- Location
- Houston, Texas, United States
- Workplace
- Remote
- Employment
- Full time
- Level
- Director
- Posted
- 25 September
About this role
About Us
We are fixing US healthcare by building an AI-native physical care platform, starting with home health.
Home health is a $140B industry with less than $10B in EBITDA - 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.
By reshaping the cost structure of this industry, we unlock its growth.
We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and ex-MBB strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company.
Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we’d drive $60B.
We're starting with home health, then expanding to all delivered care. Our mission is “any care, any where”.
Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare.
About the Role
Revenue cycle is where great care becomes a sustainable business, and it's one of the biggest levers we have to reshape the economics of home health. Every improvement in how we get paid, from cleaner claims to faster collections to smarter payer strategy, compounds as we scale.
As RCM Director you'll own the analytical and strategic plan for our revenue cycle. You'll dig into the data, decode payer behavior, and identify the highest-impact opportunities, then drive them all the way through execution alongside Finance, Operations, Product, and Engineering. This is not a reporting role. Your insights will directly shape the products our engineers build and the way we get paid.
As we scale into new markets and evaluate acquisitions, you'll lead the revenue cycle workstream: stress-testing new opportunities, integrating new businesses, and making sure every market we enter is set up to perform from day one. You'll have high ownership, direct visibility with leadership, and the opportunity to help build the revenue engine of a fast-growing AI healthtech company.
Responsibilities
Own RCM analytics end to end
Lead root-cause analysis on denials, underpayments, and revenue leakage, and drive fixes to completion
Build expected-reimbursement and cash forecasting models that Finance and Operations can rely on
Own the RCM automation roadmap
Partner with Product and Engineering to define requirements and business cases for RCM tooling and automation
Lead revenue cycle strategy for new market launches
Own revenue cycle diligence on acquisition targets
Basic Qualifications
6+ years of experience, including 2+ years in healthcare-focused consulting or advisory, ideally complemented by time in an operating role
Working knowledge of the end-to-end revenue cycle
Demonstrated ownership of an analytics function
Track record of driving cross-functional initiatives to completion
Strong judgment to distinguish what's urgent from what's merely loud
Preferred Qualifications
Experience at a multi-state or rapidly expanding provider organization, or in tech-enabled care delivery
Experience in post-acute care (home health, hospice, personal care)
Familiarity with clearinghouses, PM/EHR billing modules (ideally HCHB), and RCM automation tools
What we offer
Competitive compensation package
Comprehensive health insurance, dental, and commuter benefits
401(k) retirement plan with employer contribution
Flexible time off policy - we expect most employees to take at least 3 weeks of vacation per year
Opportunity for growth in a fast-growing company
Collaborative team valuing innovation and problem-solving
As published by Adaptive Innovations. Applications are handled on their site.
Skills this posting mentions
About Adaptive Innovations
Adaptive Innovations is an AI-native healthcare provider working directly with clinicians and rebuilding the operating system that care runs on with AI at its core.
All 3 openings at Adaptive InnovationsOne click, then it is written
Apply to Adaptive Innovations with a resume written for this role.
Queue Director, Revenue Cycle Management and I read the posting, rewrite your resume against it, draft the cover letter, and score the fit. Then you press send, or press one button and I fill in Adaptive Innovations’s form for you.
01Drop your resume
A PDF or a LinkedIn URL. About a minute, once.
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Every weekday morning, the live catalog scored against your history. Up to 20 worth your time, not two hundred links.
03Each one is written up
Resume rewritten for the posting, a cover letter, a fit score. Press send, or let me fill in the form.
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Paste your career in once. Every application after that is written for you.
Drop a resume or a LinkedIn URL. I rank the live openings against it, rewrite the resume and write a cover letter for the best of them, and fill in the employer's form when you press the button. You read, you decide what goes out.
01Drop your resume
A PDF or a LinkedIn URL. About a minute, once.
02I rank the openings
Every weekday morning, the live catalog scored against your history. Up to 20 worth your time, not two hundred links.
03Each one is written up
Resume rewritten for the posting, a cover letter, a fit score. Press send, or let me fill in the form.
- New matches ranked and written before you are up.
- Every bullet stays inside what your history supports. Nothing invented.
- Queued, submitted, interviewing, offer: one screen, not a spreadsheet.
Free, no card. Up to 25 applications sent a week, and nothing is sent until you say so.
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