--- title: 'Revenue Cycle Management / RCM Leader at Candid Health' canonical: 'https://feeny.ai/job/revenue-cycle-management-rcm-leader-candid-health-new-york-t64yd0qkmw5s' type: 'job' last_seen: '2026-09-15' --- # Revenue Cycle Management / RCM Leader at Candid Health - **Company:** Candid Health - **Location:** New York, NY - **Employment:** full-time - **Posted:** 2026-06-24 - **Last confirmed live:** 2026-09-15 - **Apply:** https://jobs.ashbyhq.com/candidhealth/8710b6ef-995a-4d2a-8ae0-b540943be85e ## Job description ## About the Role 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. ## What You’ll Be Doing - 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. ## 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. Location 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. Pay Transparency The estimated starting annual salary range for this position is $150,000 to $185,000 USD. The listed range is a guideline from[Pave](https://www.pave.com/) data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc. Total compensation for this position may also include equity, sales incentives (for sales roles), and employee benefits. Given Candid Health’s funding and size, we heavily value the potential upside from equity in our compensation package. Further note that Candid Health has minimal hierarchy and titles, but has broad ranges of experience represented within roles. ## About Candid Health ## Company Overview - **One-liner**: Candid Health provides an AI-powered revenue cycle automation platform that simplifies health insurance claims processing for healthcare providers. - **Entity Type**: Private (venture-backed, Y Combinator S19) - **Headquarters**: San Francisco, California, United States - **Founded**: 2019 - **Founders**: Not publicly available in provided sources ## Core Business - Primary industry: Healthcare revenue cycle management (RCM) software - Target customers: B2B – healthcare providers (digital health companies, hospitals, clinics) - Mission or purpose: “Remake your health insurance claims process with Candid Health – a transformative RCM automation platform, custom built for providers to end unnecessary human intervention.” ## Products & Services - **[Candid Health Platform]**: A SaaS revenue cycle automation platform that automates claim submission, denial management, and payment posting. Uses AI to detect, flag, and fix issues, aiming for a “touchless” claims process with minimal human intervention. ## Market Standing - **Valuation/Market Cap**: Not disclosed (private company) - **Key Metric**: Total funding of $97.65M (per Cbinsights) - **Notable Investors/Partners**: Not explicitly listed in provided sources; the company is a Y Combinator alum (S19). - **Growth Signals**: The company has raised significant venture funding ($97.65M total), indicating strong investor confidence. The website emphasizes high “touchless claim rate” and “payer net collection rate” – key metrics that suggest product-market traction. ## Competitive Advantages - **End-to-end automation**: The platform covers the entire RCM workflow, from claim submission to final payment, reducing manual effort. - **AI-driven error detection**: Claims errors are flagged and fixed automatically, increasing the “touchless claim rate.” - **Focus on net collections**: Helps providers increase revenue while lowering cost-to-collect. ## Strategic Focus - Expanding automation capabilities and AI models to handle more complex payer rules and reduce human intervention further. - Targeting digital health companies and traditional healthcare providers struggling with rising claims complexity. ## Why Work Here - **Culture**: A fast-growing healthcare technology startup with a mission to fix a notoriously broken part of the healthcare system. - **Work environment**: Likely dynamic and engineering-led; the careers page (jobs.ashbyhq.com) lists open roles in engineering, product, and customer success. - **Remote/hybrid policy**: Not specified in provided sources; typical for a San Francisco-based startup to offer hybrid or remote options. - **Notable perks**: Opportunity to work on cutting-edge AI in healthcare, with a direct impact on provider revenue and patient access. ## Sources 1. [candidhealth.com](https://candidhealth.com/) 2. [cbinsights.com](https://www.cbinsights.com/company/candid-health) 3. 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