Director of RCM

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, serving as a cornerstone of our services launch in 2025. This role is ideal for a player-coach who can manage daily billing operations while also crafting and executing 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 for 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 develop both onshore and offshore teams focused on maximizing revenue for our provider network while upholding high standards of quality and compliance. A key focus of this role is driving gross margin improvement through AI- and technology-driven initiatives that enhance operational efficiency and reduce costs.

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.

• Strategy & Leadership
• Develop and execute the overall RCM strategy for scaling our RCM services offering beyond the pilot phase
• Expand and lead high-performing teams across the U.S. and international locations
• Set and monitor KPIs to ensure operational excellence and financial targets
• Manage vendor relationships and partnerships
• Oversee team performance and professional development

• Operations & Process Design
• Scale and optimize centralized RCM workflows for complex psychiatric billing—including interventional treatments—by enhancing processes for benefits verification, prior authorization, claims submission, and denials management
• Refine quality assurance frameworks and compliance protocols based on pilot learnings
• Implement industry best practices to ensure clean claims submission and proactively prevent denials
• Develop standard operating procedures and documentation

• Technology & Systems
• Partner with product/engineering teams to define requirements for RCM technology tools
• Evaluate and implement RCM software solutions and automation tools
• Drive automation initiatives to improve efficiency

• Margin Optimization & Technology Integration
• Support gross margin improvement as part of the Company's long-term Revenue Cycle Management (RCM) strategy, with a particular focus on AI and technology-driven initiatives
• Collaborate with the Product and RCM teams to identify and address pain points in current workflows
• Evaluate opportunities to optimize operational efficiency and reduce cost through automation or process redesign
• Provide input on product strategy and roadmap decisions that impact RCM workflows
• Advise on implementation approaches for AI and tech-enabled solutions to improve scalability and margin performance

• Financial Performance & Analytics
• Set and achieve revenue cycle performance targets
• Monitor key metrics, including clean claim rates, days in AR, and denial rates
• Develop reporting frameworks to track team and financial performance
• Identify opportunities for revenue optimization
• Provide regular performance updates to leadership
• Compliance & Risk Management

• Ensure compliance with healthcare regulations and billing requirements, and stay current with changes in billing rules and regulations
• Maintain documentation of policies and procedures
• Conduct regular audits of billing practices

• Client Success
• Ensure high satisfaction levels among provider clients
• Act as the escalation point for complex billing issues
• Build relationships with key provider accounts

• 8-10 years of healthcare revenue cycle management (RCM) experience, including 5+ years in leadership roles
• Proven success scaling RCM operations from early-stage environments to full-scale production, including oversight of both U.S.-based and offshore teams
• Extensive knowledge of behavioral health billing, with expertise in specialized treatments such as Spravato, TMS, and other interventional modalities
• Experienced in implementing and optimizing RCM technology solutions, including automation and workflow tools
• Strong command of healthcare compliance and regulatory standards related to billing and reimbursement
• Demonstrated ability to drive financial performance through operational excellence and strategic RCM leadership
• Track record of managing large, distributed teams (30+ staff) across multiple locations and time zones

• Direct experience with psychiatric or behavioral health billing
• 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
• The ideal candidate brings deep technical expertise in revenue cycle management, paired with strong leadership skills and a proven ability to build high-performing teams across multiple geographies. They should be entrepreneurial and energized by the opportunity to scale operations from pilot to full production, all while maintaining a strong focus on compliance and quality. A strategic mindset and experience leveraging technology and automation to enhance efficiency and improve margins are essential.

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.