in 2020, 15 million sessions have started on Grow, and we've barely scratched the surface. We do it through a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Every solution we build reveals ten more waiting to be delivered, and that's just what gets us going. We've backed that ambition with more than $328M in funding, including our Series D at a $3B valuation from Sequoia Capital, Transformation Capital, TCV, SignalFire, Menlo Ventures, Goldman Sachs Alternatives, and others. At Grow, the work you do can literally change someone's life. Your work here doesn't stay on a screen; it impacts whether someone can find, afford, and access quality care. That ambition sets us apart, and offers you an endless runway to impact one of the world's most urgent issues. We don’t have passenger seats here. Everyone is driving something that matters. This work deserves real commitment. So if you thrive on meeting problems head on, untangling serious complexity, and working at pace with the sharpest yet kindest people around, you've come to the right place. The Opportunity: Grow's RCM org is at an inflection point — scaling operational maturity, integrating AI-driven automation, and preparing for increasingly complex payor partnerships. This role builds the operational foundation that makes that evolution possible. It's right for you if you're energized by building systems that didn't exist before, leading managers and teams through transformation, and owning the operational levers that directly drive a company's financial performance. What You’ll Be Doing: - 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. You’ll Be a Good Fit If: - You have 8+ years of progressive experience in revenue cycle management, including 3+ years managing managers in a multi-function RCM operations environment. - You've 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. - You've 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. - You're a builder, not just an operator. You've stood up new processes, reporting frameworks, or team structures during a period of growth or transformation. - You've managed RCM operations across diverse payor types where each payor introduces distinct billing rules, authorization requirements, and contractual structures. - You've operated where RCM and adjacent functions meet (credentialing, enrollment, provider operations, or finance) and understand how upstream quality drives downstream collections performance. - You have 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. Employment Type: Full Time, Exempt Base Compensation: The base compensation range for this position is: Fully Remote Commitment: $158,000 - 193,000 USD Annually Hybrid Commitment: $189,000 - $231,000 USD Annually 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. Both arrangements include travel 2–3 times per year (e.g., company and department offsites). The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate’s working location. Full Time Employee 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. Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings. Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Use of AI Tools: We use certain AI and automated tools to support recruitment. These tools help our team review applications, organize interviews, detect potential application integrity issues, and maintain interview records; they do not make final hiring decisions. Application Review: Ashby's AI-Assisted Application Review helps review application materials against role-specific criteria and may flag potential fraud or integrity issues for recruiter review. All advancement decisions are made by our human recruiting team after independent review. See Ashby's AI Bias Audit Report https://trust.ashbyhq.com/item/ai-bias-audit-report. Interview Recording: We use BrightHire to record interviews, supporting note-taking and consistency across candidates. Learn more https://help.brighthire.ai/en/articles/4484370-brighthire-for-candidates-faq. Interviews are confidential; you may ask your interviewer to stop recording anytime, or opt out in advance https://app.brighthire.ai/candidate-opt-out/kcrUeiitS5Khw5AcWW_jLg. Choosing not to be recorded will not, by itself, affect your candidacy. AI-Assisted Recruiter Screen: For select roles, BrightHire's AI features may help structure initial recruiter screens and organize interview notes. All responses are reviewed by our recruiting team; no hiring decisions are made by AI alone. State-specific notices: Depending on your location, you may have additional rights. Illinois: If AI analyzes a video interview, we'll provide notice, explain how it works and what it evaluates, and obtain consent beforehand. New York City: Where required, we'll provide at least 10 business days’ notice before using an automated employment decision tool and explain how to request an alternative process. Maryland: We do not use facial recognition to create facial templates during interviews unless required notice and written consent are obtained. Questions, accommodation requests, requests for an alternative selection process, objections to recording, or concerns about AI use? Contact talentops@growtherapy.com. We’re happy to help or offer an alternative way to participate.