RCM Lead

About Us Health is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up. Our mission is to improve people’s health by making it easy to live a healthy lifestyle. Nourish is the country's largest dietitian-led metabolic health clinic. We’re an AI-native digital health system matching patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, we've completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems. In 2026 we raised a $100M Series C , bringing total funding to $215M. The round was led by Menlo Ventures , with participation from Thrive Capital , Index Ventures , J.P. Morgan Growth Equity Partners , Maverick Ventures , Y Combinator , BoxGroup , Atomico , Daybreak , and Operator Partners . Learn more about our Series C here: N ourish Blog , Bloomberg , Fierce Healthcare , Digital Native , The Pulse Podcast . This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. We're looking for people who actively choose hard, ambiguous problems, who run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without the ego. Our work is important, but we are not self-important. We do this because we’re solving one of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it. About the role Reporting directly to our Senior Manager of Revenue Cycle Operations , the RCM Lead will support all billing and revenue cycle operations at Nourish, including helping manage our team of offshore reps., resolving patient billing tickets, managing claim workflows, and building and optimizing end-to-end RCM processes as we scale into new service lines and payer contracts. This role is critical to Nourish's core operations - you'll work cross-functionally with our Clinical Ops, Payer Ops, Customer Experience, and Product teams. The work you do directly impacts our patients (ensuring billing is never a barrier to care), our dietitians (enabling a smooth payment experience), and our payers. This role is full-time and fully remote (with option to work from our NYC office). Key responsibilities: Manage patient-facing and internal billing questions - including, but not limited to, resolving denials, investigating patient responsibility questions, and processing insurance coverage verifications. Work claims end-to-end via our clearinghouse and partner with cross-functional stakeholders to ensure a smooth billing experience for our patients and providers. Own SOP development end to end, designing the processes the team follows rather than simply executing existing ones Support efforts to streamline existing RCM processes by providing suggestions for automation or new tools, optimizing individual steps, and maintaining consistent, reliable execution. Lead ad-hoc RCM projects - including payer-specific billing efforts and new service line expansions. Directly manage and coach a team of offshore reps, assigning work, reviewing quality, and holding the team accountable to the SOPs you build. Develop and maintain SOPs for RCM workflows, flagging process gaps and proactively suggesting improvements to the team. Collaborate with cross-functional partners to communicate billing updates, escalate complex cases, and gather information needed to resolve patient or payer issues. Partner with our Product and Engineering teams to test, evaluate, and optimize AI-powered billing tools and automation - actively contributing feedback that shapes how our RCM technology evolves. You’ll love this role if: You are detail-oriented and organized. You enjoy keeping things on track and meeting…