--- title: 'RCM Lead, Reconciliation & Cash Posting at Nourish' canonical: 'https://feeny.ai/job/rcm-lead-reconciliation-cash-posting-nourish-new-york-n6jxgmqsfe4k' type: 'job' last_seen: '2026-11-01' --- # RCM Lead, Reconciliation & Cash Posting at Nourish - **Company:** Nourish - **Location:** New York, NY - **Work type:** remote - **Posted:** 2026-10-30 - **Last confirmed live:** 2026-11-01 - **Apply:** https://job-boards.greenhouse.io/usenourish/jobs/5467208008 ## Job description ## About Us Health is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up. Our mission is to improve people’s health by making it easy to live a healthy lifestyle. Nourish is the country's largest dietitian-led metabolic health clinic. We’re an AI-native digital health system matching patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, we've completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems. In 2026 we raised a [$100M Series C](https://www.businesswire.com/news/home/20260512183360/en/Nourish-Raises-%24100M-Series-C-to-Reverse-Chronic-Disease-with-AI-Native-Metabolic-Clinic), bringing total funding to $215M. The round was led by [Menlo Ventures](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fmenlovc.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Menlo+Ventures&index=2&md5=a7f691ce61b1b69ee68a13a576315d2e), with participation from [Thrive Capital](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fthrivecap.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Thrive+Capital&index=3&md5=db2cd91478da9785a5cc9b584dea6320), [Index Ventures](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.indexventures.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Index+Ventures&index=4&md5=f6be905422c6f378ec1b4bdc03024bbf), [J.P. Morgan Growth Equity Partners](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fam.jpmorgan.com%2Fus%2Fen%2Fasset-management%2Fmod%2Fgrowth-equity-partners%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=J.P.+Morgan+Growth+Equity+Partners&index=5&md5=1a7d1b0269d6145b0d067a9a65a2fa5c), [Maverick Ventures](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.maverickventures.com%2Findex&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Maverick+Ventures&index=6&md5=65afa52b074a924da58983522f5ff138), [Y Combinator](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.ycombinator.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Y+Combinator&index=7&md5=1da67b43f2e7bb379a32a7237fafef10), [BoxGroup](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.boxgroup.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=BoxGroup&index=8&md5=e3212ef4cc6adb74a20f06b6b22341b6), [Atomico](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fatomico.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Atomico&index=9&md5=3239e86a77677eeb8958c8bf283d81ba), [Daybreak](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.daybreakventures.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Daybreak&index=10&md5=56300ef7f1766268053b30f4c406d8f2), and [Operator Partners](https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.operatorpartners.com%2F&esheet=54534855&newsitemid=20260512183360&lan=en-US&anchor=Operator+Partners&index=11&md5=e7e55dbffcf68c8100f12d4da422b1ed). Learn more about our Series C here: [Nourish Blog](https://www.nourish.com/blog/nourish-announces-series-c), [Bloomberg](https://www.bloomberg.com/news/articles/2026-05-19/nutrition-care-startup-raises-100-million-to-help-glp-1-treatment), [Fierce Healthcare](https://www.fiercehealthcare.com/finance/nourish-raises-100m-plans-expand-care-model-physicians), [Digital Native](https://www.digitalnative.tech/p/99180948-121a-4646-869f-a19d176c1c55), [The Pulse Podcast](https://open.spotify.com/episode/4KZBAKUgwitLPlDErDDtUg?si=c3985e925a304576). This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. We're looking for people who actively choose hard, ambiguous problems, who run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without the ego. Our work is important, but we are not self-important. We do this because we’re solving one of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it. ## About the Role As an RCM Lead, Reconciliation & Cash Posting, you will own cash reconciliation at Nourish: ensuring we accurately report how much cash we have received from insurance and patients for services. You will keep Stripe and Candid aligned on total patient cash posted, work through unreconciled checks and ERAs, and oversee