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Circle Medical · 3 hours ago

Senior Product Manager, Revenue Cycle & Billing

United States

Full-time

Remote

Senior Level

$149K/yr - $195K/yr

5+ years exp

Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to make high quality healthcare accessible through technology. They are seeking a highly experienced, data-driven Senior Product Manager to lead the strategy and execution for their Revenue Cycle Management (RCM) platform, focusing on optimizing patient experiences and revenue capture through data analysis and collaboration with design and engineering teams.

FitnessHealth CareInsuranceWellness

Responsibilities

Own the RCM product roadmap and strategy end-to-end, focusing on core workflows, optimization, and system integration

Deeply understand and optimize insurance workflows, including: Insurance Capture & Validation: Ensuring accurate and efficient collection of patient insurance details

Eligibility & Benefits Verification: Streamlining real-time or batch verification processes

Internal Credentialing Management: Designing and optimizing internal systems for tracking provider network participation and credentialing

Drive strategy for billing and payment solutions, ensuring accuracy, compliance, and patient-friendly payment options

Be a highly data-driven decision-maker, constantly measuring key RCM metrics (e.g., net collection rate, days in A/R, % of appointments with eligibility issues, denials rates, etc.)

Utilize analytics tools daily (e.g., Amplitude, Looker, or similar BI platforms) to monitor funnel performance and identify friction points

Collaborate closely with Design and Engineering to translate complex insurance and financial workflows into simple, empathetic, and intuitive patient interfaces (web, mobile, messaging, etc.)

Translate complex, business-logic-heavy insurance journeys and financial terminology into clear, understandable patient communications and interfaces

Conduct user research and A/B testing to minimize friction and improve patient satisfaction

Serve as the product expert for business-logic-heavy applications and integrations. This includes working closely with engineering teams on API design, data models, and complex state management within RCM systems

Drive integration strategy with our EHR, clearinghouses, payers, and third-party financial services

Maintain exceptional attention to detail and product quality, including defining rigorous acceptance criteria and actively engaging in acceptance testing to ensure zero-defect deployments for compliance and financial accuracy

Masterfully manage a diverse set of stakeholders, including RCM, Finance, Legal/Compliance, Operations, and Clinical teams

Clearly articulate the value, cost, and risk of potential features and initiatives, influencing decisions and gaining buy-in for the long-term vision

Qualification

Revenue Cycle Management (RCM)Analytics tools proficiencyTechnical acumenSQLPatient-facing applicationsHIPAA complianceStakeholder managementUser researchA/B testingAttention to detail

Required

5+ years of Product Management experience, with at least 3 years focused on Revenue Cycle Management (RCM), healthcare finance, or complex healthcare platforms

Deep, demonstrable expertise in full-cycle RCM workflows: insurance capture, eligibility verification, coding, claims routing/submission, patient billing, payments/collections, denials management, etc

Proven high proficiency with analytics tools (e.g., Amplitude, Looker, Tableau, etc.) and demonstrated ability to use data to drive product decisions. Familiarity with SQL for data analysis, troubleshooting, and ad-hoc reporting a plus

Strong technical acumen and comfort working directly with engineering teams on business logic, APIs/webhooks, and data structures

Proven ability to deliver patient-facing (or customer-facing) web and/or mobile applications that simplify complex workflows

Familiarity with HIPAA and other healthcare compliance regulations related to financial data, patient communications, etc