Revenue Cycle Strategy & Operations Lead

Revenue Cycle Strategy & Operations Lead

Nourish is on a mission to improve people's health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world. Food can be medicine: working with a Registered Dietitian is one of the most effective interventions available, but less than 1% of eligible Americans use their covered benefits.

Nourish is building an AI-native, patient-friendly healthcare system centered on nutrition that improves outcomes, lowers costs, and helps people live healthier, longer lives. We launched three years ago, are live in all 50 states, and already have thousands of dietitians and hundreds of thousands of patients on the platform.

We are growing quickly, have partnered with national health insurance companies and provider groups, and have raised $115M from top-tier VCs including JP Morgan Growth Equity, Thrive Capital, Index Ventures, Y Combinator, Maverick Ventures, Box Group, Atomico, G Squared, and Pinegrove Venture Partners. Our angel investors include world-class healthcare founders from Oscar, Rightway Health, Headway, Spring Health, and Alto Pharmacy, as well as soccer star Alex Morgan and the founders from Olipop and Notion.

As a Revenue Cycle Strategy & Operations Lead, you'll be the strategic and operational driver behind the systems that power our revenue collection - helping us collect revenue while building a best-in-class patient and provider experience. Reporting to the Head of RCM, you'll help scale our infrastructure, operations, and team as we expand into new product lines and partnerships.

You'll sit at the intersection of strategy, execution, and collaboration - designing how we work, partnering across engineering, operations, and finance, and rolling up your sleeves to drive forward the initiatives that matter most. Whether it's activating new insurance contracts, implementing new tech & RCM vendors, driving the success of new product lines and partnerships, or defining the roadmap for our RCM team, you'll be a key player in shaping the future of our RCM function.

This is a unique opportunity to build from the ground up at a mission-driven, fast-growing healthcare company. If you're excited to take ownership of complex systems, drive results across teams, and work in a dynamic, high-growth environment - we'd love to meet you.

This is a full-time, NYC-based role (3–4 days/week in our Gramercy office, with some remote flexibility).

Key Responsibilities:

• Drive RCM strategy & operational excellence: Lead initiatives across insurance eligibility, billing, and collections to improve financial outcomes and operational efficiency. Partner cross-functionally to define priorities, identify blockers, and unlock opportunities for improvement.
• Partner with Engineering to scope and launch key tools: Translate RCM needs into product requirements in partnership with Engineering - e.g., launching an AI support agent for billing workflows or revamping insurance eligibility infrastructure.
• Quarterback high-impact special projects: Identify and own high-impact strategic initiatives, end-to-end, collaborating across cross-functional teams (e.g., Product, Marketing, etc.) to drive meaningful results.
• Design and scale RCM reporting: Build and maintain reporting to track progress against team goals, inform leadership strategy, and improve day-to-day decision-making across the RCM org.
• Support new product and market expansion: Help stand up new RCM processes as we expand into new clinical offerings, states, or payer arrangements - ensuring our systems are ready to scale.
• Manage vendor and stakeholder relationships: Lead the day-to-day relationship with our key RCM vendors, including management of issue resolution, performance tracking, and workflow automation.

We'd love to hear from you if:

• You have 3-5 years of experience, ideally combining time in consulting, banking, or investing and strategy, operations, or product roles at a high-growth startup.
• Bonus points if you have a passion for healthcare or nutrition, and/or have experience in the industry.
• You're a first-principles thinker who loves breaking down ambiguous problems and designing solutions tailored to the business context.
• You're a systems-minded problem solver who enjoys untangling messy workflows and turning them into scalable, tech-enabled systems.
• You're highly analytical, comfortable building analyses from scratch and cutting data to tell a clear story. You focus on the 80/20 — identifying what matters most and prioritizing ruthlessly to drive impact.
• You're a strong communicator and project manager, able to distill complex ideas, keep cross-functional efforts on track, and ensure no ball gets dropped.
• You're a self-starter who is comfortable operating in ambiguity, has a willingness to plug in wherever needed, and has a strong sense of ownership.

Please note that you must be legally authorized to work in the U.S. for this position.