refund workflows for payers and patients. You will build the SOPs and workflows for, and oversee, our team of virtual assistants (VAs) on reconciliation, and partner across MNT, new bets, and enterprise to support reconciliation for each of them. This is a high-ownership role where you will clear our unreconciled cash backlog and then become the Nourish expert for the areas you own. This person will report into our Director of Collections, [Riley Moore](https://www.linkedin.com/in/riley-moore-12ba87121/). This role is full-time and open to NYC-based or remote employees. Key Responsibilities: - Own cash reconciliation end to end across patient and insurance payments, ensuring Stripe and Candid are aligned on total patient cash posted. - Reconcile unreconciled checks and ERAs, tracing each item to root cause and closing it out. - Size and sequence our unreconciled cash backlog, and build and execute a timeline to work it down. - Onboard, direct, and oversee a team of VAs on reconciliation workflows, including work allocation, quality checks, and feedback. - Build and maintain SOPs and workflows for VAs to manage unreconciled ERAs and cash. - Oversee refund workflows for payers and patients, with controls in place to prevent incorrect or duplicate refunds. - Partner across MNT, new bets, and enterprise to build and run reconciliation workflows for enterprise partners. - Identify opportunities to optimize team workflows, including automation for reconciliation, and tackle improvements independently where you can. We’d love to hear from you if: - You have approximately 5–7 years of experience in cash posting and reconciliation. - You have hands-on RCM cash reconciliation experience across both patient and insurance payments, including matching ERAs/EOBs and checks to deposits and working unreconciled items to resolution. - You are comfortable with high-volume, process-driven, detail-heavy work and hold yourself to a high standard of accuracy. - You have built new processes or SOPs from scratch, not just followed existing ones. - You are a professional and empathetic written communicator who can write crisp SOPs and adjust your tone for patients, payers, and internal partners. - You are scrappy and can break down ambiguous discrepancies across systems and solve them independently. - You are flexible and adaptable in a fast-paced start-up environment with changing priorities, and you are low-ego and actively seek feedback. - Bonus: experience managing, training, or directing others' work (ideally VAs or offshore teams), familiarity with Stripe, Candid, or comparable billing platforms and payer portals, startup or health-tech experience, or experience using automation or tooling to streamline reconciliation work. More Information [The Nourish Bar](https://app.notion.com/p/A-Guide-to-The-Nourish-Bar-36ecc837c1d0810f9f24e75b240c666c?pvs=21) [Our Values](https://app.notion.com/p/Values-84cef6ac8c384f4d8f595a8c0061c62c?pvs=21) [Why Nourish Exists](https://app.notion.com/p/Why-Nourish-Exists-84442a27abc34e2b95b2ad3d3dfb1214?pvs=21) [How We Work](https://www.notion.so/a461b591089f412dbc2c55ab7167f74e) [Comp Philosophy](https://www.notion.so/38e34a54930f45cf93f41fd7f7e28a83) [Benefits](https://app.notion.com/p/Nourish-Benefits-36dcc837c1d0810198e4e69580095e2a?pvs=21) ## About Nourish ## Company Overview - **One-liner**: Nourish is a digital health company that provides insurance-covered, AI-powered virtual nutrition counseling by connecting patients with Registered Dietitians via telehealth. - **Entity Type**: Private (funding stage not disclosed, backed by leading venture capital firms) - **Headquarters**: New York City, United States - **Founded**: 2021 - **Founders**: Not publicly available ## Core Business - **Primary Industry**: Digital Health / Telehealth / Nutrition Care - **Target Customers**: B2C (patients with insurance in all 50 states), B2B (health systems, employers) - **Mission/Purpose**: To help everyone live a healthier, longer, and happier life by making it easy to eat well; addressing the root cause of chronic disease through accessible nutrition care. ## Products & Services - **Nourish Telehealth Platform**: A virtual care service connecting patients with a dedicated Registered Dietitian for one-on-one telehealth appointments. 