OrthoFi · 2 months ago
Senior Product Manager - Revenue Cycle
Denver, CO
Full-time
Hybrid
Mid, Senior Level
$120K/yr - $145K/yr
7+ years expOrthoFi is a leading company in the orthodontic industry, dedicated to enhancing patient care through innovative technology solutions. The Senior Product Manager will focus on optimizing the Insurance Revenue Cycle Management for orthodontic practices, driving product strategy, automation, and data analytics to improve operational efficiency and patient experience.
Enterprise SoftwareHealth CareMedicalSaaSSoftware
No H1B
Responsibilities
Define and Drive Insurance RCM Strategy: Own the long-term product vision, strategy, and roadmap for the Insurance RCM platform, ensuring alignment with overall company goals and the specific needs of our orthodontic practice partners
Conduct continuous market research, competitive analysis, and partner interviews to identify emerging trends, regulatory shifts, and unmet needs in the orthodontic RCM space
Define and track key performance indicators (KPIs) and Objectives and Key Results (OKRs) related to RCM efficiency, revenue realization, and practice partner satisfaction
Define and own the benefit accuracy improvement roadmap, with a specific focus on optimizing how carriers adjudicate orthodontic and dental claims
Translate complex payer rules, orthodontic doctor fee schedules, and contract rates into system configurations and predictive models that dramatically improve estimate precision
Partner with internal Subject Matter Experts (SMEs) and RCM operations to capture denial trends, underpayments, and payer exceptions, feeding these critical insights back into product improvements (the Claims IQ feedback loop)
Partner deeply with data and analytics teams to leverage large datasets (claims, EOBs, contracts) to model payer behavior, calculate claim success likelihoods, and develop smart claim routing logic
Generate proprietary data insights to inform product feature prioritization, measure financial impact, and drive 'build vs. buy' decisions for core capabilities
Lead all automation projects, spanning EDI benefit flows, Robotic Process Automation (RPA) workflows, conversational/voice AI, and third-party vendor integrations
Evaluate current manual verification efforts and define scalable, data-backed automation strategies that significantly reduce operational effort and costs
Improve the configuration and utilization of eligibility, benefit data, contract pricing, and practice fee schedules to generate precise insurance payment and patient responsibility estimates, tailored to orthodontic treatment plans
Ensure product capabilities fully support treatment plan accuracy at the point of presentation, minimizing future adjustments and mitigating revenue leakage
Direct the product expansion to support Medicaid-specific requirements, including documentation needs, authorization workflows, eligibility, and payment structures
Collaborate with Compliance and Operations teams to successfully operationalize Medicaid onboarding and ongoing support
Qualification
Required
7+ years of Product Management experience
Deep, demonstrable understanding of healthcare Revenue Cycle Management (RCM), ideally in orthodontic / dental insurance
Proven experience translating operational workflows and payer policies into scalable, high-impact product solutions
Comfortable working extensively with structured healthcare data (e.g., Explanation of Benefits/EOBs, payer eligibility files, contract rates)
Strong ability to partner cross-functionally across Engineering, Operations, and Business teams, and drive clarity from ambiguity
A systems thinker mentality, with an understanding of how to build and evolve products to be increasingly smarter and more automated over time
Benefits
Full medical, dental, and vision benefits with 100% employer paid options and buy up plans
Flexible PTO
Employer HSA contribution
9 Company Paid holidays
401(k) match, 2% after 90 days of employment
Supportive culture with one-of-a-kind growth opportunities
Hybrid in-office and work at home (2 days in-office Tuesdays and Thursdays)
Paid Parental Leave as well as a two-week "ease-back" program that enables parents to return part-time at full pay
Company and team outings
Peer-to-peer recognition program
Vendor discounts
Company
OrthoFi
OrthoFi is a SaaS-based platform that offers software solutions for the orthodontic industry.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$3.7MKey Investors
Accel-KKRBoathouse Capital
2019-05-06Private Equity
2016-03-05Series Unknown
2015-05-15Series Unknown· $1.5M
Leadership Team
Jamie Reynolds
Co-Founder
Wendy Glickenhouse
Chief Financial Officer
Company data provided by crunchbase