---
title: 'Director/Senior Manager of Revenue Cycle Management - Remote or Hybrid San Francisco at Clarity Pediatrics'
canonical: 'https://feeny.ai/job/director-senior-manager-of-revenue-cycle-management-remote-or-hybrid-san-dt1333thvq5h'
type: 'job'
last_seen: '2026-09-07'
---

# Director/Senior Manager of Revenue Cycle Management - Remote or Hybrid San Francisco at Clarity Pediatrics

- **Company:** Clarity Pediatrics
- **Location:** San Francisco, CA
- **Compensation:** $140k–$180k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-09-04
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.ashbyhq.com/claritypediatrics/71957ae4-d2e6-469e-b649-4ee96fdde64f

## Job description

## ABOUT CLARITY PEDIATRICS

Clarity Pediatrics https://url.emailprotection.link/?b_geuVr7wJhtChd17oSZXHmPq-1ItFoIiId_ntxOBF8iFVdhm7lCHJ686zuiz-8H2zZL85j8dCst8H32rc-M7h_dkgXHr_6Kji8wYv1tr4K0vYFs1KlzU9yOVXvJJtd_S is redefining pediatric chronic care in a fragmented, $100B category.

Clarity is fast emerging as one of the most innovative leaders in pediatric health. One in three American children has a common chronic condition like ADHD, allergies, asthma, and obesity – yet families struggle to get timely, high-quality care. Clarity scales virtual access to multi-specialty care, putting all the care a family needs in one place. We are turning a chaotic, fragmented and expensive care journey into a clear path forward.

Now is a great time to join - we just closed a substantial Series A, which means we've got runway, ambition and a growing team. Since inception, we've raised $25M from leading VCs who invested early in category winners like One Medical, Hims, Spring Health, Cityblock, Alto Pharmacy, Strava and Tia.

## HOW WE ARE DIFFERENT

Category creator in pediatric chronic care: Clarity is the first virtual platform uniting multi-specialty care for children with chronic conditions — we have a new model that replaces fragmented specialty visits with one coordinated, scalable system of care.

Clinically led with proven outcomes: Designed by pediatric subspecialists, our evidence-based approach delivers high engagement and industry-leading unit economics, demonstrating both superior outcomes and durable growth potential.

High-trust, high-leverage growth engine: Anchored in pediatrician referrals (85% of volume), innovative group care, and Medicaid inclusion from day one, Clarity's model compounds through network effects, strong retention, and expanding condition-based verticals.

## EXPERIENCED TEAM

Our cofounders bring deep domain expertise in healthcare and company building:

Christina LaMontagne https://www.linkedin.com/in/christina-lamontagne-a289152/ (CEO) has led two startups to >$100M ARR and profitability, scaled care delivery to 250K+ patients per month as COO of a leading women's telehealth service, and was an early GM at NerdWallet (IPO 2021). She earned her MBA at Harvard and was a Fulbright Scholar in China.

Dr. Alesandro Larrazabal https://www.linkedin.com/in/alesandro-larrazabal-7b4a9623/ (CMO) trained at UCSF and Stanford, led specialty care at Kaiser Permanente, and worked at IDEO. A native of Guatemala, he is triple-board certified across multiple pediatric specialties and ensures all our care is offered in English and Spanish.

## ABOUT THIS ROLE

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 — 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 — 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.

## WHAT YOU'LL OWN

- Lead and grow the RevOps team: Manage and develop the RevOps Lead and Associates — setting priorities, coaching on complex cases, and building a team structure that scales with the business.
- Own payer contracting strategy: Negotiate rates and terms, manage the contract lifecycle, and ensure contract terms are accurately loaded and enforced across billing systems.
- 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.
- Own denials, end to end: Establish and negotiate payer contracts, track denial trends by payer and reason code, lead structured root-cause analysis that spans credentialing, contracting, and patient eligibility, and improve the process across functions together — treating denials as a cross-functional signal, not just a billing problem.
- Drive cross-functional resolution: Build and run the mechanisms with Patient Support, Provider Operations, Growth and Product teams needed to resolve systemic denial drivers at the source and prevent recurrence.
- Own reconciliation and collections: Lead end-to-end reconciliation of payer remittances (ERA/EOB) and claims-related bank activity against contracted terms, and oversee collections and A/R management to keep aging balances low and cash flow predictable.
- Partner with Finance: Support the Head of Finance during month-end close — owning reconciliation deliverables, A/R and denial reporting, and analysis of collections risk.
- Be the go-to expert: Act as the subject-matter expert on revenue cycle performance for stakeholders across Patient Support, Provider Operations, Clinical Ops, and Finance, translating billing and denial detail into clear, actionable recommendations. Optimize billing processes and codes.
- Build for scale: Identify and implement the process, tooling, and documentation improvements — partnering with Product and Engineering where useful — that make billing, denials, and reconciliation more accurate and scalable, while maintaining the controls needed for audit readiness and compliance.

## WHAT WE ARE LOOKING FOR

5-7+ years of total revenue cycle experience, including 2-3+ years managing a team in a billing/RCM or similar operations function — more extensive, progressively responsible experience (including payer contract negotiation) will be considered for the Director-level title.

