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Eleos Health · 1 month ago

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

United States

Full-time

Remote

Senior Level, Lead/Staff, Director/Executive

$130K/yr - $190K/yr

8+ years exp

Eleos Health is on a mission to deliver effective behavioral care through data and personalization. The Clinical Insights Manager will identify and validate product opportunities that enhance the revenue cycle for community mental health and SUD organizations, focusing on mapping workflows and translating insights into actionable product strategies.

Artificial Intelligence (AI)Health CareInformation TechnologyMental Health

Growth Opportunities

Responsibilities

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

Qualification

Community mental health expertiseRevenue cycle management (RCM)Clinical compliance literacyProduct senseEHR experienceCross-silo thinkingMulti-state/payer judgmentTrusted communicatorLeadership experience

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