Revenue Cycle Management Leader, Candid Health
RCM
$150-185k
Healthcare revenue cycle automation software
Open for applications
Healthcare revenue cycle automation software
101-200 employees
Open for applications
$150-185k
101-200 employees
Company mission
To help providers focus more on care delivery and less on back office administration.
Role
Who you are
- You have 8-12+ years of medical billing experience, including at least 2-3 years of experience building and leading large, high-performing teams to deliver key business outcomes in complex, dynamic environments
- Experience managing both onshore and offshore teams is preferred
- You have a strong track record of driving revenue outcomes & efficiencies for RCM functions
- You have strong analytical skills - you have a learning and investigative mindset and value those mindsets in others
- You are capable of rolling up your sleeves at an operational and tactical level to drive results alongside your team
- You approach RCM preventatively vs reactively - you have a mindset of using technology to prevent denials/rejections upstream
- You have a wide range of experience across multiple specialties, multi-state billing, and telehealth billing
- You have experience across a wide range of the revenue cycle: EDI Enrollments, Payment Posting and Reconciliation, Denial Resolution and Management, etc
- You are a clear and concise communicator; you enjoy the challenge of explaining complicated ideas in simple terms, both in-person and in writing
- You are motivated by and have a track record of building and maintaining relationships with senior executive customer stakeholders
- Experience collaborating with product/engineering teams, go to market teams, customer execution and delivery teams
- This position is open to all locations within the United States. For metropolitan areas where Candid Health has an office presence (New York City, San Francisco, or Denver) the expectation is that this role is in-person where our weekly schedule is 4 days in-office and 1 day working remotely. For candidates who reside outside of these metropolitan areas this position would be fully remote
What the job involves
- The Revenue Cycle Management (RCM) Lead is a senior leader responsible for overseeing the full spectrum of revenue cycle operations across Candid Health's portfolio of clients
- This role drives enterprise-wide financial performance, and operational excellence in billing, denial management & prevention, reconciliation, and payer relations
- This senior leader is responsible for day-to-day management of the Candid RCM team, including being hands-on alongside billers
- This person will also own cross-functional initiatives to optimize revenue cycle workflows, enhance data transparency, and support scalable growth aligned with Candid Health’s evolving business needs
- This role will also represent Candid Health externally with customers, partners, payers, and internally as a mentor and leader of high-performing teams
- Hire, manage and lead high-performing onshore and offshore teams, responsible for delivering strong revenue cycle operations within billing, EDI, denial management, and payment posting for Candid’s portfolio of customers
- Drive RCM KPIs and outcomes by getting into the details on specific claim-level and claim cohort level issues alongside Billers and Billing Leads (This position has a high degree of operational and tactical execution)
- Build & scale the department by creating and refining playbooks, standardized processes, and data management frameworks
- Oversee customer portfolios by dynamically adjusting resourcing and priorities to ensure high-quality service delivery
- Monitor key metrics to adjust resourcing and priorities, ensuring capacity aligns with fluctuating demand and new customer onboarding
- Act as the primary point of contact for complex customer issues, providing expert consultation and decisive resolutions to maintain client trust in partnership with our Customer Strategy & Operations team
- Partner closely with Customer Support and Customer Strategy & Operations teams to identify systemic customer issues and implement proactive long-term solutions
- Set strategic direction on scaling the scope of operations for the growing RCM team
Our take
Healthcare spending in the US medical system has been ballooning for decades. Administration contributes a substantial portion to this, constituting almost three times what other developed countries spend proportionate to their healthcare budget - and taking up valuable physician hours. The detrimental impact this has on the quality and affordability of care has meant solutions are becoming urgent, and Candid Health is contributing a strong one.
The data and AI-driven platform helps healthcare providers automate the process of submitting, chasing, and appealing insurance claims. It’s regularly audited by HIPAA, helping the company dodge the tightening data protection net that’s stunted the progress of some medtech startups. Having passed this obstacle the company is running at modest capacity - the challenge now is to lock in a broader client base, which could prove challenging.
Companies like Change Healthcare and Flobotics, for example, offer automated claims submissions as part of a broader robotic process automation service for medical institutions. It may be that this holistic administrative software proves more attractive for overburdened providers. For now, however, Candid Health is gaining a respectable amount of traction and enjoyed a funding round of $29 million in 2024.
Steph
Company Specialist at Welcome to the Jungle
Company
Funding (last 2 of 5 rounds)
Feb 2025
$52.5m
SERIES C
Sep 2024
$29m
SERIES B
Total funding: $97.8m
Company HQ
Financial District, San Francisco, CA
Leadership
Nick Perry
(Co-Founder & CEO)A human biology graduate from Stanford, who started as an Accenture Digital consultant, before taking a role as as the forward deployed engineering lead at Palantir Technologies.
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