RCM Architect

About the role

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

Responsibilities

• Audit claims and drive strategy - Review claims for accuracy of action taken, validate next-best-action decisions, and translate findings into systemic recommendations. You're not fixing one claim; you're identifying the pattern behind it.
• Turn denial data into actionable workflows - Translate denial patterns into root causes and resolution pathways. Define standardized recovery strategies, escalation logic, and decision frameworks that hold up against real-world payer behavior.
• Codify RCM knowledge at scale - Build and maintain the SOPs, specialty guides, and decision frameworks that allow the organization to execute at a high RCM standard without you in every room. You are building a system, not just answering questions.
• Set every new customer up for success - Analyze denial rates, aging, payer mix, and workflow gaps at onboarding. Deliver a data-backed strategic action plan to the RCSM so every account starts with a clear path forward.
• Enable the organization - Support new hire onboarding, partner with Product and Engineering on feature release training, and communicate industry changes with a clear summary of what they mean for each team.
• Shape what gets built - Serve as the embedded RCM SME throughout the product development process. Contribute to PRDs, surface edge cases before build, and hold yourself accountable for the RCM quality of what ships - not just the feedback you submitted.
• Power the sales motion - Provide pre-sales RCM analysis for deals within ICP, create specialty-specific enablement materials for AEs, and review outbound copy for accuracy and appropriate framing.
• Be the expert in the room on escalations - Partner with RCSMs on complex customer challenges, step in when root cause is unclear, and feed systemic insights back into the product roadmap and operational workflows.
• How You'll Be Measured
• Primary metric: Reduction in upheld denials and rejections - the clearest signal that actions taken are correct and effective.
• Resolution effectiveness rate
• Reduction in rework and incorre

Benefits

Additional Information

About Joyful Health Building the financial operating system for healthcare - and bringing the joy back to healthcare by fixing the financial chaos behind it. 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.

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