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Senior Director, RCM & Credentialing

Senior Director, RCM & Credentialing

Spring HealthCincinnati, OH, US
9 hours ago
Job type
  • Full-time
Job description

Senior Director, RCM & Credentialing

At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right timewhether it's therapy, coaching, medication, or beyondtailored to each individual's needs.

We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we've been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers.

We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We're just getting startedjoin us on our journey to make mental healthcare accessible to everyone, everywhere.

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 growthparticularly 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 :

  • 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 programbased in psychology, that's tailored to your unique needs and goals.
  • Access to Carrot, fertility care support, 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.

    • Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply.

    Ready to do the most impactful work of your life? Learn more about our values, what it's like to work here, and how hypergrowth

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