Director of Revenue Cycle(Full-time)

About Diana Health

Diana Health is a high growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver’s seat of their own health and provides them with the information and compassionate care they need to reach their health goals.  

We are an interdisciplinary team joined together by our shared commitment to transform women’s health. Come join us!

Description

We are looking for a mission-driven revenue cycle leader who is passionate about improving the health of women. We recognize that maximizing revenue is key to the success of our mission and our ability to continually invest in new initiatives that drive quality, enhance the patient experience, and support our care teams.  As the Revenue Cycle Director, you are the quarterback of these efforts working in collaboration with the manager and team of billers and coders. You will be responsible for ensuring that we are billing appropriately for all services rendered and for collecting every dollar possible, on-time and in full. You will lead a team and work hand-in hand with our payer contracting, finance, and operations teams to ensure our patients have a streamlined billing experience and we maintain strong financial performance.  We are also working to establish value-based contracts with payers that support our efforts to improve outcomes while lowering the total cost of care.  Under your leadership, your team will play a critical role in translating these contracts into practice, ensuring that our billing and operations (including our practice admin) teams know what they need to do to perform under these contracts. 

You will ultimately report to Diana’s Health CFO.

What you’ll do:

Lead revenue cycle teamOwn revenue cycle playbookIdentify areas for continuous process improvements and policy clarificationsWork with the operations, product, and finance teams to continually refine Diana Health processes and update playbook and training material accordingly

• Serve as a member of Diana Health’s Billing Committee to adopt and amend key policies
• Implement and maintain RCM technologies and automation tools to enhance efficiency

Lead a team of billers and coders  

• Work with manager to monitor and manage against KPIs to ensure strong RCM performance across the board 
• Work with manager to facilitate cross team learning, including identifying ‘experts’ in key subject matters (e.g. EOC) and creating opportunities for those experts to teach others on the team 

Regularly review KPIs, working with Diana Health’s Analytics team and Athena to identify areas of opportunity and follow-up with individual team members and functional units accordingly

Ensure end-to-end revenue cycle process is running effectively across sites
Contract translation: Ensure strong internal knowledge and understanding of contract terms to enable accurate communication with Diana Health clients and efficient + effective claims submission
Financial planning & Verification of Benefits (VOB): track our maintenance of appropriate financial plans across sites, ensuring that we are collecting patient payments on-time.  

Claims submissions + follow-up: Manage against KPIs to ensure timely and accurate submission of all claims to maximize collections and minimize Days AR
Payment posting & refunds: Working closely with the Diana Health finance team to ensure all payments are posted accurately through Athena, all patient accounts are appropriately closed, and all refunds are paid
Collections: Manage collections process 

• Accounts receivable:  work with the finance team to ensure that all patient accounts are appropriately closed, and accounts receivable is accurately recorded

Data Analysis and Strategic Insights Responsibilities

• Leverage data analytics to identify revenue leakage, denial trends, and operational inefficiencies across the revenue cycle.
• Develop and maintain dashboards and reports to monitor KPIs such as days in A/R, clean claim rate, denial rate, and net collection rate.
• Use predictive analytics to forecast revenue trends and support strategic planning.
• Conduct root cause analysis on underpayments, denials, and delays in reimbursement.
• Collaborate with IT and data teams to ensure data integrity and optimize reporting tools.
• Present actionable insights to executive leadership to support data-driven decision-making.

Who you are:

• Mission-driven 
• Experienced manager and leader, with strong communication skills and an ability to drive collaboration across cross-functional teams
• Expert biller + coder, with experience across contracting; credentialing and billing, ideally in OB/GYN
• A strong process thinker with an ability to translate complex operations into a clear and easily understandable process
• A player coach - able to lead a team while being deep in the “doing”
• Entrepreneurial with positive mindset and solution orientation 
• Comfortable in a fast-paced environment and able to handle ambiguity  

Qualifications

• Required: Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field.
• Preferred: Master’s degree (e.g., MHA, MBA, MPH) with a focus on healthcare finance, analytics, or operations.
• 10+ years of billing and coding experience, ideally in OB/GYN
• At least 10+ years of experience as a manager
• Experience working with health system operations  
• Experience working under both FFS and Value based contracts
• Strong understanding of healthcare financial metrics and RCM performance indicators
• Ability to translate complex data into clear, strategic recommendations.
• Exceptional leadership, communication, and problem-solving skills.
• Advanced excel skills 
• Preferred Skills: 
• Start-up or entrepreneurial experience
• Experience working in Athena’s practice management software
• Experience with legal document review 
• Minimal travel, remote role

Benefits

• Competitive compensation
• Medical, dental & vision plans, with an HSA/FSA option
• 401(k)
• Paid time off
• Paid parental leave 

Diana Health Culture

• Having a growth mindset and striving for continuous learning and improvement
• Positive, can do / how can I help attitude
• Empathy for our team and our clients
• Taking ownership and driving to results
• Being scrappy and resourceful