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Director of RCM

OsmindOnsite
About Us:
Osmind is building a revolutionary network to support independent psychiatric practices, particularly those offering innovative treatments like TMS, Spravato, and other interventional modalities. We are seeking an experienced, strategic, and hands-on RCM leader to build and scale our revenue cycle operations from the ground up and lead customer relationships, serving as a cornerstone of our services launch in 2025. This role is ideal for a player-coach who can manage daily billing operations, interface between clinic customers and the billing operations team, and craft & execute a forward-thinking roadmap that aligns revenue cycle processes with the company’s long-term goals.Position Overview:As Director of RCM, you will be responsible designing, implementing, and scaling best-in-class revenue cycle management operations to support psychiatric practices across the United States.

Building on our pilot program foundation, this role blends strategic leadership with hands-on execution to manage our billing partner and spearhead client relationship management.Location:This role will be based in the United States with minimal travel required.This is a unique opportunity to help build a transformative healthcare organization from the ground up while solving critical challenges for psychiatric providers and their patients. The successful candidate will play a key role in shaping the future of mental healthcare delivery through innovative, technology-enabled RCM solutions.

Key Responsibilities


  • Strategy & Leadership
  • Develop and execute the overall RCM strategy and account management for scaling our RCM services offering beyond the pilot phase
  • Set and monitor KPIs to ensure operational excellence and financial targets
  • Manage vendor relationships and partnerships
  • Oversee team performance and professional development
  • Billing operations and performance
  • Directly oversee our billing partner and internal team to drive maximum billing performance
  • Set and achieve revenue cycle performance targets, such as clean claim rates, days in AR, and denial rates
  • Develop reporting frameworks to track team and financial performance
  • Identify opportunities for revenue optimization
  • Client management & account ownership
  • Build and manage RCM account management, fully owning the layer between the clinics and RCM operations
  • Own client communication regarding billing performance, denials trends, payer issues, and operational questions
  • Establish trust and strong relationships with clinic stakeholders including practice owners, clinicians, and administrative staff
  • Process building and clinic workflow optimization
  • Build out best practices & processes for clinics to successfully maximize revenue collections
  • Work with internal product and engineering teams to suggest improvements to EHR & practice management and automation tooling
  • Partner with internal billing operations to triage and resolve denials, rejections, and underpayments
  • Drive continuous improvement in internal SOPs and handoffs between RCM, implementation, and success

Required Experience


  • 10+ years of healthcare revenue cycle management (RCM) experience, including 5+ years in leadership roles
  • Extensive knowledge of behavioral health billing, with expertise in specialized treatments such as Spravato, TMS, and other interventional modalities
  • Direct experience working and interfacing with clinicians and practice staff members
  • Excellent communication, organization, and client-facing skills; ability to translate complex RCM topics to stakeholders unfamiliar with billing

Preferred Experience


  • Knowledge of TMS, Spravato, or ketamine therapy billing requirements
  • Previous experience at a managed services organization or large medical group
  • Background in process optimization, automation, or AI implementation in healthcare operations

$140,000 - $190,000 a year

Depending on experience and location


The reasonably estimated total compensation range for this position is $140,000 - $190,000 annually, which includes base salary and variable compensation components plus an equity package for eligible employees. Actual compensation will be commensurate with the candidate’s experience and local cost of labor. In addition, Osmind offers a wide range of comprehensive and inclusive employee benefits, including healthcare, dental, vision, generous family leave, FSA/DCFSA, mental health benefits, a 401(k) plan, and flexible paid time off. #LI-RemoteThis is a unique opportunity to help build a transformative healthcare organization from the ground up while solving critical challenges for psychiatric providers and their patients.

The successful candidate will play a key role in shaping the future of mental healthcare delivery.Apply for this job

Life at Osmind

We provide software and data for precision mental health to help the 22M Americans with treatment-resistant mental health conditions. Our mission is to maximize patient access to innovative mental health treatments so that no one needs to suffer with their mental health again. Y Combinator S20 We're hiring software engineers! Drop us a line at hello@osmind.org if interested
Thrive Here & What We Value1. Intellectually Rigorous, Highly Collaborative, Deeply Caring Team2. Committed to Diversity and Inclusivity3. Encourages Underrepresented Communities' Participation4. Comprehensive Employee Benefits5. Public Benefit Corporation for Mental Health Advancements
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