- Root-cause obsessed: You don't just fix the claim in front of you — you trace it back to credentialing, contracting, or eligibility and fix the process that produced it.
- Cross-functional operator: You're comfortable owning outcomes that depend on other teams, and you know how to build the relationships and mechanisms that get contracting, credentialing, and patient access aligned on a fix.
- Analytical rigor: You're comfortable building and maintaining trackers and reports to monitor collection rates, denial trends and A/R aging, and using that data to drive fixes rather than just report on the problem.
- Trusted partner: Colleagues rely on your judgment and follow-through. You can explain a reconciliation discrepancy clearly to an associate on your team and to the Head of Finance alike.
- You love startup life: You're curious, scrappy, and energized by building. You are comfortable with ambiguity, evolving processes, and doing what it takes to help the business succeed.
- 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.

This role may be based in our SF office or fully remote. You'll partner closely with the Head of Finance and cross-functional teams to keep Clarity's revenue engine running cleanly as we scale.

## COMPENSATION, EQUITY & LOCATION

- Salary range: $140K–$180K, depending on experience
- Competitive equity package in an early-stage, well-funded company
- Medical, dental, vision, and ancillary benefits, including 12 therapy appointments per year at no cost to the employee, free One Medical membership and 20% off Kindbody fertility services
- 401(k)
- Flexible PTO, including a full week off for the December holidays
- Remote-friendly work culture

## About Clarity Pediatrics

## Company Overview
- **One-liner**: Clarity Pediatrics is a virtual pediatric specialty clinic providing evidence-based ADHD, anxiety, and obesity care via telehealth, covered by insurance.
- **Entity Type**: Private (Series A – raised $14.5M in most recent round; total funding $24.5M)
- **Headquarters**: San Francisco, California, USA
- **Founded**: 2021
- **Founders**: Christina LaMontagne (CEO) and Dr. Alesandro Larrazabal, MD, FAAP (Chief Medical Officer)

## Core Business
- **Primary industries**: Pediatric telehealth, chronic care management, behavioral health
- **Target customers**: B2C – families of children ages 5‑17 with ADHD, anxiety, or obesity; also B2B via insurance partnerships (commercial and Medicaid)
- **Mission**: “To deliver a new care model that makes best-in-class pediatric specialty care accessible to all families, turning a complex journey into a clear path forward.”

## Products & Services
- **ADHD & Anxiety Virtual Care**: Comprehensive diagnostic screenings, behavioral therapy programs (Behavioral Parent Training, SPACE, Teen Anxiety), medication management, and lifestyle medicine – all delivered by pediatric specialists via live video.
- **Pediatric Obesity Care**: Recently launched virtual obesity treatment program, following AAP guidelines.
- **Care Platform**: Tech‑enabled care model integrated with insurance, offering no waitlist (care in as little as two weeks), low co‑pays ($0 for Medicaid families), and support for multiple chronic conditions.

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private company)
- **Key Metric**: Total funding raised – $24.5M (Series A of $14.5M closed ~early 2026)
- **Notable Investors/Partners**: Not explicitly named in available sources; described as “backed by top VCs.” Partners include major commercial insurance providers and Medicaid.
- **Growth Signals**:
  - Expanded from California to Texas in 2024.
  - Launched pediatric obesity program in 2025/2026.
  - Served thousands of families in two states.
  - Published research with IDEO on childhood obesity trends.
  - Won Digital Health Awards 2024 – Rising Star, Kids Health.
  - Headcount of ~21 employees (per CB Insights) with active hiring for engineering, clinical, and operations roles.

## Competitive Advantages
- **Evidence‑based, guideline‑concordant care**: Adheres to American Academy of Pediatrics (AAP) and American Academy of Child and Adolescent Psychiatry (AACAP) protocols.
- **Insurance‑covered model**: In‑network with major insurers and Medicaid, removing financial barriers.
- **No waitlists**: Patients receive care in as little as two weeks, a stark contrast to typical pediatric specialty wait times of months to years.
- **Multidisciplinary team**: Combines behavioral therapy, medication management, and lifestyle medicine in one virtual platform.
- **High patient satisfaction**: 91% of families say Behavioral Parent Training improved their parenting strategies (Clarity Patient Survey).

## Strategic Focus
- **Expand to additional chronic conditions**: Plans to roll out programs for asthma, allergies, and obesity, building a multi‑condition pediatric platform.
- **Scale geographic reach**: Currently serving California and Texas; likely to enter new states.
- **Deepen insurance partnerships**: Continuing to work with both commercial payers and Medicaid to maintain affordability.
- **Innovate care delivery**: Developing new group therapy programs (e.g., RUBI Parent Training for ADHD + Autism) and investing in technology to improve outcomes.

## Why Work Here
- **Mission‑driven environment**: Focus on expanding access to evidence‑based pediatric care for all families, especially underserved populations.
- **Flexible work model**: Virtual, remote‑friendly with both part‑time and full‑time roles; flexible hours and generous vacation/PTO.
- **Comprehensive benefits**: Health benefits for you and your family, 401(k), ongoing professional development (including CME/CEU credits for clinicians).
- **Multidisciplinary team**: Clinicians, engineers, operators, and marketers collaborate closely to reimagine pediatric care.
- **Growth opportunities**: Company is scaling rapidly (Series A, new conditions, new states) – employees can have outsized impact.
- **Values‑driven culture** (per careers page): Patient safety first, earn trust, devotion to families, observe/improve/innovate, play to win.

## Sources
1. [Clarity Pediatrics Careers Page](https://www.claritypediatrics.com/careers)
2. [Clarity Pediatrics About Us](https://www.claritypediatrics.com/about-us)
3. [Clarity Pediatrics Main Site](https://www.claritypediatrics.com/)
4. [CB Insights Company Profile](https://www.cbinsights.com/company/clarity-pediatrics)
5. [Clarity Pediatrics LinkedIn](https://www.linkedin.com/company/clarity-pediatrics)

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