About the Company
This organization is a U.S.-based healthcare revenue cycle management company serving Critical Access Hospitals, rural health systems, and outpatient clinics. Founded nearly two decades ago, it has built a strong reputation as a trusted long-term partner for providers in underserved and resource-constrained markets who cannot afford the disruption of offshore billing, high vendor turnover, or complex EHR migrations.
The company operates a full-service RCM model: medical billing, claims management, coding, denial resolution, prior authorization, provider credentialing and enrollment, self-pay collections, and RCM consulting. Its differentiator is a tenured, U.S.-based team that works directly inside each client's existing systems, eliminating integration barriers and delivering results from day one.
The business currently generates approximately $6 million in annual revenue. The mandate for incoming leadership is to grow that to $20 million within five years. Rural healthcare remains the core market, but the growth strategy includes adjacent client segments including specialty physician groups and community health systems. The company is a member of a larger healthcare holding company with capital, infrastructure, and appetite to support disciplined expansion.
The Opportunity
This is a commercial leadership role first. The company has a proven service model, a loyal client base, and a clear market niche. What it needs now is a CEO who can build the sales engine, expand the client footprint, and modernize operations to support scale.
The incoming CEO will inherit a strong operational foundation and a team that knows the work. The job is to point that engine at a larger market, invest in the right technology to reduce manual cost, and develop the leadership capacity to sustain growth without degrading service quality. The right candidate will be energized by the challenge of building something, not maintaining it.
Key Responsibilities
Revenue Growth and Business Development
- Own the company's revenue growth strategy from $6 million to $20 million, including client acquisition targets, market expansion priorities, and pricing strategy.
- Build and lead a business development function capable of generating consistent new client pipeline across rural healthcare and adjacent segments including specialty practices and community health systems.
- Personally carry senior client relationships and serve as the company's primary external face with prospective clients, health system executives, and industry partners.
- Develop and execute a go-to-market strategy that leverages the company's rural healthcare expertise as a foundation while opening new market segments.
- Evaluate and pursue partnership or acquisition opportunities that accelerate client growth or add service capability.
Financial Performance
- Own full P&L responsibility with direct accountability to the Board of Directors.
- Build and manage annual operating budgets, headcount plans, and financial forecasts tied to growth targets.
- Establish and monitor KPIs across revenue, margin, client retention, collections performance, and denial resolution rates.
- Ensure the business scales revenue without proportional cost growth by investing in process efficiency and technology.
- Partner with the CFO and parent company leadership on capital planning, reporting, and financial strategy.
Technology and Operational Modernization
- Assess the current technology stack and lead a roadmap for adopting AI-enabled tools across billing automation, denial management, coding accuracy, and analytics.
- Identify and implement automation opportunities that reduce manual labor cost per claim while maintaining or improving accuracy and compliance.
- Drive data and reporting infrastructure that gives clients and internal leadership real-time visibility into RCM performance.
- Ensure technology investments support the company's differentiator of working directly in client systems without requiring integration overhead.
- Stay current on industry developments in AI, payer automation, and coding technology to maintain a competitive service offering.
Operations and Service Delivery
- Ensure consistent, high-quality delivery across all service lines: billing, coding, denial management, credentialing, prior authorization, and self-pay collections.
- Build scalable operating processes and quality assurance programs that support client growth without adding proportional headcount.
- Maintain and strengthen the company's commitment to U.S.-based staffing as a competitive differentiator.
- Oversee compliance with CMS, HIPAA, payer-specific, and healthcare regulatory requirements across all client work.
- Develop and track client satisfaction metrics and embed retention practices into the client management model.
Team Leadership and Organizational Development
- Lead, develop, and hold accountable a growing leadership team across operations, coding, client services, and business development.
- Build organizational capacity ahead of growth, including talent acquisition, onboarding infrastructure, and staff retention programs.
- Create a culture of accountability, clinical accuracy, and genuine partnership with clients.
- Build the management layer the company currently lacks to support scale without direct CEO involvement in every client relationship.
Board and Parent Company Alignment
- Report directly to the Board of Directors with regular, transparent communication on performance, pipeline, and risk.
- Collaborate effectively with parent company leadership on shared infrastructure, capital access, and strategic alignment.
- Operate with meaningful autonomy while working constructively within a holding company structure.
Qualifications
Required
- Demonstrated track record of driving revenue growth in a healthcare services, RCM, or adjacent professional services business, with experience scaling from a sub-$10 million base.
- Prior P&L ownership at a CEO, President, or General Manager level in a services-based business.
- Strong sales and business development background with the ability to personally open, develop, and close enterprise healthcare client relationships.
- Working knowledge of healthcare revenue cycle operations, including medical billing, coding, denial management, and payer dynamics.
- Fluency in AI and automation trends in healthcare RCM, with the judgment to invest in the right tools at the right time.
- Experience building or significantly restructuring a sales and business development function.
- Financial acumen sufficient to own a P&L, build a budget, and manage to margin through a growth phase.
Preferred
- Direct experience serving Critical Access Hospitals, rural health systems, or Federally Qualified Health Centers.
- Familiarity with CMS reimbursement structures, rural health program regulations, and NRHA or similar advocacy ecosystems.
- Background in a company that operated as part of a larger holding company or private equity-backed portfolio.
- Experience with outsourced or managed services models where the team works inside client systems rather than behind proprietary technology.
Leadership Characteristics
- Builder mentality. Comfortable creating structure, process, and pipeline where little currently exists.
- Commercial instinct. Sees market opportunity before it is obvious and moves with urgency to capture it.
- Operationally grounded. Understands that revenue growth without service quality is not sustainable.
- Credible in the room. Can sit across from a rural hospital CFO and earn their trust quickly.
- Clear communicator. Creates alignment inside the organization and confidence outside it.
- Resilient. Energized by early-stage challenges, not deterred by them.
Pay: $158,923.00 - $214,547.00 per year
Benefits:
- 401(k)
- Dental insurance
- Retirement plan
Work Location: In person
