Job description
Virta Health is on a mission to transform type 2 diabetes and weight-loss care. Current treatment approaches aren’t working—over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse diabetes and obesity in one billion people.
As we scale, optimizing our revenue operations is critical to long-term sustainability and impact. We’re hiring a Head of Revenue Cycle Management (RCM) to lead our end-to-end revenue processes, drive payer strategy, and unlock efficiencies through automation and innovation. Reporting directly to the Chief Financial Officer, this leader will be responsible for all aspects of Virta’s revenue cycle—from eligibility, coding, and claims to collections, payer contracting, and regulatory compliance.
You’ll bring deep RCM domain expertise, strong payer relationships, and a forward-thinking approach to building scalable, tech-enabled infrastructure. You’ll collaborate closely with Customer Success, Product, and Clinical teams, to ensure our RCM function supports both exceptional care and world-class operational performance.
This is an ideal opportunity for a seasoned RCM executive who thrives at the intersection of healthcare, operations, and technology—and who wants to help shape the future of metabolic care at scale.
Responsibilities
Strategic Leadership
Own Virta’s comprehensive RCM strategy across payer & employer clients
Design a future-forward RCM function that integrates automation, data analytics, and AI to optimize operations.
Serve as a strategic advisor to the CFO and leadership team on reimbursement strategy, cash flow, and payer performance
Lead a team of 7+ employees and 10+ contractors
Revenue Operations & Execution
Lead all RCM processes including eligibility, coding, claims submission, payment posting, denials management, and collections.
Manage vendor relationships and optimize tools, including clearinghouses, EHR systems, and AI-based automation platforms.
Ensure full regulatory compliance across federal, state, and payer-specific billing requirements.
Partner with Product and Engineering to enhance automation and improve workflow efficiency across the RCM lifecycle.
Train and educate team members on RCM best practices and industry benchmarks to improve revenue cycle metrics
Design and implement proactive denial prevention strategies and workflows to minimize rework and reduce AR aging.
Payer Strategy & Relationships
Support Sales and Customer Success in payer negotiations and contracting, with a focus on optimizing reimbursement and minimizing administrative burden.
Leverage existing payer relationships to accelerate strategic alignment and issue resolution.
Act as the escalation point for high-priority payer issues affecting cash flow or client performance.
Monitor payer trends, policy changes, and risk areas—and proactively manage operational impact.
Customer Success & Cross-Functional Enablement
Collaborate closely with the Customer Success and Sales team to ensure seamless client onboarding, billing integration, and issue escalation processes.
Align with Clinical, Legal, and Compliance teams on documentation and coding accuracy.
Work with Data and Finance teams to forecast revenue, analyze claim trends, and build RCM dashboards and KPIs.
Innovation & Technology Integration
Lead efforts to modernize the RCM function through advanced tooling, AI-based automation, and claims warehouse optimization.
Continuously evaluate opportunities to reduce cost-to-collect, improve denial rates, and streamline workflows.
Design and test pilots that introduce new tech, automation workflows, or care-aligned reimbursement models.
Partner cross-functionally with Product and Engineering to translate operational pain points into product roadmap priorities, driving automation even in resource-constrained environments.
Must-Haves
10+ years of progressive experience in healthcare revenue cycle management, with 3+ years in a senior leadership role.
Deep domain expertise in RCM across payer types and billing models.
Exposure to complex payer environments, including Medicaid, Medicare Advantage, and commercial ASO groups.
Demonstrated success maintaining strong, productive payer relationships. Track record of improving payer turnaround times through escalation management, relationship building, and process refinement.
Experience working closely with customer success or client-facing teams to resolve billing and operational challenges.
Proven ability to lead scalable RCM operations, including coding, billing, AR, collections, and compliance.
Proven ability to set and drive accountability for key RCM performance metrics (e.g., denial rates, charge lag, days to payment, write-off trends), and to build the infrastructure needed for accurate tracking, reporting, and continuous improvement.
Strategic mindset with experience designing revenue models and influencing business and margin outcomes.
Strong technical fluency with modern RCM platforms and a passion for leveraging AI and automation to drive performance.
Hands-on experience working directly with claims warehouses and associated analytics workflows.
Track record of building and leading high-performing teams in fast-paced, high-growth environments.
Nice-to-Haves
Experience with digital health or virtual care delivery models.
Familiarity with value-based care contracts or shared savings arrangements.
Comfort working Looker or other analytics platforms to monitor operational health.
Values-driven culture
Virta’s company values drive our culture, so you’ll do well if:
You put people first and take care of yourself, your peers, and our patients equally
You have a strong sense of ownership and take initiative while empowering others to do the same
You prioritize positive impact over busy work
You have no ego and understand that everyone has something to bring to the table regardless of experience
You appreciate transparency and promote trust and empowerment through open access of information
You are evidence-based and prioritize data and science over seniority or dogma
You take risks and rapidly iterate
Is this role not quite what you’re looking for? Join our Talent Community and follow us on Linkedin to stay connected!
Virta has a location based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $164,373 - $189,029. Information about Virta’s benefits is on our Careers page at: https://www.virtahealth.com/careers .
As part of your duties at Virta, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career at Virta, you will be expected to follow Virta’s security and privacy procedures to ensure our patients’ information remains strictly confidential. Security and privacy training will be provided.
As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco.
Clinical roles: We currently do not hire in the following states: AK, HI, RI
Corporate roles: We currently do not hire in the following states: AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI.
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