94% of patients pay $0 out of pocket through insurance coverage. Available in all 50 states with a network of 10,000+ dietitians. - **Nourish Mobile App**: A companion app for between-session support, allowing patients to message their dietitian, view session summaries, track macros (including photo-based tracking), set goals, and access curated content. - **Nourish AI Assistant**: A 24/7 AI-powered assistant that provides support and answers questions about nutrition goals between appointments. - **Lab Work Integration**: Patients can access lab work at a local clinic and analyze results with their dietitian directly within the app. ## Market Standing - **Valuation/Market Cap**: Not publicly available (private company) - **Key Metric**: Over 500,000 people have been helped by Nourish dietitians; 94% of patients pay $0 out of pocket; network of 10,000+ dietitians. - **Notable Investors/Partners**: Backed by leading venture capital firms and unicorn startup founders from Headway, Spring Health, Rightway Health, Alto Pharmacy, Oscar, Notion, Flatiron, Cadence, and more. - **Growth Signals**: Rapid headcount growth of +170.2% year-over-year (reaching 1,424 employees as of mid-2026), with monthly growth of +5.1%. Demonstrates strong clinical outcomes: 80% of patients see health improvements in 30 days, 90% achieve progress towards goals after 3 months. Average A1C reduction of 1.3% and average weight loss of 8% for patients not on GLP-1s after 12 months. ## Competitive Advantages - **Insurance-First Model**: Deep integration with hundreds of insurance plans makes care accessible ($0 out of pocket for 94% of patients), removing a major barrier to entry in the nutrition space. - **Clinical Outcomes Focus**: Publishes strong outcome data (A1C, weight loss, cholesterol, blood pressure reduction) which builds trust and validates the model for payers and providers. - **Large Provider Network**: 10,000+ dietitians allows for personalized matching and rapid scalability across all 50 states. - **AI-Enhanced Care**: The 24/7 AI assistant provides a scalable layer of support between sessions, differentiating the patient experience from traditional telehealth. - **Integrated Care Coordination**: Works with patients’ external care teams (primary care, specialists) to ensure a seamless, holistic patient experience. ## Strategic Focus - **Scaling Clinical Operations**: Hiring for roles like Director of Care Strategy, Metabolic Health Nurse Practitioners, and Physicians, indicating a move to expand the scope of care beyond nutrition (e.g., metabolic health). - **Technology & Product Investment**: Actively hiring for Engineering, Product, Design & Analytics roles (Engineering Manager, Senior Backend Engineer, Staff Software Engineer) to continue building out the AI assistant, app experience, and platform infrastructure. - **Health Systems & Commercial Growth**: Building out a Health Systems team and a Commercial Strategy team to partner with employers and healthcare organizations. - **Revenue Strategy & Finance**: Hiring for Revenue Strategy and Finance roles, suggesting a focus on monetization, payer contracting, and sustainable business growth. ## Why Work Here - **Mission-Driven Work**: The company is tackling a massive, meaningful problem (“broken healthcare system” / “poor nutrition is the #1 driver of chronic disease”) with a clear mission to improve health outcomes. - **Strong Growth & Trajectory**: With 170% year-over-year headcount growth, the company is in a rapid scaling phase, offering significant career growth opportunities and impact. - **Competitive Compensation**: Offers a competitive salary plus equity package. - **Benefits Package**: Includes medical, dental, and vision insurance, 20 days annual leave, generous parental leave programs, learning and development allowance, home office allowance, and a $20 in-office lunch stipend. - **Flexible Work Policy**: Offers flexibility in how and where you work. Many roles are listed as “Remote” or “New York, NY or Remote,” indicating a remote-friendly culture with physical hubs in NYC and San Francisco. - **Culture & Values**: Emphasizes a growth mindset, data-driven decision making, patient-first empathy, and a collaborative clinical community. The company is building a “digital health system that is patient-friendly, prioritizes lifestyle change, delivers outcomes, and lowers costs.” ## Sources 1. [nourish.com - About Us](https://www.nourish.com/about) 2. [nourish.com - Careers](https://www.nourish.com/careers) 3. [nourish.com - Homepage](https://www.nourish.com/) 4. [LinkedIn - Nourish](https://www.linkedin.com/company/usenourish) 5. 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