Director, RCM Operations

Are you interested in harnessing technology and AI to transform healthcare?

 At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About the Role

At XiFin, we help diagnostic providers, laboratories, and healthcare organizations strengthen their financial and operational performance so they can stay focused on one thing—patient care. The Director, RCM Operations, plays a pivotal role in ensuring customer success by overseeing the full revenue cycle for assigned accounts and ensuring optimal performance across both onshore and offshore operational teams.

As XiFin’s subject matter expert in Revenue Cycle Management (RCM), you will lead continuous improvement initiatives, guide teams through operational challenges, and influence workflow and system optimization. This role requires strong leadership, operational excellence, and the ability to navigate and communicate effectively at all levels—internally and externally.

This position will be located in one of our offices in either Charleston, SC, Dallas, TX, or San Diego, CA. US travel is expected for this role, no less than 25%.

This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.

How you will make an impact:

In this role, you’ll:

Operational Leadership & Customer Success

• Lead and overseeend‑to‑endrevenue cycle operations for assigned client accounts.
• Manage andmonitortask completion for client software installations, ensuring smooth onboarding and implementation.
• Identifyreimbursement issues quickly and drivetimelyresolution to support customer financial performance.
• Monitor, interpret, and communicate key customer success metrics and trends.
• Ensure adherence to billing compliance, regulatory standards, and customer reporting requirements.
• Complete client billing oversight and direct customer facing collaboration and partnerships.

Process Optimization & Continuous Improvement

• Act as the RCM subject matter expert to guide system configuration, workflow refinement, and approved operational adjustments.
• Trend errors, denials, and A/R aging to proactively identify opportunities for process improvement.
• Partner with cross‑functional teams—including Product, Implementations, and Support—to ensure operational readiness and client satisfaction.

People Leadership

• Lead, mentor, and develop onshore and offshore operational teams to ensure a positive, productive, and high‑performing environment.
• Establish, maintain, and report on KPIs; provide regular coaching and actionable feedback to staff.
• Promote a culture of accountability, collaboration, and continuous learning.

Risk & Issue Management

• Manage project risks and issues, including identifying, analyzing, tracking, escalating, and mitigating any items that may impact timelines or service delivery.
• Communicate proactively with internal teams and clients to ensure alignment and transparency.

What you will bring to the role:  

We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:

• Think strategically while remaining deeply engaged in technical detail
• Are comfortable operating in fast-moving, complex environments and driving clarity where requirements are complex
• Demonstrate strong ownership and accountability for product outcomes
• Are able tobalance business priorities, technical constraints, and regulatory requirements in product decision-making
• Communicate effectively with both highly technical and non-technical audiences

Skills and experience you have: 

You don’t need to check every box. We will consider a combination of education and experience, including:

• Bachelor’s degree in Business, Healthcare Management, Healthcare IT, or equivalent experience.
• 10+ years of revenue cycle operations experience, preferably in ahigh‑volume or complex healthcare environment.
• Demonstrated expertise in RCM metrics, data analytics, and KPI reporting. 
• Advanced proficiency in Microsoft Excel and strong working knowledge of other MS Office tools.
• Experience leading and developing multi‑location teams (onshore/offshore).
• Proven ability to manage large volumes of cases, deadlines, operational escalations, and competing priorities.
• Experience supporting or collaborating with implementation teams on software onboarding or workflow design (preferred).
• Healthcare technology experience (e.g., revenue cycle, diagnostics, interoperability, compliance) strongly preferred; Financial technology or other highly regulated SaaS experience considered a strong plus.

Why XiFin?

We’re more than just a healthcare technology company—we’re a team that cares about people. 
Here’s a glimpse at what we offer:

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA)with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

Pay Transparency

At XiFin, we believe in pay transparency and fairness. The expected annual salary range for this role is: $128,000- $168,000. 
 
Depending on your qualifications, final compensation will be determined during the selection process and may vary based on experience, skills, and geographic location.

Accessibility & Accommodations

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2900.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.

Ready to apply?
We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.