Vice President, Revenue Cycle Management

Welcome to Brightline! We are searching for a Vice President of Revenue Cycle Management to own the strategic direction and executive leadership of our end-to-end revenue cycle. This is a senior executive role reporting to the CFO, responsible for developing and executing multi-year revenue cycle strategy, managing a team of Directors, and ensuring the organization maximizes net revenue, accelerates cash flow, and sustains compliant, scalable operations.

Responsibilities:

• Revenue Cycle Strategy Ownership: Develop and own the multi-year revenue cycle strategy aligned to the corporate strategic plan, translating it into operational priorities, investment decisions, and measurable performance outcomes across the full revenue cycle continuum.

• Organizational Leadership: Manage and develop a team of Directors spanning Payor Enrollment, Licensing & Credentialing, Medical Billing, Coding, Accounts Receivable, Denials Management, and Revenue Integrity — setting direction, holding leaders accountable to outcomes, and building a high-performing, scalable organization.

• Revenue Cycle Operations: Provide executive leadership across all revenue cycle functions — including charge capture, coding, billing, claims submission, accounts receivable, and collections — driving automation, technology adoption, and continuous performance improvement against KPIs including net collection rate, DAR, clean claim rate, and denial rate.

• Change Management & Risk Mitigation: Develop and lead change management and risk mitigation strategies for revenue cycle operations, including proactive planning for regulatory changes, payor policy shifts, technology transitions, and organizational growth or restructuring.

• Payor Enrollment & Credentialing: Maintain executive accountability for payor enrollment and provider credentialing functions, ensuring providers are enrolled and credentialed accurately, compliantly, and within timelines that protect the organization’s ability to bill and collect — including proactive planning for new market expansions and acquisitions.

• Denials Management & Revenue Integrity: Set strategic direction for denials prevention and revenue integrity, driving a proactive, analytics-based approach to root cause analysis and systemic issue resolution, in partnership with Compliance and Legal.

• External Stakeholder Engagement: Represent the organization externally with payor executives, at industry forums, and in high-stakes contract negotiations — serving as the senior revenue cycle voice and relationship holder at the executive level.

• Technology & Analytics: Lead revenue cycle technology strategy, sponsoring investment in practice management systems, coding tools, credentialing platforms, AI-assisted tools, and analytics capabilities that provide real-time executive visibility into revenue cycle performance.

Requirements:

• 10+ years of progressive revenue cycle management experience in a healthcare services setting, with at least 5 years in a senior leadership role managing Directors or equivalent

• Demonstrated experience developing and executing revenue cycle strategy, improving net collection rates, reducing DAR, and leading organizations through transformation

• Experience overseeing payor enrollment and provider credentialing functions at scale; multi-site, multi-specialty, or multi-state experience preferred

• Deep expertise in Medicare, Medicaid, and commercial payor billing rules, credentialing standards, and enrollment processes

• Strong knowledge of ICD-10, CPT, and HCPCS coding principles and compliance requirements

• Proven ability to represent an organization externally with payors, in contract negotiations, or at an industry level

• Experience leading change management and enterprise risk mitigation in a complex, high-growth, or highly regulated environment

• Strong executive presence with the ability to present complex financial and operational information to senior leadership and the Board

• Proficiency with practice management and EHR platforms; enterprise credentialing systems (e.g., Cactus, Verity, MD-Staff) a plus

• Bachelor’s degree in Business, Healthcare Administration, Finance, or related field required; Master’s degree (MBA, MHA, or equivalent) strongly preferred

• Preferred certifications: CRCE or CRCP (HFMA/AAHAM), CPC (AAPC), and/or CPCS or CPMSM (NAMSS)

We offer several benefits, perks, and stipends:

• Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k

• 12 Company Holidays, Holiday Shutdown, Flexible Time Off, Parental Leave

• Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement

• Stock Options

At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range for applicants is $175,000–$200,000.

Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce

At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to:

• building a future where all families can access inclusive, high-quality care

• creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive

• systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems

• ensuring that every employee, candidate, client, and family we serve is valued and respected

About Brightline

Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results. We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.