Clinical Insights Manager, Revenue Cycle Manager (US, Remote)

Who is Eleos Health?

Today, more people than ever are speaking publicly about their mental health. Whether it's ourselves, our friends and family or even public figures, taking care of your behavioral health is no longer a taboo, it's vital, and it's only human.

Eleos is on a mission to help deliver the world's most effective behavioral care through data, measurement, and personalization. Or simply put, we want to give clinicians the support they need to do the important work only they can do.

The Opportunity

We’re launching an initiative to identify and validate product opportunities that meaningfully impact the revenue cycle for community mental health and SUD organizations. This role will map where breakdowns begin (front-end) and end (back-end), size the market, and translate insight into concrete product bets—partnering closely with Documentation and Compliance where RCM risk intersects with documentation quality and medical-necessity evidence.

What You’ll Do

• Scan the market & size opportunities. Build industry maps and evidence-backed cases (problem, who cares, TAM, adoption risks) for the top revenue-cycle opportunities Eleos can influence.
• Map end-to-end workflows. Diagram front-end through back-end RCM (referral & intake → eligibility & prior auth → service delivery & documentation → coding/charge capture → claims, remits, denials & appeals). Identify failure modes and quantify impact (rework, denials, write-offs).
• Translate clinical & compliance signals into product. Collaborate to translate the impact of billing/RCM requirements and pain points to clinical and operational processes and workflows.
• Model cross-silo + cross-payer variability. Build a view across clinical, QA/CQI, finance, contracting, billing, and IT to surface where processes break—and create state/payer playbooks that reflect program rules and Medicaid/managed-care differences (e.g., documentation elements tied to denials, authorization nuances, submission timing).
• Run experiments. Define leading indicators; pilot targeted checks or suggestions and measure lift.
• Synthesize and tell the story. Lead interviews with RCM, clinical, and quality leaders; turn payer/denial patterns and provider pain points into crisp problem statements.

What You’ll Bring (Required)

• Community mental health/SUD + Medicaid/managed care expertise. Direct, hands-on experience working in community mental health and SUD programs and operating within Medicaid/managed-care environments—grounded understanding of how program rules and documentation quality affect denials, rework, and revenue integrity.
• Depth & breadth in RCM. ~8+ years across front-end and back-end revenue cycle in behavioral health or adjacent ambulatory settings; proven ability to connect workflow breakdowns to measurable outcomes.
• Clinical & compliance literacy. Ability to translate financial and reimbursement optimization opportunities into product decisions.
• Product sense + analytical rigor. Comfortable with opportunity sizing, experiment design, and interpreting operational/claims trends to recommend focused bets.
• Trusted communicator. Warm, clear, and approachable; you help teams align without jargon or drama—consistent with Eleos’ voice.
• Enterprise, cross-silo thinking. Demonstrated ability to see across organizational silos—clinical operations, QA/CQI, compliance, finance, contracting, HIM/coding, billing, and IT—and align people and processes toward clear product decisions.
• Multi-state/payer product judgment. Experience assessing variability across organizations, states, and payers (e.g., Medicaid rules, MCO contracts, accreditation expectations) and translating those differences into scalable product rules, guidance, and experiments.
• EHR experience. Working knowledge of back-end EHR configurations and their impact to RCM workflows.
• Leadership experience. Proven experience as a director and/or managing entire operations and the revenue cycle end-to-end.

Nice to Have

• Experience leading cross-functional initiatives that link documentation quality to denial prevention.

This is a unique opportunity to join a startup that has a meaningful impact on thousands' well-being and mental health.
We have

• A product that positively impacts people's lives every single day.
• A team of amazing people with a shared vision and the infinite drive to make it happen
• The base pay range for this position is $130,000-190,000 per year. The determination of what a specific employee in this job classification is paid depends on several factors, including, but not limited to, prior employment history/job-related knowledge, qualifications and skills, length of service, and geographic location.
• In addition to your compensation, we offer wide and generous health benefits, significant equity and 401(k) plans matched to 4%
• Flexible PTO + Additional mental health days off you can take any given moment simply because you need them.
• Fully remote work environment
• Opportunity to build, grow, and become highly instrumental in shaping how technology can increase the effectiveness of therapy.