Director, Revenue Cycle Management Operations

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.

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.

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; Operationalize AI and automation tools across RCM workflows, partnering with Grow's Operations AI Center of Excellence to ensure teams adopt new capabilities effectively and that human and automated work is distributed intentionally; 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

Requirements

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, who has 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, including adopting the technology, measuring its impact, and reshaping team processes around it

Nice to have

Health tech experience

Benefits

Comprehensive medical, dental, vision, life, and disability coverage; No cost access to therapy through the Grow platform; Retirement savings programs and equity opportunities; Flexible Time Off, Paid Holidays & Winter Break; Up to 18 weeks of paid parental leave and new child stipend; Dedicated weekly flexible time for self care; Annual stipend for personal wellbeing and professional growth; Pre tax commuter benefits; Home Office & Meals support; Additional perks including wellness memberships, virtual care, pet insurance discounts, and global travel assistance