RCM Architect

The healthcare payment system is a complex and inefficient maze. Healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. This financial uncertainty leaves practices struggling to stay afloat while valuable revenue slips through the cracks.

Joyful Health is building an AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product.

We just announced our $22M Series A led by CRV and world-class investors including the founders of MongoDB & KAYAK.

At the center of our model is the RCM Center of Excellence (CoE) — the layer that translates real-world billing complexity into scalable systems. If you’re excited about applying deep RCM expertise to fix a system that is fundamentally broken, we’d love to meet you.

We are hiring an RCM Architect to serve as the RCM knowledge layer across the organization.

This is a high-leverage, cross-functional role that sits at the intersection of Sales, Customer Success & Operations, and Product & Engineering. You are the person who defines what correct RCM looks like — and ensures the organization is executing toward it.

This role is accountable for outcomes, not just artifacts.

RCM Architects are not measured by the quality of the document they produce — they are measured by whether the function, project, or account achieves its intended RCM result. You own the outcome.

You will be responsible for translating RCM complexity into clear strategy, structured workflows, and actionable insights — ensuring that:

• We start customers correctly

• We build the right product

• We solve the right problems

• The organization develops a compounding understanding of RCM patterns and solutions

The RCM Architect is the connective tissue between Joyful's RCM expertise and every team that depends on it. On any given day, you might be deep in a customer's denial data identifying the root cause of a revenue leakage pattern, sitting alongside Engineering to validate whether a new agent workflow reflects how billing actually works, or building the SOP that a BPO team will use to execute against a new specialty.

This is not a role defined by a single function. You are embedded across Sales, Customer Success, Product, and Operations — not as a support resource, but as the person who sets the standard for what correct RCM looks like and ensures the organization is executing toward it. You own the outcome, not just the deliverable.

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• Deep familiarity with Joyful’s workflows, product, customer base, and internal team structure

• Producing clear, well-structured onboarding analyses for new customers with actionable recommendations

• Contributing meaningfully to product conversations — opinions are grounded in real-world RCM, communicated with confidence

• First SOPs and workflow definitions drafted and in review

• Independently owning the onboarding support function for new customers without Head of RCM review

• Actively identifying systemic denial patterns across the customer base and translating them into product improvements and SOPs

• Recognized by Product and Engineering as a trusted RCM authority — your feedback is shaping what gets built

• Sales team is relying on your pre-sales analysis to close and scope deals with confidence

• The organization has a compounding, structured body of RCM knowledge — SOPs, enablement guides, denial frameworks — that scales beyond any single person

• Measurable reduction in upheld denials across the customer base attributable to workflow and strategy changes you led

• Product is building workflows that consistently reflect real-world RCM complexity because the CoE’s feedback loop is working

• The CoE is emerging as a recognized center of expertise — the function other teams go to when things are hard

You are not backfilling a seat in an RCM department. You are building the intelligence layer that defines how an AI-powered financial operating system understands and solves revenue cycle problems. Your expertise compounds into something bigger than any single customer or claim.

You own the RCM outcome, not just the deliverable. You have a direct line to the Head of RCM, direct influence on the product roadmap, and the trust to operate with real autonomy as you demonstrate independent judgment.

Gain deep exposure to:

• AI product development in a way that almost no RCM professional ever gets

• Cross-functional strategy — Sales, Product, Engineering, and Operations all rely on this role

• RCM at scale — patterns across dozens of practices across multiple specialties, compounded into a growing body of knowledge

Comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), flexibility, and a team that cares about doing this right. We organize regular team off-sites and invest in your professional development.