Senior Director, RCM & Credentialing

The Senior Director of Revenue Cycle Management will oversee all aspects of the revenue cycle, including billing operations, payer integrations, collections, and denial management. This leadership role will focus on optimizing revenue processes, ensuring compliance with regulatory requirements, overseeing revenue cycle technology vendors and fostering relationships with payers to maximize reimbursements. The ideal candidate will bring strategic vision and operational expertise to drive efficiencies and achieve financial goals. Reporting to the VP, Global Network and Revenue Cycle Operations, this is a full-time role that is key to advancing our payer strategy and revenue cycle operational excellence. 

As Senior Director of Revenue Cycle & Credentialing, you will lead three interconnected pillars:

• Revenue Cycle Management (RCM)
• Health Plan Operations (Claims)
• Provider Credentialing & Enrollment

You’ll lead a team of ~50 across these functions, including 3 Director-level leaders, and balance promoting specialization within the org while building connective tissue between RCM, credentialing, and claims. You’ll also play a key role in Spring Health’s next phase of growth—particularly as we stand up D2C models and increase payer partnerships. You’ll collaborate closely with Product, Engineering, Clinical Operations, Finance, and Payer Relations to drive efficiency, compliance, and operational scale.

This is both a strategic and hands-on leadership role requiring deep domain expertise, systems thinking, and strong cross-functional influence.

What you’ll do:

Strategic Leadership

• Develop and evolve a comprehensive RCM and payer operations strategy aligned with Spring Health’s enterprise and D2C business goals
• Collaborate with executive leadership to identify opportunities for margin expansion, DSO reduction, and operational scale
• Shape the long-term roadmap for system modernization, tooling upgrades, and automation efforts
• Foster a high-accountability, high-support culture with clear expectations, growth paths, and leadership development

Revenue Cycle & Claims Operations

• Lead the end-to-end revenue cycle, including eligibility, charge capture, coding, submission, collections, and appeals
• Drive clean claims rates, reduce denials, improve reimbursement timelines, and optimize AR performance
• Partner with Finance on forecasting, revenue recognition, and payment modeling (commercial and D2C)
• Manage payer escalations and work to improve contract adherence and payer performance
  

Credentialing & Enrollment

• Oversee provider credentialing and enrollment to ensure timely onboarding and plan participation
• Manage NCQA compliance, CVO partnership, delegated credentialing protocols, and payer-specific workflows
  Reduce onboarding cycle time to support plan expansion / demand

Technology & Process Optimization

• Partner with Product and Engineering to design scalable internal tools, automations, and workflows
• Evaluate and implement technology to increase efficiency and reduce error rates
  Lead data hygiene and visibility efforts to ensure clean provider data and actionable performance insights

Stakeholder Engagement & Payer Relations

• Serve as a primary point of contact for payers, managing escalations and driving operational alignment
• Collaborate with Payer Relations and Legal to support contracting, credentialing delegation, and regulatory compliance
• Partner with Clinical Ops, Finance, Sales, and Go-To-Market to ensure operational readiness for new partnerships and launches

What success looks like in this role: 

• Reduced Days Sales Outstanding (DSO) and improved cash flow predictability
• Increased clean claims submission rate and faster denial resolution
• Shortened provider onboarding timelines via credentialing/enrollment improvements
• Stronger payer contract performance and operational adherence
• Team engagement, clarity, and development are measurably improved
• You are recognized as a strategic operator and cross-functional thought partner
  

What you’ll bring:

• 10+ years in healthcare operations with deep experience in RCM, claims, and credentialing
• Proven experience leading large-scale, multi-layered teams (50+ FTEs)
• Strong understanding of payer lifecycle, EDI flows, denial management, and reimbursement strategy
• Experience in health tech, MSO, or D2C models with exposure to hybrid revenue streams
• Cross-functional leadership experience, especially with Product and Engineering
• Skilled in platform transitions, automation design, and reporting architecture
• Metrics-driven mindset with the ability to define, monitor, and act on performance data
• Familiarity with delegated credentialing, payer compliance, and NCQA audits
• Passion for mental health access and mission-driven care

The target base salary range for this position is $187,400 - $243,700 and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using Radford Global Compensation Database at minimum to ensure competitive and fair pay. 

Benefits provided by Spring Health:

Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria.

• Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
• Employer sponsored 401(k) match of up to 2% for retirement planning
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
• We offer competitive paid time off policies including vacation, sick leave and company holidays.
• At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
• Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals. 
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
• Access to Wellhub,  which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
• Up to $1,000 Professional Development Reimbursement a year.
• $200 per year donation matching to support your favorite causes.