Director of Revenue Cycle Management

About Nema Health

Nema Health is a survivor- and clinician-led virtual treatment program for PTSD and trauma. We are on a mission to help all trauma survivors find lasting peace & healing. Nema provides virtual, evidence-based treatment that helps people feel better faster—and stay better longer. We are committed to delivering care that’s accessible, trauma-specialized, and deeply patient-centered.

At Nema, we offer employees an unparalleled career opportunity: the chance to be part of a mission-driven company while shaping its future during a pivotal stage of growth. If you’re someone who thrives in fast-moving environments, values systems thinking, and cares deeply about expanding access to mental health care, you could be a great fit.

About the Role

We’re seeking a Director of Revenue Cycle Management to lead our team in delivering exceptional patient care and financial outcomes. You will own Nema’s revenue and claims strategy end-to-end, aligning our RCM workflows with financial performance and regulatory compliance, and building strong relationships with payers to resolve systemic billing barriers. This is a hands-on, player-coach role spanning both execution and systems design—ideal for someone who thrives in the details while building the infrastructure needed to scale.

Responsibilities

• Own and optimize Nema’s end-to-end revenue cycle, ensuring strong financial performance, regulatory compliance, and scalability

• Step into day-to-day billing operations as needed (claims, denials, payer follow-up) while leading the function at a strategic level

• Lead and develop a high-performing team, fostering psychological safety, clear accountability, and strong execution

• Design and scale RCM systems, workflows, and infrastructure to support multi-state growth and increasing complexity

• Establish and monitor key RCM KPIs, using data to drive decisions across denials, underpayments, and overall cash flow health

• Identify and address root causes of denials to improve reimbursement outcomes

• Drive alignment between clinical documentation, coding, and billing to ensure accurate and compliant reimbursement

• Lead RCM technology and vendor relationships, ensuring systems are integrated, high-performing, and scalable

• Build and manage strategic payer relationships, including escalation and negotiation to resolve systemic billing barriers

• Partner cross-functionally to lead data-driven initiatives, driving effective change management and continuous process improvement to enhance revenue cycle performance, efficiency, and scalability

• Deliver a transparent, patient-centered billing experience, incorporating trauma-informed principles into financial workflows

• Stay current on payer requirements, regulatory changes, and industry best practices to strengthen RCM operations

Qualifications

• 8 years of revenue cycle management experience, including 3 years in a leadership role

• Deep, hands-on expertise across claims, denials, and payer operations

• Experience with complex reimbursement models (e.g., bundled case rates, non–fee-for-service)

• Strong clinical-to-claims fluency, ensuring alignment between provider documentation, coding, and compliant billing

• Experience in telehealth, digital health, or multi-state healthcare environments

• Exceptional attention to detail with strong analytical and problem-solving skills

• Proven ownership mindset with the ability to operate independently in a fast-paced startup environment

• Proficiency with EHRs, practice management systems, and RCM tools

• Familiarity with credentialing and licensing workflows

Why Join Nema

We’re a growing team of clinicians and operators united by a shared mission: to reduce suffering for people with PTSD and other trauma related disorders. As part of Nema, you’ll help build a company where both patients and employees can thrive.

What We Offer

• This role offers a base salary of $150,000-160,000, which will be determined based on individual experience, qualifications, and market considerations

• This role is also eligible for competitive equity, reflecting the impact and scope of the position at an early-stage, mission-driven company

• Comprehensive benefits including healthcare, 401(k) with matching, and stipends for work-from-home productivity and continued education

• Generous PTO and flexible work hours

• Remote-first culture with supportive team norms

• Inclusive, trauma-informed leadership

• Opportunity to grow with a fast-moving, mission-driven company